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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364818108
Report Date: 01/06/2023
Date Signed: 01/06/2023 06:23:20 PM

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
12/28/2022 and conducted by Evaluator Rachel Zeron
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20221228165336
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364818108
ADMINISTRATOR:EMILY CALHOUNFACILITY TYPE:
830
ADDRESS:33788 YUCAIPA BLVD.TELEPHONE:
(909) 797-4713
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY:24CENSUS: 18DATE:
01/06/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Ruth DeAnda - Asssitant Director TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff left infant unattended in classroom
INVESTIGATION FINDINGS:
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On 01/06/2023, Licensing Program Analysts (LPAs) Rachel Zeron and Susan Brewer arrived at the facility to conduct a 10 day complaint investigation initiated on 12/28/2022, concerning the above allegation. During the visit, LPAs took a census of the children present, and this time met with the Assistant Director, Ruth De Ana to discuss the complaint investigation. Based on all the information obtained, the following is the outcome of the investigation regarding the allegation:

During the investigation, LPAs made observations, conducted interviews with staff and all other relevant individuals pertinent to this investigation. It is alleged that on or about December 22, 2022, a child was left unattended in classroom while the children were transitioning to the playground.

Based on interviews conducted with pertinent parties and pertinent documents reviewed, it was revealed that there was inconsistencies in statements and documents reviewed. Assistant Director indicated that the incident had been called into licensing on 12/22/2022 and a written Unusual Report was submitted to Licensing on 12/28/2022.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023
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 09-CC-20221228165336
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: 364818108
VISIT DATE: 01/06/2023
NARRATIVE
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 According to the incident that the assistant director reported, AD stated around 10:30 am on 12/22/2022, 8 children were under the supervision of Staff 1 (S1) and Staff 2 (S2). Staff and children were transitioning to the playground for an outside activity. S1 conducted a "name to face" check once the children were outside and noticed they were short 1 child. S1 located Child 1 in the classroom and stated C1 must have opened the classroom door and went back inside when the children were transitioning to the playground, the classroom doors that exit to the playground does not latch and can be opened from both inside and outside of the classroom.According to Assistant Director, C1 was without visual supervision for a minute or less. C1 was retrieved and joined the rest of the children on the playground.

According to interviews with additional staff and pertinent individuals, when the children were transitioning out to the playground at approximately 11:00am, statements were inconsistent regarding the time frame that the child was found in the classroom. Interviews revealed C1 was in the classroom unattended anywhere between one to eight minutes and the child was found standing by the door in no distress. In reference to the door that leads outside of the classroom being opened by C1, LPAs had C1 come to the door and attempt to open the door, C1 touched the door knob and tugged it down with little force but had no interest in opening the door. LPA had an additional child attempt to open the door as well and the child was also unable to. LPAs observed the door to have a handle that needs to be pulled down and pulled with some force to open due to the door being weighted.
Based upon the information gathered and interviews conducted, the preponderance of evidence standard has been met, and therefore, the allegation, Staff left infant unattended in classroom is found to be SUBSTANTIATED.
See LIC 9099D for deficiency cited. A an "Immediate $500" civil penalty was assessed for Lack of Supervision.

An exit interview was conducted, and a copy of this report was reviewed and provided to the Assistant Director, Ruth DeAnda . 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.

Director must have parents of all current and any newly enrolled clients within the next 12 months, complete the Parent Notification Requirements form LIC 9224, and place the completed form in the child’s facility file. A civil penalty of $100 per violation will be assessed for noncompliance
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 09-CC-20221228165336
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: 364818108
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/09/2023
Section Cited
CCR
101429(a)(1)
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Responsibility for Providing Care and Supervision for Infants: In addition to Section 101229, the following shall apply: Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times.

This requirement was not met as evidenced by:
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Asssitant Director indicated that both S1 and S2 received a final coaching/written for leaving the child unattended. The documents were signed by S1 and S2. The director will be having a staff meeting to discuss lack of supervision on 01/13/2023. LPAs obtained a copy of the coaching/write up which will suffice for the POC date of 01/09/2023.Director will submit a copy of the roster from the all staff by 01/14/2023 to LPA Zeron.
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Based on interviews conducted and documentation obtained, C1 was left in the classroom unattended while the rest of the children transitioned to the playground.

This is an immediate risk to the health and safety 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: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023
LIC9099 (FAS) - (06/04)
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