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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073401911
Report Date: 06/20/2019
Date Signed: 06/28/2019 05:51:09 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
05/16/2019 and conducted by Evaluator Ronda Hollie
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20190516101025
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
073401911
ADMINISTRATOR:CRYSTAL BARRETTFACILITY TYPE:
850
ADDRESS:2850 CHERRY LANETELEPHONE:
(925) 943-6777
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94596
CAPACITY:53CENSUS: 53DATE:
06/20/2019
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Crystal BarrettTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Lack of Supervision - Staff failed to intervene when there are inappropriate interactions between day care children
INVESTIGATION FINDINGS:
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Licensing Program Analyst,(LPA) R. Hollie, met with center Director, Ms. Barrett, regarding the above allegation. A tour of the facility was conducted. Today, there are 24 children present and five staff present during nap time. During a prior visit, LPA interviewed staff. LPA discussed the allegation with the Director, who was absent during the last visit. Based on the interviews and LPA's observation during a prior visit where children were observed taking turns climbing and jumping off small furniture, the allegation is true the staff have failed to intervene when children go beyond the bounds of playing in a safe manner during free play time.
THE ALLEGATION IS TRUE AND SUBSTANTIATED. see 9099-d

LPA's printer is not available today, therefore a summary of this visit will be given to the licensee and this typed and signed report will be mailed to the licensee within 7 working days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019
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-20190516101025
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: 073401911
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/20/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/25/2019
Section Cited
CCR
101229a
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RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION 101229a
The licensee shall provide care and supervision as necessary to meet the children's needs. This requirement is not being met
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The Director will send a written summary indicating how she will ensure children are observed and how staff will intervene when children are not playing in a safe manner. The summary must be provided no later than 06-25-19
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During free play, children have been allowed to play beyond the bounds of safe play without staff complete observation and intervention to meet the needs of children on at least two occasion's. The Director stated that she has addressed this issue with staff.
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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: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019
LIC9099 (FAS) - (06/04)
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