393603299-10-17-2024-53-CC-BENN-DALW3L-20241101165604

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 393603299
Report Date: 10/17/2024
Date Signed: 10/17/2024 02:29:02 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 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
08/19/2024 and conducted by Evaluator Stacey Williams

COMPLAINT CONTROL NUMBER: 53-CC-20240819131049

FACILITY NAME:	KINDERCARE LEARNING CENTER - GRANTLINE		FACILITY NUMBER:	393603299
ADMINISTRATOR:	EVA PRADO		FACILITY TYPE:	850
ADDRESS:	265 WEST GRANT LINE ROAD		TELEPHONE:	(209) 835-9247
CITY:	TRACY	STATE: CA	ZIP CODE:	95376
CAPACITY:	120	CENSUS: 72	DATE:	10/17/2024
		UNANNOUNCED	TIME BEGAN:	01:42 PM
MET WITH:	Eva Prado		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Personal Rights: Staff fed day care child food they are allergic to

INVESTIGATION FINDINGS:

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On October 17, 2024, Licensing Program Analyst (LPA) Stacey Williams met with Director, Eva Prado for the purpose of delivering complaint findings. LPA observed (72) seventy two preschool children supervised by 5 staff ( 4 classrooms).

An investigation was conducted regarding the allegation listed above. It was alleged that C1’s personal rights were violated due to being fed food they were allergic to. Reporting Party alleged that C1 was provided fish sticks during lunch and as a result C1 was taken to the hospital for medical care. Interviews were conducted with the reporting party, parent of C1 and staff of the facility. Staff reported they were not aware C1 ate fish sticks and stated that C1 was not given fish sticks and instead offered a substitution food item per the menu. C1 did not have documentation of a fish stick allergy on file or an EpiPen noted/prescribed in their file. Director did however report that it was noted on the allergy list posted in the classroom. Director reported that C1’s parent verbally made mention of the allergy after enrollment, so as a precaution, the food item was placed on the allergy alert list in the classroom.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

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 53-CC-20240819131049

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: KINDERCARE LEARNING CENTER - GRANTLINE	FACILITY NUMBER: 393603299
	VISIT DATE: 10/17/2024

NARRATIVE

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Reporting Party was unable to provide medical documentation supporting the claim that the hospital stay was the result of ingesting fish sticks. Facility staff denied claims that there were previous occurrences when C1 was given fish sticks as indicated by the Reporting Party.

Documentation provided by the facility lists fish sticks and a substation food item (veggie patty) listed as items served to C1 for the date of the incident. All staff interviewed denied giving the C1 fish sticks and reported that if there is a known allergy then the veggie patty was served. All staff interviewed denied inputting the meal items served for the day.

Based on the information received, the allegation is determined to be unsubstantiated. 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.

Exit interview conducted at which time the report was reviewed with Facility Representative, Eva Prado. A Notice of Site Visit was posted by LPA Williams and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

LIC9099 (FAS) - (06/04)

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