Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270397
Report Date: 07/24/2018
Date Signed 07/24/2018 01:14:01 PM


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/16/2018 and conducted by Evaluator Mahnaz Malek
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20180716082421
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270397
ADMINISTRATOR:TORRES, BEATRICEFACILITY TYPE:
850
ADDRESS:4601 BEACH BLVD.TELEPHONE:
(714) 994-5610
CITY:BUENA PARKSTATE: CAZIP CODE:
90621
CAPACITY:104CENSUS: 58DATE:
07/24/2018
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Director TIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Lack of supervision resulted in child being bitten multiple times by another child.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPAs) Malek and Barajas conducted a complaint investigation regarding the above allegation. LPAs met with director, Beatrice Torres who was supervising the infants in the infant room. LPAs toured the facility. There were a total of 58 preschool children with 7 staff in five different classrooms and on the playground. The staffs' criminal record and child abuse index clearances were reviewed and discussed with director.
It has been allegedly reported to our office that a two year old child was bitten by another child on both arms leaving marks and bruising.
LPAs interviewed the director regarding the above allegation. The director reported the incident to our office as well.
LPAs gathered information regarding the incident. LPAs interviewed the staff who were involved in this incident.

Continued on page 2
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mahnaz MalekTELEPHONE: (714) 703-2810
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2018
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 3
Control Number 06-CC-20180716082421
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 304270397
VISIT DATE: 07/24/2018
NARRATIVE
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Staff # 2 stated they were outside with children. Child # 1 and child # 2 were playing in the play structure under the slide. Staff # 2 stated she heard a noise from under the slide. She went inside and saw few bites on the child's arm. Child # 2 bit child # 1 again while staff # 2 was trying to intervene. child got multiple bites on the arms. LPAs interviewed staff # 3 since she was also present on the playground at the time of the incident. Staff # 3 stated she was away from the incident and was busy with another group of children. Staff # 3 was notified by staff # 2 about the incident. Children's files were reviewed. The director stated she separated child # 2 from child # 1's classroom to prevent future incidents. The facility has a biting policy. The policy was reviewed with the director.

Based on LPA's interviews which were conducted with involved staff and reviewing the documentarians, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division & Chapter 12, is being cited on the attached LIC 9099 D for the deficiency of "Observation of the child section 101226.3(a).

Notice of Site Visit was posted. The notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The licensee was provided a copy of their appeal right (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.

A copy of child care provider's guide to safe sleep pamphlet and a copy of Never Ever Shake a Baby pamphlet with the website www.dontshake.org were given to the facility representative on the previous inspections.

Upon receipt, licensee shall post and provide copies of this report to parents/Guardians of children in care and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee may use LIC 9224. Exit interview was conducted.

Page 2 ends here.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mahnaz MalekTELEPHONE: (714) 703-2810
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2018
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20180716082421
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 304270397
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/24/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/25/2018
Section Cited
CCR
101226.3(a)
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Observation of the Child
The behavior and health of the children shall be continually observed throughout the period of attendance. Two 2 year old children were playing in the play structure under the slide. Staff heard a noise from under the slide. Staff noticed bites on the child's arms. Child # 2 tried to bite child # 1 again while staff # 2
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LPAs discussed the incident with the director. Director stated she would have a meeting with staff to discuss the importance of observing the behavior of children continually during their attendance. A written statement of this training with the staffs' signatures will be sent to our office. Additionally the director will notify
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was trying to intervene. Staff # 3 stated she was away from the incident and was busy with another group of children. Staff # 3 did not observe the incident. The facility failed to meet the child's needs by not having adequate supervision on children. This is an immediate hazard to the health and safety of children in care.
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LPA of a new procedure regarding supervising the children in the hidden areas such as under the play structure.
The correction may be sent to LPA's email address.
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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: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mahnaz MalekTELEPHONE: (714) 703-2810
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2018
LIC9099 (FAS) - (06/04)
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