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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343602982
Report Date: 10/13/2022
Date Signed: 10/17/2022 12:49:51 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, 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-20220926113259
FACILITY NAME:KINDERCARE LEARNING CENTER - BRUCEVILLE (SA)FACILITY NUMBER:
343602982
ADMINISTRATOR:ALYSSA DIPIPPOFACILITY TYPE:
840
ADDRESS:9394 BRUCEVILLE ROADTELEPHONE:
(916) 684-4040
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY:28CENSUS: 6DATE:
10/13/2022
UNANNOUNCEDTIME BEGAN:
07:15 AM
MET WITH:Alyssa DiPippoTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff spoke inappropriately to children in care.
Facility did not ensure meals met children's needs.
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 allegations. 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 6 school-aged 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 spoke inappropriately to children in care. LPA determined that tone, volume and content of language is not always age appropriate; these actions violate 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 SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Nola MaestasTELEPHONE: 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)
Page: 1 of 4
Control Number 53-CC-20220926113259
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 (SA)
FACILITY NUMBER: 343602982
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.
It was alleged that the facility did not ensure that meals meet children’s needs. LPA determined that the food presented on the menu is not regularly being served; this is in violation of Title 22, Food Service Regulations. 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. The following Type B Deficiency was cited on the subsequent LIC 9099-D page of this report.
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 SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Nola MaestasTELEPHONE: 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)
Page: 2 of 4
Control Number 53-CC-20220926113259
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 (SA)
FACILITY NUMBER: 343602982
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)(1)
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(a) The licensee shall ensure that each child is accorded the following personal rights:
(1) To be accorded dignity in his/her personal relationships with staff and other persons.
This requirement was not met
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Staff Meeting on 10/12/22 focused on Personal Rights and Behavioral Management strategies. Director will email LPA the sign-in sheet from this meeting. Director will create a written statement for staff to sign that describes what is appropriate language and volume for a daycare facilty.
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as evidenced by staff speaking inappropriately to and around children in care. Based on the investigation, the tone, volume and content of language used by adults posed an immediate health, safety, or personal rights risk to chidlren in care.
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Director will email the signed statements to LPA.
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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 SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Nola MaestasTELEPHONE: 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)
Page: 3 of 4
Control Number 53-CC-20220926113259
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 (SA)
FACILITY NUMBER: 343602982
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/14/2022
Section Cited
CCR
101227(a)(6)
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(a) In child care centers providing meals to children, the following shall apply:
(6) Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept
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Director will email LPA the menus for Infant, Preschool and School age programs for review of November. Kitchen Crew will receive training on food standards and policies on 10/21/22; Director will email LPA the sign-in sheet from this meeting. Director will create a food related
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on file for at least 30 days...
This requirement was not met as evidenced by the facility serving food that was not on the menu nor documenting served food. Based on the investigation, this poses a potention health, safety, or personal rights risk to children in care.
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bulletin board at the facilty's entrance to include: 3 monthly menus and substitutes to the menus. Director will email a photograph of said board to LPA. Director will email photograph of food allergy list on the serving trays/carts to LPA.
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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 SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Nola MaestasTELEPHONE: 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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