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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103801327
Report Date: 07/08/2021
Date Signed: 07/08/2021 01:37:33 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/09/2021 and conducted by Evaluator Candis Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20210409165232
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
103801327
ADMINISTRATOR:AVALOS, TASHAFACILITY TYPE:
830
ADDRESS:1785 VILLA DRIVETELEPHONE:
(559) 297-1888
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY:34CENSUS: 31DATE:
07/08/2021
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Beatrice AlvarezTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff caused injury to child in care.
INVESTIGATION FINDINGS:
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On 07/08/2021, Licensing Program Analyst (LPA) Candis Rodriguez conducted a complaint inspection to deliver findings regarding the above allegation. LPA met with Assistant Director Beatrice Alvarez. LPA toured the facility, inside and outside, and took a census.

The Department of Social Services Investigations Branch (IB) conducted the investigation into the above allegation. Based on investigation conducted by IB Investigator Ruben Munoz, on 04/07/2021, Staff #2 and Staff #3 witnessed Staff #1 pull Child #1 by their arms from underneath a table, and Staff #1 smacked Child #1 on the face. Incident was reported to facility by Staff #3 on 04/09/2021. Facility conducted an investigation on 04/09/2021 and placed Staff #1 on suspension the same day. Staff #1 was terminated on 04/13/2021. Therefore, the preponderance of evidence standard has been met, and the allegation is found to be Substantiated.
Per California Code of Regulations, Title 22, Division 12, Chapter 3, the following deficiency is found: (See LIC 9099-D). An Immediate Civil Penalty was assessed in the amount of $500. (Continued on LIC 9099-C)
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Candis Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021
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 04-CC-20210409165232
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 103801327
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/08/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/08/2021
Section Cited
CCR
101223(a)(3)
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CCR 101223(a): The licensee shall ensure that each child is accorded the following personal rights: (3): To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature... This requirement was not met as evidenced by:
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Facility immediately suspended Staff #1 and conducted investigation. Facility terminated Staff #1. Immediate Civil Penalty was assessed in the amount of $500.
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Through investigation by IB and interviews with Staff #2 and Staff #3, Staff #1 pulled Child #1 by their arms from underneath a table and smacked Child #1 on the face.
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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.
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Candis Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 04-CC-20210409165232
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 103801327
VISIT DATE: 07/08/2021
NARRATIVE
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Licensee was provided a copy of their appeal rights.

Upon receipt of a Type A violation, Licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 was given to Assistant Director.
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Candis Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3