Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334804329
Report Date: 05/04/2018
Date Signed 05/04/2018 05:34:51 PM


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/25/2018 and conducted by Evaluator Kim Leung
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20180425083859
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334804329
ADMINISTRATOR:THERESA SALLEYFACILITY TYPE:
850
ADDRESS:11961 PERRIS BLVDTELEPHONE:
(951) 243-6558
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92557
CAPACITY:72CENSUS: 42DATE:
05/04/2018
UNANNOUNCEDTIME BEGAN:
07:25 AM
MET WITH:Theresa SalleyTIME COMPLETED:
05:45 PM
ALLEGATION(S):
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Facility staff is operating out of ratio

Facility staff is commingling children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kim Leung visited the facility to investigate the above allegations. Upon arrival, LPA met with facility director Theresa Salley and stated the purpose of the visit. It was alleged that facility was operating out of teacher-child ratio with one teacher supervising more than 12 children. It was further alleged that school-age children were commingled with preschool children in the morning. During visit, LPA toured the facility taking census. The facility was observed in compliance with ratio requirements upon LPA's arrival. Records were reviewed and interviews were conducted during visit. Facility was cited for operating out of ratio during inspection on 4/24/2018. LPA obtained information that after the previous inspection on 4/24/2018, facility continued operating out of teacher-child ratio with one staff member supervising more than 12 children in the Discovery Preschool Room in several mornings before a second staff member stepped in to assist. The room is used as an opening room to receive children enrolled in the preschool program and school-age program in the morning. (TO BE CONTINUED ON NEXT PAGE)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2018
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 09-CC-20180425083859
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334804329
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/04/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/04/2018
Section Cited
CCR
101216.3(a)
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Teacher – Child Ratio. There shall be a ratio of one teacher supervising no more than 12 children in attendance except as specified in (b) and (c). Facility was cited for operating out of ratio during inspection on 4/24/2018. After the previous inspection, facility continued operating out of teacher-
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That was a repeat violation. CIVIL PENALTY ASSESSED. Director Theresa Salley agreed to maintain proper ratio at all times. Director will arrange at least 2 staff members working in the opening room during the 2 hours of the operation.
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child ratio with one staff member supervising more than 12 children in the Discovery Preschool Room in several mornings before a second staff member stepped in to assist. That presented immediate risks to children's safety.
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Staffing plan will be submitted to the Department.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2018
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 09-CC-20180425083859
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334804329
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/04/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/07/2018
Section Cited
CCR
101161(a)
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Limitations on Capacity and Ambulatory Status. The licensee shall not exceed the conditions, limitations and capacity specified in the license. Facility has a waiver allowing commingling of preschool children and school-age children from 6am to 7am and 5:30pm to 6:30pm.
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Director Theresa Salley agreed to follow the terms and conditions specified on the waiver. Director states that she understands that continue commingling children beyond the time frame allowed may result in the waiver being rescinded.
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There were occasions that school-age children were staying with preschool children in the Discovery Preschool Room after 7am and sometimes until 7:11am.
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Director will rearrange staff schedule to ensure school-age teacher reports to work before 7am preparing for taking the school age children to the school room no later than 7am. Staff schedules will be submitted to the Department by 5/7/2018.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2018
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 09-CC-20180425083859
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334804329
VISIT DATE: 05/04/2018
NARRATIVE
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Facility has a waiver allowing commingling of preschool children and school-age children from 6am to 7am, the first hour of operation, and 5:30pm to 6:30pm, the last hour of operation, each day. LPA obtained information that there were occasions that school-age children were staying with preschool children in the Discovery Preschool Room after 7am and sometimes until 7:11am. Based upon the information gathered, the preponderance of evidence standard has been met. The allegations are therefore substantiated.

See LIC9099D for deficiencies cited per California Code of Regulations, Title 22, Division 12.

Exit interview was conducted with Ms. Salley. Appeal rights were explained. A copy of this report was provided to the facility. A NOTICE OF SITE VISIT WAS ISSUED AND IS TO BE POSTED IN A PROMINENT LOCATION AT THE FACILITY FOR THE NEXT 30 DAYS ALONG WITH A COPY OF CITATION (9099D). A COPY OF THE CITATION DURING THIS VISIT MUST ALSO BE IMMEDIATELY (within 24 hours of the child’s next day in care) GIVEN TO THE PARENTS OF ALL CHILDREN ENROLLED IN THE CHILD CARE FACILITY AND ANY CHILDREN ENROLLED INTO THE CHILD CARE FACILITY OVER THE NEXT 12 MONTHS.

A copy of this report must be made available to the public for 3 years.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2018
LIC9099 (FAS) - (06/04)
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