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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364809075
Report Date: 08/11/2021
Date Signed: 08/11/2021 03:36:01 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/10/2021 and conducted by Evaluator Kim Leung
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20210610103835
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364809075
ADMINISTRATOR:BEATRIZ FARIASFACILITY TYPE:
850
ADDRESS:960 W. BLOOMINGTONTELEPHONE:
(909) 877-3399
CITY:BLOOMINGTONSTATE: CAZIP CODE:
92316
CAPACITY:104CENSUS: 22DATE:
08/11/2021
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Alisa HoltegarrdTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff withheld food from daycare child
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kim Leung returned to the facility this date on 8/11/2021 to continue investigating the above allegation. Upon arrival, LPA met with facility director Alisa Holtegarrd and stated the purpose of the inspection. It was alleged that facility staff withheld breakfast from Child 1 when the child asked for breakfast. Records were reviewed and interviews were conducted during previous inspections on 6/18/2021 and 7/7/2021. Interviews with children were conducted during this inspection. Staff denied the allegation. Staff stated that Child 1 came to the facility with their own beverage one morning. Staff stated that when Child 1 finished the cup of beverage, staffed asked the child if they wanted to eat breakfast and the child declined. Staff stated that the child was then escorted to the playground to join other children who were already on the playground. Staff denied ever withholding food from Child 1 or any children. Based upon the information gathered throughout the investigation process, there is not a preponderance of evidence to corroborate the allegation.

(TO BE CONTINUED ON NEXT PAGE)

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021
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-20210610103835
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364809075
VISIT DATE: 08/11/2021
NARRATIVE
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Based upon the information gathered, there is not a preponderance of evidence to support or dismiss the allegation. The above allegation is ruled unsubstantiated at this time.

Exit interview was conducted with director Alisa Holtegarrd. Notice of Site Visit was issued and must be posted for 30 days. A copy of this report was provided to the facility.

This report must be made available at the facility for 3 years for public review upon request.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/10/2021 and conducted by Evaluator Kim Leung
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20210610103835

FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364809075
ADMINISTRATOR:BEATRIZ FARIASFACILITY TYPE:
850
ADDRESS:960 W. BLOOMINGTONTELEPHONE:
(909) 877-3399
CITY:BLOOMINGTONSTATE: CAZIP CODE:
92316
CAPACITY:104CENSUS: 22DATE:
08/11/2021
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Alisa HoltegarrdTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff left daycare children unsupervised
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kim Leung returned to the facility this date on 8/11/2021 to continue investigating the above allegation. Upon arrival, LPA met with facility director Alisa Holtegarrd and stated the purpose of the inspection. It was alleged that children were left in the front office areas unsupervised. Interviews were conducted during previous inspection on 7/7/2021. Additional interviews were conducted during this inspection. LPA obtained information that there were multiple mornings in or about June 2021, due to insufficient teaching staff scheduled to work in the morning, children were made staying with the front office staff in the front office behind the counter waiting for additional staff to arrive to work before the children were taken to their assigned activity rooms. LPA obtained information that the front office staff was responsible for receiving children in care and conducting health screening during the time children were dropped off. LPA obtained information that there were at least two different occasions that while staying in the front office area, some children went to the hallway around the corner and the staff room where the staff who was in the counter/front office area not able to provide visual supervision to those children. (TO BE CONTINUED ON NEXT PAGE)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 09-CC-20210610103835
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364809075
VISIT DATE: 08/11/2021
NARRATIVE
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California Code of Regulations Title 22, Division 12, Section 101229(a)(1) requires no child(ren) be left without the supervision, including visual observation, of a teacher at any time. Based on the information obtained, the preponderance of evidence standard has been met. The allegation is therefore substantiated. See LIC9099D for deficiencies cited per California Code of Regulations Title 22, Division 12.

An exit interview was conducted with Ms. Holtegarrd. Appeal rights discussed, Notice of Site Visit was issued and must be posted for 30 days. A copy of this report was provided to the facility. Ms. Holtegarrd was provided with a copy of the appeal rights (LIC9058 12/2015) and her signature on this report acknowledges receipt of those rights. A COPY OF ALL TYPE A DEFICIENCIES (LIC9099D) CITED DURING THIS INSPECTION MUST BE POSTED FOR 30 DAYS. A COPY OF ALL TYPE A DEFICIENCIES CITED DURING THIS INSPECTION MUST ALSO BE IMMEDIATELY (within 24 hours of the child’s next day in care) GIVEN TO THE PARENTS OF ALL CHILDREN ENROLLED IN THE CHILD CARE FACILITY AND ANY CHILDREN ENROLLED INTO THE CHILD CARE FACILITY OVER THE NEXT 12 MONTHS.

This report must be made available at the facility for 3 years for public review upon request.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 09-CC-20210610103835
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364809075
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/11/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/12/2021
Section Cited
CCR
101229(a)(1)
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Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time ... This requirement was not met as evidenced by: In or about June 2021, there had been at least two different occasions that children were left unsupervised while staying in the front office area waiting for additional
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Current facility director Alisa Holtegarrd agreed to ensure children be provided with proper supervision at all times. Director will ensure sufficient teaching staff be scheduled to work in the morning. Written statement of understanding and staff schedules will be submitted to Community Care Licensing by 8/12/2021.
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teaching staff to arrive to work in the morning. The children were in the hallway around the corner of the front counter and in the staff room without any staff member physically present with them in the same area. That presented immediate risks to the children's health and safety.
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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: Kim Leung
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5