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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434400329
Report Date: 01/17/2024
Date Signed: 01/17/2024 03:07:23 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/14/2023 and conducted by Evaluator Liridon Fici
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20231214132301
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
434400329
ADMINISTRATOR:MAARIT MCCROSSENFACILITY TYPE:
830
ADDRESS:605 EAST DUNNE AVENUETELEPHONE:
(408) 778-1237
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:60CENSUS: 48DATE:
01/17/2024
UNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Maarit McCrossenTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Lack of supervision resulting in an injury
INVESTIGATION FINDINGS:
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On 1/17/2024, at 2:35 PM, Licensing Program Analysts (LPAs) S. Yip and L. Fici arrived unannounced to conduct a subsequent complaint investigation visit on the above allegation. LPAs met and was greeted by Director Maarit McCrossen and explained the reason for the inspection.

During the course of the investigation, LPAs interviewed three (3) staff members, parent of child, and child’s doctor.

It was alleged that, Lack of supervision resulted in an injury. Based on interviews conducted, Staff 2 (S2) and staff 3 (S3) both stated that child (C1) was walking into class and accidentally tripped; C1 tucked and rolled onto the floor hitting the wall with his head. Both staff observed him fall. S2 and S3 stated that C1 had a red mark on his head prior to the incident that took place on 12/14/2023. S1 stated that C1 is delayed physically and started walking a month ago.

Continue on Lic9099-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024
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 2
Control Number 07-CC-20231214132301
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 434400329
VISIT DATE: 01/17/2024
NARRATIVE
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Continued from Lic9099

Based on interviews, and the evidence gathered during the course of the investigation, it is concluded that although the allegations noted on this complaint may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. The allegation UNSUBSTANTIATED.

No deficiencies were issued.

A notice of site visit was issued and must be posted for 30 days.

Exit interview conducted and report was reviewed and provided to Director, Maarit McCrossen.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2