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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270895
Report Date: 10/05/2023
Date Signed: 10/05/2023 03:43:24 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, 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
07/28/2023 and conducted by Evaluator Patricia Duron
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230728155257
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270895
ADMINISTRATOR:THOMSON, LISA MARIEFACILITY TYPE:
850
ADDRESS:1001 EAST IMPERIAL HWYTELEPHONE:
(714) 528-4161
CITY:PLACENTIASTATE: CAZIP CODE:
92870
CAPACITY:96CENSUS: 22DATE:
10/05/2023
UNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Assistant Director, Stacy Rosas TIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Day-care child was left on the facility playground unattended.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Patricia Duron conducted an unannounced complaint visit to deliver the complaint findings. LPA met with the Assistant Director, Stacy Rosas. Census was taken. The overall census observed was 6 staff and 22 children. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 7/28/23 a complaint was filed with the Licensing office by Reporting Party (RP) stating a day-care child was left on the facility playground unattended. RP stated the children and staff went inside of the facility and the child was left on the playground.

During the course of investigation, LPA interviewed 9 staff members, and 3 parents, and reviewed records.

Page 1 of 3
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023
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-20230728155257
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: 304270895
VISIT DATE: 10/05/2023
NARRATIVE
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During the initial inspection dated 8/2/23, LPA Duron observed the facility and playground where subject child was left unattended. LPA observed two play yards located adjacent to one another, a chain link fence separating the two play yards. Director stated on Friday 7/28/23 , Staff #3 (S3) observed Child #1 (C1) in play yard in tunnel alone. S3 brought C1 back to class within a minute, probably less than a minute. C1 was ok, C1 was not crying or scared. Director stated staff on toddler side had sight of the child, and child was in the tunnel visible to staff in the next yard.

LPA interviewed 9 staff members. 6 out of 9 staff stated they witnessed a day care C1 left on playground unattended. S3 stated, on Friday, 7/28/23 the classroom was outside in their play yard, finishing up water play and S3 saw C1 in the tunnel. S3 took C1 back to classroom, and handed C1 over to the staff. The whole incident was less than a minute.

LPA Duron interviewed 3 parents. All interviewed parents stated they did not have any concern with facility.

Based on LPA’s interviews, observations and reviewing records, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 Section 101229 Responsibility for Providing Care and Supervision (a)(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. Please refer to attached 9099D for documentation of deficiencies.



This requirement is met as evidence by: Based on LPA’s interviews, 6 out of 9 staff stating they witnessed C1 left on playground unattended, which poses a potential health risk to the children in care.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights were provided. The facility representative was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days. Any proposed changes to the physical plant, including telephone number, shall be immediately reported to the Department.



The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.
Page 2 of 2. End of Report.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20230728155257
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: 304270895
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/05/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/20/2023
Section Cited
CCR
101229
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101229 Responsibility for Providing Care and Supervision (a)(1) No child(ren) shall be left without the supervision of a teacher at any time.... Supervision shall include visual observation.

This requirement is not met as evidence by:
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Assistant Director stated facility is providing staff training on Supervision Monday Oct. 9, 2023 and will provide LPA with staff sign in sheet by 10-20-23. Faciilty implemented name to face when docuemnting and counting children as they use CSR- Child Supervision Record for all classes.
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Based on LPA’s interviews, 6 out of 9 staff stated they witnessed child #1 (C1) left unattended on playground. This action poses an immediate risk to the health and safety to 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.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023
LIC9099 (FAS) - (06/04)
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