073401307-3-2-2020-02-CC-MMEA-BW85EA-20201211185314

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073401307
Report Date: 03/02/2020
Date Signed: 03/02/2020 03:56:12 PM

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, SUITE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/21/2020 and conducted by Evaluator Tasha Hackett-Alexander

COMPLAINT CONTROL NUMBER: 02-CC-20200221151630

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	073401307
ADMINISTRATOR:	PAMELA SOUZA		FACILITY TYPE:	840
ADDRESS:	4308 FOLSOM DRIVE		TELEPHONE:	(925) 754-3137
CITY:	ANTIOCH	STATE: CA	ZIP CODE:	94531
CAPACITY:	38	CENSUS: 11	DATE:	03/02/2020
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	MELINDA BUXTON		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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9

NEGLECT/LACK OF SUPERVISION- RESULTING IN INAPPROPRIATE INTERACTIONS BETWEEN CHILDREN.

INVESTIGATION FINDINGS:

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1:00PM- LPA ALEXANDER MET WITH DIRECTOR MELINDA BUXTON IN REGARDS TO THE ABOVE COMPLAINT ALLEGATION. UPON ARRIVAL, THERE 11 PRESCHOOL AGE CHILDREN IN CARE ALONG WITH 1 TEACHER.
DURING TODAY INSPECTION, AN INTERVIEW WAS CONDUCTED WITH MS. BUXTON, THE FACILITY BATHROOM WAS OBSERVED AND DOCUMENTS WERE REVIEWED.
BASED ON LPAs OBSERVATIONS AND INTERVIEWS WHICH WERE CONDUCTED AND RECORD REVIEWS, THE PREPONDERANCE OF EVIDENCE STANDARD HAS BEEN MET, THEREFORE THE ABOVE ALLEGATION IS FOUND TO BE SUBSTANTIATED. CALIFORNIA CODE OF REGULATIONS, TITLE 22, DIVISION 12, CHAPTER 1, ARE BEING CITED ON THE ATTACHED LIC 9099-D.

THE 9221 ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS HAS BEEN GIVEN AND EXPLAINED. A COPY OF THIS REPORT IS TO BE GIVEN TO EACH CHILD CARE CHILD'S PARENT OR GUARDIAN BY THE NEXT BUSINESS DAY. A COPY IS ALSO TO BE GIVEN TO ANY NEWLY ENROLLED STUDENTS PARENT/GUARDIAN WITHIN 1 YEAR. THIS COPY IS TO BE POSTED FOR 30 DAY.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander	TELEPHONE: (510) 622-2618
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2020

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 02-CC-20200221151630

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 073401307
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/02/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/16/2020 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time,	1 2 3 4 5 6 7	THE FACILITY WILL ENSURE THAT CHILDREN ARE ESCORTED AND PHYISCALLY SUPERVISED IN THE BATHROOM. THE MIRROR CANNOT REPLACE PHYSICAL SUPERVISION. LICENSEE WILL TRAIN STAFF ON SUPERVISION BY VIDEO AND STAFF MEETING.
	8 9 10 11 12 13 14	except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This Requirement is not met as evidenced by: staff failed to physically supervise students while in the bathroom, resulting in inappropriate behavior between children.	8 9 10 11 12 13 14	LICENSEE WILL SUBMIT PROOF THAT THE TRAINING AND VIDEOS HAVE BEEN REVIEWED BY STAFF BY 3/16/20.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander	TELEPHONE: (510) 622-2618
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2020

LIC9099 (FAS) - (06/04)

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