Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013415906
Report Date: 07/12/2017
Date Signed 07/12/2017 03:03:56 PM


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/27/2017 and conducted by Evaluator Melanie Otsuji
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20170427163309
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
013415906
ADMINISTRATOR:CASH, MEGANFACILITY TYPE:
850
ADDRESS:32710 FALCON DRIVETELEPHONE:
(510) 324-3569
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY:108CENSUS: 86DATE:
07/12/2017
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Monica VillabosTIME COMPLETED:
03:18 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
- Facility does not exercise proper hygiene.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to continue investigation into the above allegation. LPA met with Acting Director Monica Villabos. Present during today's visit were 9 staff members and 86 napping children.

During the course of the investigation LPA conducted interviews and made observations. LPA did a visual tour of the physical plant. LPA notes that a couple of the toilets in the preschoolers bathrooms appeared to have urine on the seat. Additionally it was stated in interviews, that there have been times when the bathrooms have not been cleaned because teachers are watching the children and have been unable to tend to the bathroom cleanings.
Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter number 1), is being cited on the attached LIC. 9099D.”
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Zakiya AliTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (559) 341-5559
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2017
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 3


Control Number 02-CC-20170427163309

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 013415906
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/12/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/24/2017
Section Cited
101223(a)(2)
1
2
3
4
5
6
7
Personal Rights. Each child shall be accorded safe, healthful and comfortable accommodations, furnishings and equipment.
1
2
3
4
5
6
7
Facility is to conducted training with staff members to ensure that bathrooms are checked for cleanliness. Additionally, training is to be conducted to ensure that health checks are done on children upon arrival to the facility. Training/meeting notes and signatures of attendees to be submitted to LPA no later than 7/24/2017.
8
9
10
11
12
13
14
-LPA observed a couple of preschooler bathroom toilet seats to have urine on them. Additionally, it was stated in interviews that staff members do not always have the time to clean the bathrooms as they are watching the children.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Zakiya AliTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (559) 341-5559
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2017
LIC9099 (FAS) - (06/04)
Page: 2 of 3



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/27/2017 and conducted by Evaluator Melanie Otsuji
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20170427163309

FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
013415906
ADMINISTRATOR:CASH, MEGANFACILITY TYPE:
850
ADDRESS:32710 FALCON DRIVETELEPHONE:
(510) 324-3569
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY:108CENSUS: 86DATE:
07/12/2017
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Monica VillabosTIME COMPLETED:
03:18 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Children were observed hitting each other while staff stood talking amongst themselves.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to continue investigation into the above allegation. LPA met with Acting Director Monica Villabos. Present during today's visit were 9 staff members and 86 napping children.

During the course of the investigation LPA conducted interviews and made observations. LPA did a visual tour of the physical plant. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated

Exit interview conducted. Appeal Rights provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Zakiya AliTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (559) 341-5559
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2017
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3