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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198008923
Report Date: 03/13/2025
Date Signed: 03/13/2025 05:11:01 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/16/2025 and conducted by Evaluator Carolyn Tuba
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20250116141521
FACILITY NAME:KIDDIE ACADEMY CHILD CARE LEARNING CENTERFACILITY NUMBER:
198008923
ADMINISTRATOR:CARMEN MILLNERFACILITY TYPE:
850
ADDRESS:663 E. FOOTHILL BLVD.TELEPHONE:
(909) 621-5112
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY:118CENSUS: 82DATE:
03/13/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Susan StubbsTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Facility lied and falsify documents
INVESTIGATION FINDINGS:
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On 3/13/2025 at 09:15 am Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced complaint visit to deliver findings. Covid Risk Assessment was conducted. LPA, Tuba met with Assistant Director, Susan Stubbs. LPA, Tuba took a census of 82 children and 13 staff.

LPA, Tuba interviewed the Reporting Party. LPA, Seung Lee had conducted the 10-day investigation visit on 1/24/2025. LPA, Tuba then conducted an investigation visit on 2/24/2025. During the investigation LPA, Tuba interviewed Director, Assistant Director, Staff #1 (S1), #2 (S2), #3 (S3), #4 (S4), #5 (S5), #6 (S6), Parent #1 (P1), #2 (P2), and Witness #2 (W2). LPA, Tuba attempted to contact Parent #3 (P3) and Witness #1 (W1) but was unable to reach them. LPA, Tuba did not interview Child #1 (C1) or any other additional children due tage and development.

RP alleged, “Facility lied and falsify documents.” LPA, Tuba obtained from the Director the documentation
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
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 4
Control Number 33-CC-20250116141521
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KIDDIE ACADEMY CHILD CARE LEARNING CENTER
FACILITY NUMBER: 198008923
VISIT DATE: 03/13/2025
NARRATIVE
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of “Child Care Attendance Record” dated November 2024 and December 2024, which is used to submit to Pomona Unified School District Resource and Referral to obtain payment. This is for children who are enrolled at the facility and parents are utilizing the subsidy program. LPA, Tuba utilized the Enrollment Agreement that was signed by a parent and the signed “Child Care Attendance Record” dated December 2024. The signature did not appear to closely match and was dated 1/2/2025 after the child had unenrolled from the program, however LPA, Tuba could not confirm, and no additional proof was provided. LPA, Tuba interviewed the Director who stated that if a parent does not sign the attendance sheet, they are still able to submit for payment and provide a reason for not having parent signature. LPA, Tuba interviewed W2 who was not able to provide any confirmation.

Based on interviews with Director, W2 and LPA’s record reviews, the allegation, “Facility lied and falsify documents” is deemed UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

A Notice of Site Visit was provided and must be posted for 30 days. An exit interview was conducted, and a copy of this report was provided to the Assistant Director, Susan Stubbs.
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SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
LIC9099 (FAS) - (06/04)
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