Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364840920
Report Date: 11/20/2018
Date Signed 11/20/2018 10:26:26 AM


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
11/02/2018 and conducted by Evaluator Fe Floria
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20181102170928
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364840920
ADMINISTRATOR:BIERMAN, TRACYFACILITY TYPE:
840
ADDRESS:33788 YUCAIPA BLVDTELEPHONE:
(909) 797-4713
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY:36CENSUS: 28DATE:
11/20/2018
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Tracy BiermanTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Facility staff spoke in an inappropriate manner to day-care child.

Facility staff used foul language in the presence of day-care children.
INVESTIGATION FINDINGS:
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Licensing Program Analysts(LPAs) Fe Floria and Destinee Hogue arrived at this facility to conclude the investigation into the above allegations. Previous visits were conducted on 11/09/18. During the investigation, LPA's toured the facility, reviewed files, interviewed children and interviewed staff.

It was alleged that Facility staff spoke in an inappropriate manner to day-care child and Facility staff used foul language in the presence of day-care children.

It was disclosed during interviews with relevant parties that staff in question spoke in an inappropriate manner to day-care child and used foul language in the presence of day-care children during bus run.

This report is continued to LIC9099 - C.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Fe FloriaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2018
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-20181102170928
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: 364840920
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/21/2018
Section Cited
CCR
101223(a)(1)
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Personal Rights. Each child shall be accorded dignity in his/her personal relationships with staff, and other persons.
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Center Director agrees to have a staff training on personal rights with a copy of the signed agenda from staff to Community Care Licensing on or before 11/21/18. Also staff in question was terminated for violation the children Personal Rights.
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The preponderance evidence standard had been met as evidenced by staff admission that staff in question used foul language in the presence of day-care children. This is a violation that is an immediate risk to the Health, Safety or Personal Rights of the 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.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Fe FloriaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2018
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 09-CC-20181102170928
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: 364840920
VISIT DATE: 11/20/2018
NARRATIVE
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Based upon information gathered through interviews with staff and their statement admitting that staff in question used foul language in the presence of day-care children, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulation, Title 22, Division 12, Chapter 1, is being cited on the attached LIC9099 - D.

See LIC 9099 - D for the deficiency cited

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for the next 12 months. See LIC 9099 for continuance of this report.

The Notice of Site Visit and Type A Deficiencies from today’s visit must be posted for 30 days. Failure to keep these posted for the entire 30 days will result in an immediate $100 civil penalty for each.

An exit interview was conducted, appeal rights discussed and provided along with a copy of form LIC 9224 (AB 633) and a copy of this report was provided to Center Director on this date.

A copy of this report must be made available to the public for three years.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Fe FloriaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2018
LIC9099 (FAS) - (06/04)
Page: 2 of 3