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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364807782
Report Date: 01/26/2024
Date Signed: 01/26/2024 10:49:48 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 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
12/13/2023 and conducted by Evaluator Claudia Caywood
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20231213092647
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364807782
ADMINISTRATOR:DIEHL, JENNIFERFACILITY TYPE:
830
ADDRESS:15928 LOS SERRANOS COUNTRY CLBTELEPHONE:
(909) 606-7744
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY:48CENSUS: 15DATE:
01/26/2024
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Juliann Abbott, Assistant DirectorTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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record keeping-Staff do not ensure the infants care plan is being followed.
INVESTIGATION FINDINGS:
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On 1/26/2024, at 9:40 AM, Licensing Program Analyst (LPA) Claudia Caywood conducted an unannounced visit to the facility for the purpose of concluding a complaint investigation. LPA met with Assistant Director, Juliann Abbott, regarding the above listed allegation, which was received on 12/13/2023. During the visit, LPA toured the facility, took census, and spoke to the Assistant Director regarding final findings.

Allegation: Staff do not ensure the infants care plan is being followed.

During the investigation, LPA conducted interviews with all pertinent parties, including staff, and reviewed children files, and toured the classrooms.

Staff acknowledged they were made aware of the child’s need to have ointment applied by the child’s authorized representative, however, another staff stated they were never informed, and the ointment was never applied.


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024
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 5
Control Number 09-CC-20231213092647
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364807782
VISIT DATE: 01/26/2024
NARRATIVE
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Review of children files revealed the child’s authorized representative documented ointment was to be applied to the child during while changing diapers.

While touring the classrooms, LPA observed the ointment tube and although the seal had been removed, it was visibly notable the ointment was never used, as there was no visible spread residue.

Based on LPAs interviews and records review, the facility staff did not comply with the Title 22 regulation of the Personal Rights section, 101223(a)(3). 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) are cited on the attached LIC9099D.

Appeal rights issued and discussed with, Assistant Director, Juliann Abbott, and their signature on this form acknowledges receipt of these rights.

An exit interview was conducted, and a copy of this report was provided to Assistant Director, Juliann Abbott.

THIS REPORT MUST BE AVAILABLE TO THE PUBLIC FOR THREE YEARS.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 09-CC-20231213092647
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364807782
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/21/2024
Section Cited
CCR
101223(a)(3)
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Personal Rights:The licensee shall ensure the following personal rights: To be free from...unusualpunishment...punitive nature including but not limited to: interference with functions of daily living including...medication... This requirement was not met as evidenced by:
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Assist Director stated they will be having a meeting with staff regarding the section cited and will have a writtent statement of acknowledgement signed by each staff and return to LPA by POC due date of 2/21/2024
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Staff acknowledged they were made aware of the child’s need to have ointment applied however, it was disclosed by staff the ointment was never applied. This is a potential risk to the health and safety and personal rights of 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: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5