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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364809076
Report Date: 07/07/2021
Date Signed: 07/07/2021 05:33:32 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, 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
07/02/2021 and conducted by Evaluator Kim Leung
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20210702162314
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364809076
ADMINISTRATOR:BEATRIZ FARIASFACILITY TYPE:
840
ADDRESS:960 W. BLOOMINGTONTELEPHONE:
(909) 877-3399
CITY:BLOOMINGTONSTATE: CAZIP CODE:
92316
CAPACITY:42CENSUS: 35DATE:
07/07/2021
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Alisa HoltegarrdTIME COMPLETED:
05:45 PM
ALLEGATION(S):
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Facility was operating out of ratio.


INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kim Leung visited the facility to conduct complaint investigation. It was alleged that the facility was operating out of teacher-child ratio. Upon arrival, LPA met with acting facility director Alisa Holtegarrd and stated the purpose of the visit. During inspection, LPA toured the facility taking census. Records were reviewed and interviews were conducted. During this inspection, facility was observed operating in compliance with ratio requirements. However, during the investigation process, LPA obtained information that there had been mornings that the facility was not maintaining proper ratio with one staff member supervising more than 14 children. LPA obtained information that there had been one staff member supervising more than 14 children and up to 20 children in the morning with no assistance until additional staff arrived to work.

(TO BE CONTINUED ON NEXT PAGE)

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

DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
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 3
Control Number 09-CC-20210702162314
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: 364809076
VISIT DATE: 07/07/2021
NARRATIVE
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California Code of Regulations Title 22, Division 12, Section 101516.5(b)(1) requires that a teacher shall supervise no more than 14 children or with an aide a maximum of 28 children. Based on the information obtained, the preponderance of evidence standard has been met. The allegation is therefore substantiated.

See LIC9099D for deficiency 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: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20210702162314
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: 364809076
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/08/2021
Section Cited
CCR
101516.5(b)(1)
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Teacher-Child Ratio. A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children. This requirements was not met as evidenced by: Facility had operated out of ratio with one staff member supervising more than 14 children and up to 20 children in the morning
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Director Alisa Holtegarrd agreed to maintain proper ratio at all times. Director agreed to rearrange staff schedules. Written statement along with staff schedules and staff signatures will be submitted to the Department by the next business day on 7/8/2021.
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with no assistance before additional staff arrived. Operating out of ratio presented immediate risks to the children's 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: 07/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3