Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013415906
Report Date: 10/20/2017
Date Signed 10/20/2017 01:12:28 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
10/12/2017 and conducted by Evaluator Melanie Otsuji
COMPLAINT CONTROL NUMBER: 02-CC-20171012123057
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: 73DATE:
10/20/2017
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Yvonne MaTIME COMPLETED:
01:25 PM
ALLEGATION(S):
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Physical Plant. Facility is unsanitary.
Physical Plant. Facility is in disrepair.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Melanie Otsuji and Mayla Mendoza arrived to the facility unannounced to conduct an initial 10 day complaint investigation into the above allegations. LPAs were met by Director Yvonne Ma. Present during today's visit were 11 staff members and 73 preschool aged children.

LPAs conducted interviews and made observations. Based on the interviews conducted it is stated that staff admitted to not having ample time to always clean the classroom/bathroom while trying to conduct class and supervise the children. Additionally, LPAs observed a toilet to have a ring of grime in the toilet bowl. Lastly, it was admitted by staff that multiple bathrooms within the facility have non-operable lights. The staff have submitted a work order but it has been approximately a month or so since the lights have worked.
Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter number 1), are 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: 10/20/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2017
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 2
Control Number 02-CC-20171012123057
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: 10/20/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/03/2017
Section Cited
CCR
101239(d)
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Fixtures, Furniture, Equipment and Supplies. The licensee shall provide lamps or lights as necessary in all rooms and other areas to ensure the comfort and safety of all persons in the child care center.

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Director has submitted the work order to have the lights repaired. She is awaiting Corporate to come out and fix the lights as it is an electrical issue. Proof of operable bathroom lights to be submitted to LPA by 11/03/2017.
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-LPAs observed 3 bathrooms to be without working lights. Additionally, staff stated that the lights have been inoperable for at least a month.
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Type B
11/03/2017
Section Cited
CCR
101239(e)(4)
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Fixtures, Furniture, Equipment and Supplies. All toilets, hand-washing and bathing facilities shall be kept in safe and sanitary operation and shall be ADA compliant.
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Director is to draft a plan to ensure that all toilets, hand-washing and bathing facilities are kept in safe and sanitary operation. Plan is to be submitted to LPA no later than 11/3/2017.
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-LPAs observed a toilet with grime in the bowl. Additionally, it was stated by staff that they are unable to tend to the proper cleaning of the classrooms and bathrooms while attempting to watch the children in care.
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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: Zakiya AliTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (559) 341-5559
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2017
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2017
LIC9099 (FAS) - (06/04)
Page: 2 of 2