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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364804982
Report Date: 07/31/2024
Date Signed: 08/01/2024 03:12:12 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/20/2024 and conducted by Evaluator Rachel Zeron
COMPLAINT CONTROL NUMBER: 09-CC-20240620093605
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364804982
ADMINISTRATOR:CRYSTAL REYNOLDSFACILITY TYPE:
850
ADDRESS:13815 PEYTON DRTELEPHONE:
(909) 464-2255
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY:96CENSUS: 53DATE:
07/31/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Crystal ReynoldsTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Facility does not keep complete children's records
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rachel Zeron arrived at the facility to continue the complaint investigation initiated on 06/20/2024 concerning the above allegation. During the visit, LPA Zeron took a census of the children present, and this time met with the Director, Crystal Reynolds to discuss the outcome of the complaint investigation. Based on all the information obtained, the following is the outcome of the investigation regarding the allegation above.
During the investigation, LPA conducted a records review and found that Child 1's (C1) file was missing C1's immunization records. According to CCLD regulation 101220.1 (a): Prior to admission to a child care center, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, commencing with Section 6000.
Based upon the information gathered and interviews conducted, the preponderance of evidence standard has been met, therefore the complaint is substantiated. See LIC 9099D for deficiency cited.
An exit interview was conducted, and a copy of this report was reviewed and provided to the Assistant Director, Crystal Renyolds. Appeal rights were discussed and provided during the exit interview.A notice of site visit was given and must remain posted for the next 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 09-CC-20240620093605
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364804982
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/31/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/06/2024
Section Cited
CCR
101220.1(a)
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Prior to admission to a child care center, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, commencing with Section 6000. This requirement is not met as evidenced by:
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Director agrees to write a statement that the children's files will be looked over by her to verify all the required documentation is in the file, before a child can be enrolled at the facility. C1 is no longer attending the facility.
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Child 1's (C1) file did not contain a copy of C1's immunization records. This poses an immediate health & safety 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: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2024
LIC9099 (FAS) - (06/04)
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