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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073401314
Report Date: 03/04/2022
Date Signed: 03/04/2022 12:36:50 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
12/16/2021 and conducted by Evaluator Michelle Sutton
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20211216111812
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
073401314
ADMINISTRATOR:ZIMMERMAN, PAULAFACILITY TYPE:
830
ADDRESS:150 EAST LELAND ROADTELEPHONE:
(925) 432-8800
CITY:PITTSBURGSTATE: CAZIP CODE:
94565
CAPACITY:36CENSUS: 20DATE:
03/04/2022
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Paula ZimmermanTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights- Child sustained injuries while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 3/4/22 at 9:50AM Licensing Program Analyst (LPA) Michelle Sutton conducted a Complaint Investigation at Kindercare Learning Center and met with director Paula Zimmerman. During the course of the investigation, the Department inspected the facility, reviewed records, and conducted interviews. It was confirmed that a child received injuries while in care. Based on the observations, records and interviews which were obtained throughout the investigation, the preponderance of evidence standard has been met, Therefore, the allegation is SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 is being cited on 9099-D page.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Michelle SuttonTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2022
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 5
Control Number 02-CC-20211216111812
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: 073401314
VISIT DATE: 03/04/2022
NARRATIVE
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5
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9
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32
Due to the issuance of a Type A Citation during today's inspection, a copy of this Licensing Report must be POSTED in the facility and PROVIDED to each existing parent by the end of today or next day child is in care. Report also must be PROVIDED to the parent of children who are enrolled over the next 12 months. In addition, a copy of the LIC 9224 Acknowledgement of Receipt of Licensing Reports must be signed by each
parent and kept in each child's file.

Licensee is informed that a Non-Compliance Conference with CCLD Management will be scheduled at a later date to discuss the deficiencies. Exit interview was conducted with Paula Zimmerman, where this report, the deficiency and plan of correction were discussed.

A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED 30 DAYS AND APPEAL RIGHTS WERE GIVEN
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Michelle SuttonTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
12/16/2021 and conducted by Evaluator Michelle Sutton
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20211216111812

FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
073401314
ADMINISTRATOR:ZIMMERMAN, PAULAFACILITY TYPE:
830
ADDRESS:150 EAST LELAND ROADTELEPHONE:
(925) 432-8800
CITY:PITTSBURGSTATE: CAZIP CODE:
94565
CAPACITY:36CENSUS: DATE:
03/04/2022
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Paula ZimmermanTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Lack of Supervision- Staff did not provide adequate care and supervision to children in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 3/4/22 at 9:50 AM Licensing Program Analyst (LPA) Michelle Sutton conducted a Complaint Investigation at Kindercare Learning Center and met with director Paula Zimmerman. During the course of the investigation, the Department inspected the facility, reviewed records, and conducted interviews. It was determined that the staff was not providing adequate supervision to meet the needs of children in care, allowing a child to be injured on multiple occasions. Licensee understands that staff should be providing active supervision such as physically walking around, interacting with children and visually observing their activities at all times. Based on the observations and interviews which were obtained throughout the investigation, the preponderance of evidence standard has been met, Therefore, the allegation is SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 is being cited on 9099-D page.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Michelle SuttonTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 02-CC-20211216111812
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: 073401314
VISIT DATE: 03/04/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Due to the issuance of a Type A Citation during today's inspection, a copy of this Licensing Report must be POSTED in the facility and PROVIDED to each existing parent by the end of today or next day child is in care. Report also must be PROVIDED to the parent of children who are enrolled over the next 12 months. In addition, a copy of the LIC 9224 Acknowledgement of Receipt of Licensing Reports must be signed by each
parent and kept in each child's file.

Licensee is informed that a Non-Compliance Conference with CCLD Management will be scheduled at a later date to discuss the deficiencies. Exit interview was conducted with Paula Zimmerman, where this report, the deficiency and plan of correction were discussed.

A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED 30 DAYS AND APPEAL RIGHTS WERE GIVEN.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Michelle SuttonTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 02-CC-20211216111812
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: 073401314
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/07/2022
Section Cited
CCR
101223(a)(1)(2)(3)
1
2
3
4
5
6
7
101223 Personal Rights (a) The licensee shall [...] ensure following personal rights:(1)[...] other persons. (2) To be accorded safe, healthful.[...] (3)To be free[...]infliction of pain[...] This requirement is not met as evidence by;
1
2
3
4
5
6
7
By POC Due Date 3/7/22 Director will submit a written statement understanding ersonal Rights regulation.Director stated by the end of March the facility will hold an all staff meeting, view a training video on Personal Rights on CCLD website;
8
9
10
11
12
13
14
Based on observation, interviews and record reviews, a child received injuries while in care.This is an immediate risk to Health and Safety or Personal Rights risk to persons in care.
8
9
10
11
12
13
14
and formulate plan on how to ensure the safety of children.
Director to submit proof of staff meeting with discussed agenda points and staff attendance signatures as proof of correction.
Type A
03/07/2022
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[..](1) No child(ren) shall be left without the supervision of a teacher at any time[...] This requirement is not met as evidence by;
1
2
3
4
5
6
7
By POC Due Date 3/7/22 Director will submit a written statement understanding the Responsibility for care and Supervision regulation. Director stated by the end of March the facility will hold an all staff meeting, view a training video on Supervision on CCLD website;
8
9
10
11
12
13
14
Based on observation, interviews and record reviews, due to the lack and supervision a child was injured on multiple occasions.This is an immediate risk to Health and Safety or Personal Rights risk to persons in care.
8
9
10
11
12
13
14
and formulate plan on how to ensure active supervision.
Director to submit proof of staff meeting with discussed agenda points and staff attendance signatures as proof of correction.
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: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Michelle SuttonTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5