393603299-5-25-2023-53-CC-BENN-CSERYS-20230602132650

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 393603299
Report Date: 05/25/2023
Date Signed: 05/25/2023 11:54:01 AM

Substantiated

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
03/30/2023 and conducted by Evaluator Stacey Williams

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20230330082922

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: 78	DATE:	05/25/2023
		UNANNOUNCED	TIME BEGAN:	09:29 AM
MET WITH:	Eva Prado		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Personal Rights:
* Staff handled day care child in a rough manner.
* Staff yelled at day care child.

INVESTIGATION FINDINGS:

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On May 25, 2023, Licensing Program Analyst (LPA) Stacey Williams met with Facility representative, Eva Prado for the purpose of delivering complaint findings. LPA observed seventy eight (78) children ( four classrooms ) supervised by ten (10) staff.

LPA Williams conducted an investigation regarding the complaint allegations listed above. It was alleged that Staff #1 (S1) violated Child 1’s (C1) personal rights by yelling and grabbing C1. Interviews were conducted with the Reporting Party, Facility Staff, and Parents of children in care. Children in care were interviewed as well; however, were determined to be unresponsive. Additional pertinent information was reviewed to assist with the investigation. S1 was interviewed and acknowledged panicking after encountering a child with a bloody nose while outside on the play structure. S1 denied forcefully grabbing C1 and described the incident by saying that they panicked and grabbed C1 to give a hug out of concern while asking “what happened. “ S1 further stated that they took C1 by both arms and moved them aside to attend the child with the bloody nose. Consistent statements from individuals interviewed regarding the incident concluded that S1 spoke to C1 and other children in what was consistently described as “yelling what happened.“

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

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 5

Control Number 53-CC-20230330082922

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 - GRANTLINE	FACILITY NUMBER: 393603299
	VISIT DATE: 05/25/2023

NARRATIVE

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Based on the information received, the allegations are determined to be substantiated. Title 22 Deficiency has been cited on the attached LIC 9099D. Upon receipt of Type A citations, facility shall post and provide copies of the LIC 9099D for parents/guardians of children currently in care and for parents/guardians of newly enrolled children for the next 12 months. Facility must also keep the signed LIC 9224, acknowledging receipt of Licensing Reports LIC 9099D in each child's files.

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.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

LIC9099 (FAS) - (06/04)

Page: 5 of 5

Control Number 53-CC-20230330082922

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 - GRANTLINE	FACILITY NUMBER: 393603299
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/25/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/26/2023 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.	1 2 3 4 5 6 7	Director stated that she immediately retrained S1 on handling different types of situations( injuries, behavioral) both in person and online. S1 received a break from teaching in the classroom to provide to shadow and observe other teachers. Director and Assistant Director have done observations
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: S1 was observed to yell and grab C1 while outside on the play structure after encountering a child with a bloody nose. This is risk to the health and safety of children in care.	8 9 10 11 12 13 14	on S1 while she is teaching in the classroom. Director will provide LPA documentation outlining training for S1 by POC date- 5/26/23.
	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: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 5

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
03/30/2023 and conducted by Evaluator Stacey Williams

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20230330082922

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: 78	DATE:	05/25/2023
		UNANNOUNCED	TIME BEGAN:	09:29 AM
MET WITH:	Eva Prado		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

1
2
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5
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8
9

Supervision:
*Staff did not provide adequate supervision resulting in day care child sustaining an unexplained injury.

INVESTIGATION FINDINGS:

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3
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5
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7
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12
13

On May 25, 2023, Licensing Program Analyst (LPA) Stacey Williams met with Facility representative, Eva Prado for the purpose of delivering complaint findings. LPA observed seventy eight (78) children ( four classrooms ) supervised by ten (10) staff.

LPA Williams conducted an investigation regarding the complaint allegation listed above. It was alleged that Staff did not provide adequate supervision resulting in day care child sustaining an unexplained injury. Interviews were conducted with the Reporting Party, Facility Staff, and Parents of children in care. Children in care were interviewed as well; however, were determined to be unresponsive. Additional pertinent information was reviewed to assist with the investigation. Consistent statements revealed that staff was in ratio while supervising children during outdoor play time. Child #2 has a history of having bloody noses. There were no documented incidents causing injuries reported for the day of the incident.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

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 5

Control Number 53-CC-20230330082922

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 - GRANTLINE	FACILITY NUMBER: 393603299
	VISIT DATE: 05/25/2023

NARRATIVE

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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.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

LIC9099 (FAS) - (06/04)

Page: 4 of 5