Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334804329
Report Date: 04/24/2018
Date Signed 04/24/2018 02:49:49 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
04/18/2018 and conducted by Evaluator Kim Leung
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20180418091727
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: 45DATE:
04/24/2018
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Theresa SalleyTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility operating over ratio

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. During visit, LPA toured the facility taking census. Records were reviewed to verify teacher qualifications. The facility was observed in compliance with ratio requirements in each of the classes at time of visit. Records were reviewed and interviews were conducted. LPA obtained information that the Discovery Preschool Room for the younger preschool children were out of ratio after nap time on several occasions in April 2018 with one teacher supervising more than 12 children when children started to get up from nap. LPA obtained information that there was at least one afternoon that one teacher was left with 22 children in the class until a second teacher came in at 3:15pm. LPA obtained information that children were kept on the cots after they got up from nap due to short of staff in the class.

(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: 04/24/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2018
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 6
Control Number 09-CC-20180418091727
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: 04/24/2018
NARRATIVE
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Based upon the information gathered, the preponderance of evidence standard has been met. The allegation is therefore substantiated.

See LIC9099D for deficiency 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: 04/24/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2018
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 09-CC-20180418091727
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: 04/24/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/25/2018
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). The younger preschool class was out of ratio after nap time on several occasions in April 2018 with one teacher supervising more than 12 children when
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Director Theresa Salley agreed to maintain proper ratio at all times. Director agreed to rearrange staffing to ensure a second teacher steps in the class latest at 2:30pm or earlier to get ready for the first child to get up from nap each afternoon if there are more than 12 children in the class.
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children started to get up from nap. There was at least one afternoon that one teacher was left with 22 children in the class until a second teacher came in at 3:15pm. That presented immediate risks to children's safety.
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LIC500 Personnel Report including break times for each class with staff signatures will be submitted to the Department by 4/25/2018.
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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: 04/24/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2018
LIC9099 (FAS) - (06/04)
Page: 3 of 6
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
04/18/2018 and conducted by Evaluator Kim Leung
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20180418091727

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: 45DATE:
04/24/2018
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Theresa SalleyTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility bathroom is unkempt

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 the facility failed to maintain the restroom clean and there were feces all over a toilet bowl. During visit, LPA toured the facility inspecting children's restrooms. The restrooms appeared clean and sanitary at time of the visit. LPA conducted interviews with staff during visit. LPA obtained information that there were times that feces were left on the toilet seat after children used the restroom that staff had to clean the restroom. However, information regarding how long the toilet and the restroom were left in unsanitary condition prior to being cleaned was not available to the Department. Based upon the observations and information gathered during visit, there is not a preponderance of evidence to corroborate the allegation.

Based upon the information gathered, there is not a preponderance of evidence to support or dismiss the allegation. The above allegation is ruled unsubstantiated at this time.

Exit interview was conducted with Ms. Salley. Notice of Site Visit was issued and must be posted for 30 day. A copy of this report was provided to the facility.

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

DATE: 04/24/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2018
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 6