013412610-4-30-2024-52-CC-JJAG-D7BQQ4-20240719122141

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013412610
Report Date: 04/30/2024
Date Signed: 04/30/2024 04:01:21 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/24/2024 and conducted by Evaluator Morgan Pringle

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20240424131702

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	013412610
ADMINISTRATOR:	JAMIE CZELUSNIAK		FACILITY TYPE:	830
ADDRESS:	4655 LASSEN ROAD		TELEPHONE:	(925) 455-1560
CITY:	LIVERMORE	STATE: CA	ZIP CODE:	94550
CAPACITY:	36	CENSUS: 28	DATE:	04/30/2024
		UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Jamie Czelusniak		TIME COMPLETED:	03:32 PM

ALLEGATION(S):

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Personal Rights - Staff locked infant in cabinet

INVESTIGATION FINDINGS:

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On 4/30/2024 at 10:10am Licensing Program Analyst (LPA) Morgan Pringle met with Director Jamie Czelusniak for a 10-day complaint visit for a complaint that was received alleging a staff member locked an infant in a cabinet. Present during LPA's visit were twenty-eight (28) infants and seven (7) additional staff members. The facility holds a license for preschool (01341608) as well. The infant classrooms operates in the first two classrooms on the left side of the building. LPA toured the classrooms for a health and safety inspection.

During LPAs visit interviews were conducted and facility documents were collected.

An Unusual Incident Report was self reported by the facility on 4/24/2024 stating it was believed that an infant crawled into the cabinet of the diaper changing table and a staff member accidently closed the door with their leg. Prior to LPAs visit evidence was collected proving a child who was attempting to get into the cabinet in the infant classroom, was allowed to crawl into the cabinet, and a staff member, out of irritation, purposely closed the door, locking the child inside.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 52-CC-20240424131702

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 013412610
	VISIT DATE: 04/30/2024

NARRATIVE

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LPA determined the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 is being cited on the attached LIC 9099D. Failure to submit Proof of Corrections (POC) by Plan of Correction date may result in civil penalties.

LPA Pringle informed Director that this report dated 4/30/2024 document(s) 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Pringle informed the Director to provide a copy of this licensing report dated 4/30/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Director Jamie Czelusniak.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024

LIC9099 (FAS) - (06/04)

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Control Number 52-CC-20240424131702

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 013412610
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/30/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/02/2024 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	Personal Rights: 101223(a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment... This requirement was not met as evidenced by: staff member allowed an inafnt to crawl into a cabinet and then locked the child inside.	1 2 3 4 5 6 7	Director will send LPA Pringle a statement from each staff member summarizing what children's personal rights are and how they will uphold those rights in the facility. All statement will be sent to LPA Pringle by POC date, 5/2/2024.
	8 9 10 11 12 13 14	This poses an immediate risk to the health and safety of the children in care.	8 9 10 11 12 13 14	Within the next 30 days, Director will conduct a staff meeting where all facility staff will watch and discusss the video on the CCLD website titled "Children's Personal Rights in Child Care." Director will send meeting outline, date and time of meeting, and a sign in sheet of all staff that attended.
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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: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024

LIC9099 (FAS) - (06/04)

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