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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343602990
Report Date: 08/14/2023
Date Signed: 10/19/2023 09:40:08 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/10/2023 and conducted by Evaluator Jennifer Velasco
COMPLAINT CONTROL NUMBER: 03-CC-20230810141426
FACILITY NAME:KINDERCARE LEARNING CENTER - LEXINGTON (SA)FACILITY NUMBER:
343602990
ADMINISTRATOR:GALVAN, NANCYFACILITY TYPE:
840
ADDRESS:295 S. LEXINGTON DRIVETELEPHONE:
(916) 983-6169
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:70CENSUS: 1DATE:
08/14/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Vannessa LewisTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff handled a child roughly.
INVESTIGATION FINDINGS:
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Licensing Program Analyst Jennifer Velasco (LPA) met with Director Vannessa Lewis (D1) to conduct an initial complaint investigation inspection and to deliver findings. LPA toured the facility, including all activity and classroom spaces, restrooms, food service and outdoor play area. Director was reminded never to exceed the conditions, limitations, and capacity specified on the license. Facility hours of operation are Monday through Friday from 7:00 AM to 6:00 PM.
It was alleged staff handled a child roughly. During the investigation, LPA conducted interviews, observed care, and obtained relevant and reviewed documentation of this self-reported incident. Witness statements and document reviews corroborated the allegation that, when a child (C1) was damaging classroom materials, a staff (S1) grabbed C1 by the arm, causing minor injury—a small bruise—to the child. The preponderance of evidence standard has been met, and the allegation is substantiated.
A Type A violation was issued today. D1 was instructed to provide a copy of this Evaluation Report and the continuation page LIC 9099-D, on which the deficiency/deficiencies are cited, to the parents and guardians of children currently enrolled in care and to parents of newly enrolled children for the next 12 months. A signed and dated LIC 9224 shall be maintained in each child’s file. This report and appeal rights were provided and reviewed with the licensee. This report and the notice of site visit must remain posted for parental review for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2023
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 03-CC-20230810141426
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: KINDERCARE LEARNING CENTER - LEXINGTON (SA)
FACILITY NUMBER: 343602990
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/15/2023
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, as evidenced by:
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Director (D1) stated they will develop a detailed plan for correcting this deficiency to include
1. the details of the plan
2. the training materials provided
3. the signature page of staff
D1 stated they will train staff from all
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Based on interviews, the facility did not comply with the above regulation when a staff grabbed a child by the arm, causing minor injury. This posed an immediate risk to the health, safety, and/or personal rights of children in care.
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programs and will email the items in the list above to LPA by close of business on POC due date at
jennifer.velasco@dss.ca.gov
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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: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2023
LIC9099 (FAS) - (06/04)
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