343603018-7-1-2021-03-CC-MMAA-C4YULV-20210716154122

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343603018
Report Date: 07/01/2021
Date Signed: 07/01/2021 11:45:47 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-20210420100349

FACILITY NAME:	KINDERCARE LEARNING CENTER - MACK (INF)		FACILITY NUMBER:	343603018
ADMINISTRATOR:	PAULA RITTER		FACILITY TYPE:	830
ADDRESS:	4920 MACK ROAD		TELEPHONE:	(916) 428-1880
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95823
CAPACITY:	36	CENSUS: 12	DATE:	07/01/2021
		UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Jessica Turner		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff are not supervising children at all times.

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 during the incident of a child putting an object in the child's mouth, the staff was present with the child 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)

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