343602981-10-13-2022-53-CC-JSMH-CKMPQW-20221028113145

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343602981
Report Date: 10/13/2022
Date Signed: 10/13/2022 11:45:58 AM

Substantiated

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
09/26/2022 and conducted by Evaluator Nola Maestas

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20220926124110

FACILITY NAME:	KINDERCARE LEARNING CENTER - BRUCEVILLE (INF)		FACILITY NUMBER:	343602981
ADMINISTRATOR:	ALYSSA DIPIPPO		FACILITY TYPE:	830
ADDRESS:	9394 BRUCEVILLE ROAD		TELEPHONE:	(916) 684-4040
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95758
CAPACITY:	20	CENSUS: 2	DATE:	10/13/2022
		UNANNOUNCED	TIME BEGAN:	07:15 AM
MET WITH:	Alyssa DiPippo		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Staff restrained child in care.

INVESTIGATION FINDINGS:

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On 10/13/2022, Licensing Program Analyst Katy Maestas (LPA) conducted an unannounced field visit to deliver the findings for the above allegation. LPA arrived at the facility and was met by Director Alyssa DiPippo (D1). LPA disclosed the purpose of the inspection and was granted entrance. LPA toured the facility and observed 2 infant children being supervised by 1 adult. LPA determined through accessing Guardian that all required adults were background cleared.
Throughout the course of the investigation, LPA reviewed the facility’s file, collected documents pertaining to the allegation, and conducted observations and interviews. It was alleged that staff restrained a child in care. LPA determined that an adult had laid their legs over a child while on their mat at nap time to encourage the child to sleep. This action violates a child’s personal rights.
Based on the information obtained in this investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

CONTINUED ON LIC 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Nola Maestas	TELEPHONE: 916-926-9100
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2022

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 53-CC-20220926124110

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: 10/13/2022

NARRATIVE

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The following Type A Deficiency was cited on the subsequent LIC 9099-D page of this report. D1 understands that all parents or authorized representatives of enrolled children are required to sign the LIC 9224 for up 1 year.
An exit interview was conducted, and the Appeal Rights were provided to D1. A Notice of Site Visit was posted by LPA and this shall remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Nola Maestas	TELEPHONE: 916-926-9100
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2022

LIC9099 (FAS) - (06/04)

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Control Number 53-CC-20220926124110

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/13/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 11/14/2022 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	(a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to:	1 2 3 4 5 6 7	Professional Development training on 10/10/22 focused on Personal Rights; staff watched Licensing videos on personal rights. Director will email LPA sign-in sheet. Nap Training will occur on 11/02/22 by Quality Business Partner. Director will email LPA the sign-in sheet and agenda from this training.
	8 9 10 11 12 13 14	interference with functions of daily living including eating, sleeping or toileting... This requirement was not met as evidenced by interference with sleeping habits with use of intimidation, which posed an immediate health,safety, or personal rights risk to the children in care.	8 9 10 11 12 13 14
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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: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Nola Maestas	TELEPHONE: 916-926-9100
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2022

LIC9099 (FAS) - (06/04)

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