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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073401323
Report Date: 03/30/2023
Date Signed: 03/30/2023 04:26:52 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, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/06/2023 and conducted by Evaluator Christina Watts
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230306140319
FACILITY NAME:KINDERCARE LEARNING CENTER, #1039FACILITY NUMBER:
073401323
ADMINISTRATOR:SAUTER, LISAFACILITY TYPE:
840
ADDRESS:2300 MAHOGANY WAYTELEPHONE:
(925) 778-8888
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY:25CENSUS: 23DATE:
03/30/2023
UNANNOUNCEDTIME BEGAN:
03:05 PM
MET WITH:Lisa SauterTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff did not provide adequate supervision to day care child resulting in day care child leaving facility.
INVESTIGATION FINDINGS:
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On 03/30/2023 at 3:05 PM, Licensing Program Analyst (LPA) Christina Watts conducted an Unannounced Subsequent Complaint Investigation at Kindercare Learning Center #1039. LPA met with Director, Lisa Sauter and Asst Director, Selene Acosta and explained purpose of investigation. Finding for the above allegation was delivered during the inspection. During today's inspection, there were 23 school age children in care with 2 staff members. Director stated there are 29 school age children currently enrolled. Complainant alleges that Staff did not provide adequate supervision to day care child resulting in day care child leaving facility. During the course of the investigation, LPA inspected the facility, reviewed records and conducted interviews. It was determined that C1 was left unattended for 10 minutes when C1 left the facility unsupervised. Based on the interviews and information 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. Exit interview was conducted with Director Lisa Sauter and Asst Director Selene Acosta. Appeal rights were provided. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECTIVE DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023
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 02-CC-20230306140319
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, #1039
FACILITY NUMBER: 073401323
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/31/2023
Section Cited
CCR
101229(a)(1)
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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 has not been met as evidenced by:
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By COB 03/31/2023, facility will provide licensing a written statement on how facility will stay in compliance with section cited and policies/prodcures the facility will follow. Civil penalty was assessed for $500.
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Based on interviews, the facility did not comply with the section cited above when C1 was left unsupersived for 10 minutes which poses an immediate risk to the health, safety or personal rights of 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.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023
LIC9099 (FAS) - (06/04)
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