343602990-3-27-2023-03-CC-NDUY-CQKVYM-20230404165123

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343602990
Report Date: 03/27/2023
Date Signed: 03/27/2023 02:22:45 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
03/21/2023 and conducted by Evaluator Jennifer Velasco

COMPLAINT CONTROL NUMBER: 03-CC-20230321100918

FACILITY NAME:	KINDERCARE LEARNING CENTER - LEXINGTON (SA)		FACILITY NUMBER:	343602990
ADMINISTRATOR:	GALVAN, NANCY		FACILITY TYPE:	840
ADDRESS:	295 S. LEXINGTON DRIVE		TELEPHONE:	(916) 983-6169
CITY:	FOLSOM	STATE: CA	ZIP CODE:	95630
CAPACITY:	70	CENSUS: 12	DATE:	03/27/2023
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Jody Darone		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff left daycare child unattended

INVESTIGATION FINDINGS:

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Licensing Program Analysts Erwina Pascual-Golamco and Jennifer Velasco (LPAs) conducted an initial complaint investigation inspection and met with District Leader Jody Darone (M1). LPAs toured the facility, including all activity and classroom spaces, restrooms, food service and outdoor play areas. Census included 12 school age children being supervised by two classroom staff. M1 was reminded never to exceed the conditions, limitations, and capacity specified on the license. Facility hours of operation are Monday through Friday from 6:00 AM to 6:30 PM.
LPAs investigated an allegation facility staff left a daycare child unattended for an extended period of time. During the investigation, LPAs engaged in observation, conducted interviews, and obtained and reviewed facility records. Information obtained during interviews and document reviews corroborated the allegation facility staff left a daycare child unattended for an extended period of time. The preponderance of evidence standard has been met; therefore, the allegation is substantiated.

Continued on LIC 9099-C.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Natalie Dunaway	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jennifer Velasco	TELEPHONE: 707-953-7341
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2023

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 03-CC-20230321100918

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: KINDERCARE LEARNING CENTER - LEXINGTON (SA)	FACILITY NUMBER: 343602990
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/27/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/28/2023 Section Cited CCR 101229(a)(1)(a)	1 2 3 4 5 6 7	The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time ... Supervision shall include visual observation. This requirement was not met as evidenced by witness statements and facility documentation	1 2 3 4 5 6 7	District Leader (M1) stated the staff who left C1 on the bus has been terminated. M1 also stated this facility will not do outside summer field trips this year. M1 stated she has been retraining staff individually and in both site and district meetings and will provide sign-in
	8 9 10 11 12 13 14	that a child (C1) was left unattended and buckled into a car seat on the facility bus for a period of 90 minutes with staff unaware of this fact. This posed/poses an immediate risk to the health, safety, and/or personal rights of children in care..	8 9 10 11 12 13 14	sheet and training documents to LPA via email by close of business on POC due date. LPA contact jennifer.velasco@dss.ca.gov
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Natalie Dunaway	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jennifer Velasco	TELEPHONE: 707-953-7341
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2023

LIC9099 (FAS) - (06/04)

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Control Number 03-CC-20230321100918

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: KINDERCARE LEARNING CENTER - LEXINGTON (SA)	FACILITY NUMBER: 343602990
	VISIT DATE: 03/27/2023

NARRATIVE

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Continued from LIC 9099

Title 22 Deficiency has been cited on the attached LIC 809-D. LPAs notified M1 that this report documents one Type A citation and must be posted where visible to parents/guardians for 30 consecutive days because the deficiency poses an immediate risk to the health, safety, and/or personal rights of children in care. LPAs also notified M1 of the requirement to provide a copy of this licensing report that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. LPAs notified Me that a signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other equivalent written statement, must be placed in each child's file for verification. This report and appeal rights were provided and reviewed with M1. Notice of Site Visit was provided and must remain posted where visible to parents for 30 days.

SUPERVISOR'S NAME: Natalie Dunaway	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jennifer Velasco	TELEPHONE: 707-953-7341
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2023

LIC9099 (FAS) - (06/04)

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