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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393603300
Report Date: 10/19/2022
Date Signed: 10/19/2022 02:00:36 PM

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
08/02/2022 and conducted by Evaluator Stacey Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20220802174703
FACILITY NAME:KINDERCARE LEARNING CENTER - GRANTLINE (INF)FACILITY NUMBER:
393603300
ADMINISTRATOR:EVA PRADOFACILITY TYPE:
830
ADDRESS:265 W. GRANTLINE ROADTELEPHONE:
(209) 835-9247
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:36CENSUS: 27DATE:
10/19/2022
UNANNOUNCEDTIME BEGAN:
12:10 AM
MET WITH:Eva PradoTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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 Day-care child sustained injuries while in care.
INVESTIGATION FINDINGS:
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On October 19, 2022 , Licensing Program Analyst (LPA) Stacey Williams arrived at the facility for the purpose of delivering complaint findings. LPA met with Facility Representative. LPA observed two classrooms. Twenty Seven (27) children supervised by four staff ( 19 children napping ).

An investigation was conducted regarding the allegation listed above. The facility was toured and interviews were conducted with the reporting party, facility staff, and parents. Additional pertinent information was received to assist with the investigation. Facility staff confirmed parent of Child #1 (C1) questioned staff about a mark on C1 that appeared similar in nature to a bite. Facility staff was unable to provide information as to how C1 sustained the injury. C1's parent was not notified of the mark on C1 until they brought it to the staff's attention. Additional evidence revealed that C1 continued to gain injuries after the initial bite mark was seen.C1's parent was notified of the additional injuries. Due to the lack of supervision, a preponderance of evidence has been met to substantiate the allegation.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey WilliamsTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
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-20220802174703
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 (INF)
FACILITY NUMBER: 393603300
VISIT DATE: 10/19/2022
NARRATIVE
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Title 22 deficiencies will be cited on subsequent page, LIC 9099 D.

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 EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey WilliamsTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 53-CC-20220802174703
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 (INF)
FACILITY NUMBER: 393603300
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/18/2022
Section Cited
CCR
101229(a)
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The licensee shall provide care and supervision as necessary to meet the children's needs.
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Facility Director will retrain staff on supervision and communication with parents and staff. Director will submit training roster, agenda, and training documents by POC date- 11/18/2022.
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This requirement was not met as evidenced by:
C1 sustained an injury that appeared to be a bite mark. Facility staff was unable to explain how or when the injury occurred. This poses a potential risk to the health and safety of children in care.
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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 EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey WilliamsTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
LIC9099 (FAS) - (06/04)
Page: 3 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
08/02/2022 and conducted by Evaluator Stacey Williams
COMPLAINT CONTROL NUMBER: 53-CC-20220802174703

FACILITY NAME:KINDERCARE LEARNING CENTER - GRANTLINE (INF)FACILITY NUMBER:
393603300
ADMINISTRATOR:EVA PRADOFACILITY TYPE:
830
ADDRESS:265 W. GRANTLINE ROADTELEPHONE:
(209) 835-9247
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:36CENSUS: 27DATE:
10/19/2022
UNANNOUNCEDTIME BEGAN:
12:10 AM
MET WITH:Eva PradoTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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9
Facility is not being sanitized.
INVESTIGATION FINDINGS:
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On October 19, 2022 , Licensing Program Analyst (LPA) Stacey Williams arrived at the facility for the purpose of delivering complaint findings. LPA met with Facility Representative. LPA observed two classrooms, Twenty Seven (27) children supervised by four staff ( 19 children napping ).

An investigation was conducted regarding the allegation listed above. The facility was toured and interviews were conducted with the reporting party, facility staff, and parents. Additional pertinent information was received to assist with the investigation. The Reporting Party raised concerns about the cleanliness of the facility. Evidence provided during the investigation revealed a cleaning system is in place for staff to adhere to. Classrooms are to be cleaned daily and staff signs off on the daily checklist. Staff reported that cleaning is done daily and although there are scheduled times for cleaning, cleaning is not always done at a specific time during the day.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey WilliamsTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 53-CC-20220802174703
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 (INF)
FACILITY NUMBER: 393603300
VISIT DATE: 10/19/2022
NARRATIVE
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Based on the information obtained throughout the course of this investigation the above allegation could not be substantiated or dismissed. 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 finding is UNSUBSTANTIATED.

Exit interview conducted and 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 EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey WilliamsTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5