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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483001837
Report Date: 06/30/2023
Date Signed: 06/30/2023 02:53:36 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/10/2023 and conducted by Evaluator Melchisedeck Augustin
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20230510152119
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001837
ADMINISTRATOR:CANARIOS, ROSEFACILITY TYPE:
830
ADDRESS:35 ROTARY WAYTELEPHONE:
(707) 557-3007
CITY:VALLEJOSTATE: CAZIP CODE:
94591
CAPACITY:36CENSUS: 18DATE:
06/30/2023
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Justice Willis - Acting Center DirectorTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Facility is out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Melchisedeck Augustin made a subsequent complaint-investigation visit and met with Assistant Center Director, Justice Willis (AD) for the purpose of delivering finding for the above allegation. LPA previously met with AD on 05/17/23 to initiate the investigation by discussing the purpose of the visit, conducting interviews with AD and staff, making observations; and requested a facility roster of the children currently in care. It is alleged that the facility is out of ratio. The report noted one staff was caring for 5-6 children daily.

LPA interviewed AD and one staff (S1) on 05/17/23. AD’s statement confirmed the facility operated out of ratio when AD stated that in the morning, the infant and toddler classrooms merged, and sometimes multiple staff call off which had an impact on the ratio, resulting in the facility operating out of ratio. This allegation was further corroborated when LPA observed three staff providing care and supervision for 18 infants in the Infant classroom on 05/17/23 at 8:54am. (Continue to LIC 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023
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 3
Control Number 01-CC-20230510152119
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 483001837
VISIT DATE: 06/30/2023
NARRATIVE
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Based on statement provided by AD and LPA’s observations, the preponderance of evidence standard has been met and therefore, the above allegation is found to be SUBSTANTIATED. The facility did not comply with California Code of Regulations Staff-Infant ratio 101416.5(b) which mandates one teacher for every four infants in attendance. Exit interview conducted and report was reviewed with the facility representative, Justice Willis. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed. Appeal Rights were provided. See LIC 9099-D.

LPA Melchisedeck Augustin informed facility representative, Justice Willis that this report dated 06/30/2023 document(s) one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Melchisedeck Augustin informed the facility representative to provide a copy of this licensing report dated 06/30/2023 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 01-CC-20230510152119
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 483001837
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/01/2023
Section Cited
CCR
101416.5(b)
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There shall be a ratio of one teacher for every four infants in attendance.

This requirement is not met as evidenced by: Based on statement provided by AD and LPA’s observations of three staff providing care and supervision for 18 infants in the Infant
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Assistant Director (AD) stated since 05/17/23, she hired two additional staff who will start the Kindercare CDA program on 07/24/23. AD agreed to submit a written plan which would describe the steps the facility took to ensure staffing ratio are maintained and complied with, and AD intends to submit her POC to the Department by 07/01/23 via email.
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classroom on 05/17/23 at 8:54am. This poses/posed an immediate health, safety and/or personal rights risk to the children in care.
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Furthermore, LPA intends to conduct a follow up inspection to verify compliance with ratio requirements.
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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: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3