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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343602981
Report Date: 09/04/2020
Date Signed: 09/04/2020 10:50:11 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/27/2020 and conducted by Evaluator Jeevun Birk
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20200427084355
FACILITY NAME:KINDERCARE LEARNING CENTER - BRUCEVILLE (INF)FACILITY NUMBER:
343602981
ADMINISTRATOR:ALYSSA DIPIPPOFACILITY TYPE:
830
ADDRESS:9394 BRUCEVILLE ROADTELEPHONE:
(916) 684-4040
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY:20CENSUS: 13DATE:
09/04/2020
ANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Alyssa DiPippoTIME COMPLETED:
10:48 AM
ALLEGATION(S):
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Lack of Supervision - Child sustained unexplained injuries.
INVESTIGATION FINDINGS:
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Due to the COVID-19 pandemic Licensing Program Analyst (LPA) Jeevun Birk-Miller conducted a Tele-Inspection with Director, Alyssa DiPippo on 9/4/2020 in lieu of conducting a site inspection to deliver findings for the above allegation. It was alleged that Child #1 had sustained unexplained injuries. It was stated by the complaint that C1 was observed to have bruising on their left arm from possibly a hand. It was stated by the complainant that bruising and scratches had been observed in different areas of C1's body. LPA Birk-Miller conducted interviews with staff and parents of day care children. LPA Birk-Miller collected and reviewed documents. On 4/27/2020, LPA Birk-Miller recieved an incident report from the facility stating on 4/24/2020 C1 had been playing on the playground and was trying to get onto a tricycle. C1 had slipped and hit their arm on the handle and fell onto the ground. It was stated through interviews with three of three staff that C1 had a lot of energy and would have accidents/incidents in the classroom. Some of the examples provided were bumping into tables, hurting a toe, and some behaviors with toys. LPA observed multiple Incident/Accident Report for Parent/Guardian in C1's file. LPA observed incidents such as running into the door, getting hit/scratched by another child, and hitting their eye on a corner while playing. Three of three staff interviewed stated they had not seen or heard of staff being rough with a child.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISOR'S NAME: Jeanne SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Jeevun BirkTELEPHONE: (916) 917-6078
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2020
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 53-CC-20200427084355
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: KINDERCARE LEARNING CENTER - BRUCEVILLE (INF)
FACILITY NUMBER: 343602981
VISIT DATE: 09/04/2020
NARRATIVE
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Through interviews with parents of children in care it was stated there were no concerns about the facility or about the staff in that classroom. Although bruising on the child was observed the investigation did not provide any information that supported the child having unexplained injuries or mishandling by staff. Based on the evidence gathered throughout the course of this investigation there was not a preponderance of evidence to prove or dismiss the allegation and therefore, the allegation was deemed unsubstantiated. An exit interview was conducted, and a Notice of Site visit was provided via email. No deficiencies were cited at this time.
SUPERVISOR'S NAME: Jeanne SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Jeevun BirkTELEPHONE: (916) 917-6078
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2