334804331-11-25-2024-10-CC-CMAZ-DBU2JC-20241210162607

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334804331
Report Date: 11/25/2024
Date Signed: 11/25/2024 11:53:05 AM

Substantiated

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 STREET, STE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/10/2024 and conducted by Evaluator Sumayya Habeebulla

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20241010123240

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	334804331
ADMINISTRATOR:	THERESA SALLEY		FACILITY TYPE:	830
ADDRESS:	11961 PERRIS BLVD		TELEPHONE:	(951) 243-6558
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92557
CAPACITY:	24	CENSUS: 20	DATE:	11/25/2024
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:			TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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- Licensee does not take adequate measures to prevent outbreaks in the facility.

INVESTIGATION FINDINGS:

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On date and time listed, Licensing Program Analyst (LPA) Sumayya Habeebulla arrived unannounced at the facility and met with Facility Director to deliver the investigative findings for the above stated allegations.

During the investigation, interviews were conducted with Facility Director and other pertinent parties. LPA also obtained copies of pertinent records that included: facility roster, cleaning procedures.
On October 10th, 2024, complaints were received by the department alleging facility does not take adequate measures to prevent outbreaks in the facility.

See LIC 9099C for continuation.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Sumayya Habeebulla	TELEPHONE: 951-201-1991
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20241010123240

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 334804331
	VISIT DATE: 11/25/2024

NARRATIVE

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Interviews conducted with staff revealed that the facility frequently used 2 different cleaning products to clean and/or disinfect in the infant classrooms. According to staff, the facility uses a blue solution to clean the infant changing tables and classrooms, and the other product that was labeled as a disinfectant was being used after the facility had an outbreak or when they wanted to deep clean. During inspection, LPA verified that the blue product was not a disinfectant and noted that the label stated that the product manufacturer’s recommended use was specifically for glass and other similar surfaces and did not specify that it was a disinfectant. LPA did not observe any other any bleach solutions or any other products that would help prevent outbreaks. Further interviews revealed that the facility has had one reported case of Hand Foot and Mouth Disease (HFMD) in the month of October that was reported by a parent.

Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, 101438.1 Infant Care General Sanitation (Title 22, Division 12 & Chapter 1), are being cited on the attached LIC 9099D.

Exit interview conducted. Appeal rights discussed and provided along with a copy of this report was provided to the Licensee on this date.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Sumayya Habeebulla	TELEPHONE: 951-201-1991
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 10-CC-20241010123240

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 334804331
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/25/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/03/2024 Section Cited CCR 101438.1(c)(d)	1 2 3 4 5 6 7	Infant Care General Sanitation Washing, cleaning and sanitizing requirements for areas used by staff with infants, or for areas that infants have access to… shall be disinfected at least daily, or more often if necessary… A disinfecting solution, which shall be used … shall be freshly prepared each day using 1/4 cup of bleach per gallon of water. Commercial disinfecting solutions, including one-step cleaning/disinfecting solutions, may be permitted, and shall be used in accordance with label directions. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Facility Director has submitted a signed training for staff on the proper steps for disinfecting surfaces.
	8 9 10 11 12 13 14	Based on interview the facility did not comply with the section cited above in ensuring that the infant classrooms are sanitized frequently using the right product.	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: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Sumayya Habeebulla	TELEPHONE: 951-201-1991
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024

LIC9099 (FAS) - (06/04)

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