343603017-7-1-2021-03-CC-MMAA-C4YVL6-20210716163126

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343603017
Report Date: 07/01/2021
Date Signed: 07/01/2021 11:46:29 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
04/20/2021 and conducted by Evaluator Gagandeep Singh

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20210420103235

FACILITY NAME:	KINDERCARE LEARNING CENTER - MACK (SA)		FACILITY NUMBER:	343603017
ADMINISTRATOR:	PAULA RITTER		FACILITY TYPE:	840
ADDRESS:	4920 MACK ROAD		TELEPHONE:	(916) 428-1880
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95823
CAPACITY:	52	CENSUS: 18	DATE:	07/01/2021
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Jessica Turner		TIME COMPLETED:	10:20 AM

ALLEGATION(S):

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Day care child sustained injuries in care.
Day care children engaged in inappropriate interactions in the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Gagandeep Singh met with the assistant director, Jessica Turner, to deliver the findings of the complaint investigation for the above allegation. Purpose of the inspection was explained.

During the investigation, LPA interviewed the teachers, the director, parents and collected the documents from the center. Based on the information received, it was found that in January 2021, a child was hit by a chair thrown by another child hurting the child and in April, same children were inappropriately grabbed by the same other child. It was also found that same two children were involved in fights or inappropriate actions multiple times. It was found that the center was unable to keep the children separate or take appropriate measures to prevent any incident to happen. Based on LPAs observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. Copy of this report is reviewed and provided to the assistnat director. Notice of site visit is posted and shall remain posted for next 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep Singh	TELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:	DATE: 07/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2021

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 03-CC-20210420103235

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 - MACK (SA)	FACILITY NUMBER: 343603017
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/01/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/02/2021 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	Personal Rights: The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. .	1 2 3 4 5 6 7	Assistant Director agreed to prevent the incident to occuse, the center will separate the children and use consuling with children and parents.
	8 9 10 11 12 13 14	This requirement is not met as evidenced by through the interviews and record review, it was found that two children were involved in inappropriate interaction multiple times and center was unable to prevent. This poses an immediate health and safety risk to children in care	8 9 10 11 12 13 14
	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: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep Singh	TELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:	DATE: 07/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 4

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
04/20/2021 and conducted by Evaluator Gagandeep Singh

COMPLAINT CONTROL NUMBER: 03-CC-20210420103235

FACILITY NAME:	KINDERCARE LEARNING CENTER - MACK (SA)		FACILITY NUMBER:	343603017
ADMINISTRATOR:	PAULA RITTER		FACILITY TYPE:	840
ADDRESS:	4920 MACK ROAD		TELEPHONE:	(916) 428-1880
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95823
CAPACITY:	52	CENSUS:	DATE:	07/01/2021
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Jerica Turner		TIME COMPLETED:	10:20 AM

ALLEGATION(S):

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9

Staff are not supervising children at all times.

INVESTIGATION FINDINGS:

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5
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13

Licensing Program Analyst (LPA) Gagandeep Singh met with the director, Jerica Turner, to deliver the findings of the complaint investigation for the above allegation. Purpose of the inspection was explained.

During the investigation, LPA interviewed the teachers, the director, parents and collected the documents from the center. Based on the information received, it was found that during the incidents involving the children being inappropriate to each other, the staff was present and observed the incident. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Copy of this report is reviewed and provided to the assistant director. Notice of site visit is posted and shall remain posted for next 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep Singh	TELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:	DATE: 07/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 03-CC-20210420103235

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 - MACK (SA)	FACILITY NUMBER: 343603017
	VISIT DATE: 07/01/2021

NARRATIVE

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A Type “A” violation (see continuation) was issued today. The center is informed to provide a copy of the Evaluation Report and the Type “A” Deficiency cited to the parents and guardians of children currently enrolled in care and to parents of newly enrolled children during the next 12 months. A signed and dated LIC 9224 shall be maintained in all Children's files. This report and appeal rights were provided and reviewed with the licensee. Notice of Site Visit shall remain posted for 30 days.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep Singh	TELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:	DATE: 07/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2021

LIC9099 (FAS) - (06/04)

Page: 4 of 4