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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191204383
Report Date: 02/09/2022
Date Signed: 02/09/2022 03:06:49 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/29/2021 and conducted by Evaluator Antonio Almanza
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20211229145017
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
191204383
ADMINISTRATOR:PAIGE MARTINEZFACILITY TYPE:
850
ADDRESS:16901 LASSEN STREETTELEPHONE:
(818) 368-5334
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:60CENSUS: 52DATE:
02/09/2022
UNANNOUNCEDTIME BEGAN:
02:49 PM
MET WITH:Director: Paige MartinezTIME COMPLETED:
03:07 PM
ALLEGATION(S):
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Personal Rights: Staff hit child in care.
Personal Rights: Child in care was not accorded dignity in their personal relationships with staff.
INVESTIGATION FINDINGS:
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On 02/09/2022 at 2:49 p.m., Antonio Almanza, Licensing Program Analyst (LPA), conducted an unannounced site visit for the purpose of delivering findings for complaint received on 12/29/2021. LPA met with Paige Martinez, Director, and explained the purpose of the visit. During today’s visit there are 6 Adults providing care and supervision to 52 children in care.

During the course of the investigation, LPA Antonio Almanza conducted interviews regarding Allegations: (1) Staff hit child in care and (2) Child in care was not accorded dignity in their personal relationships with staff.

Facility staff reported that with in the same month, they had two complaints regarding Staff 7 hitting children. Staff also reported that while Staff 7 played with children he would do monster hands which consist of playing with children by placing the hand over the child’s head. Staff also reported that Staff 7 would pick up the children and swing them around when they played outside.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022
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 30-CC-20211229145017
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 191204383
VISIT DATE: 02/09/2022
NARRATIVE
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The parent of Child 5 (C5) and Child 6 (C6) reported similar incidents regarding staff 7 hitting their children. The parent of C6 reported that on their way home from the facility C6 told the parent that Staff 7 hit C6 in the face with a stuffy. The parent of C6 also reported that Staff 7 picked up C6 from the ground and C6 told staff 7 to put him down. The parent of C5 complained to the facility after observing through the classroom window Staff 7 push their child from the forehead 2 times and appeared to be pushing the child back into the line.

Based on the evidence obtained, it was reviled that within the same month the parents of C5 and C6 complained to the Facility about Staff 7 hitting their children. Based on LPAs interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Two type B deficiencies were cited during today's visit (see LIC 809D), under California Code of Regulations, Title 22, Division 12, Chapter 1.

A copy of this Report (LIC9099), Notice of Site Visit, and Appeal Rights were explained and provided to the Director Paige Martinez.
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20211229145017
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 191204383
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/22/2022
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights: (a)(3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse...

This Requirement is not met as evidenced by:
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Director will provide staff with training on acceptable interactions between staff and children. Director will provide staff sign off sheet for training received by 12/22/22
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Based on interviews, The Licensee did not make sure that staff 7 engage in proper staff child interactions, which poses a potential Health or Safety, and personal rights risk to persons in care.
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Type B
02/22/2022
Section Cited
CCR
101223(a)(1)
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7
101223 Personal Rights: (a)(1) To be accorded dignity in his/her personal relationships with staff and other persons.

This Requirement is not met as evidenced by:
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Director will provide staff with training on acceptable interactions between staff and children. Director will provide staff sign off sheet for training received by 12/2/22
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Based on interviews, The Licensee did not make sure that staff 7 engage in proper staff child interactions, which poses a potential Health or Safety, and personal rights risk to persons 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.
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3