483001838-11-10-2021-01-CC-LLEI-C8W3EP-20211118171128

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 483001838
Report Date: 11/10/2021
Date Signed: 11/10/2021 09:20:47 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/11/2021 and conducted by Evaluator Melchisedeck Augustin

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20210811111417

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	483001838
ADMINISTRATOR:	CANARIOS, ROSE		FACILITY TYPE:	850
ADDRESS:	35 ROTARY WAY		TELEPHONE:	(707) 557-3007
CITY:	VALLEJO	STATE: CA	ZIP CODE:	94591
CAPACITY:	72	CENSUS: 19	DATE:	11/10/2021
		UNANNOUNCED	TIME BEGAN:	07:12 AM
MET WITH:	Jusctice Willis & Donje Fields		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Facility staff did not assist child with toileting needs
Facility staff are not reporting special incidents to children's authorized representatives

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs), M. Augustin and E. Hernandez Torres conducted an unannounced subsequent complaint-Investigation visit and met with Center Director, Donje Fields (CD) to deliver the findings regarding the above allegations. On 08/18/21, LPA Yang met with former Center Director, Rose Canarios (CD1) to initiate the investigation, discuss the purpose of the visit and request a facility roster. It was alleged that facility staff did not assist child (C1) with toileting needs, resulting in C1’s under garment being soiled with feces on four different occasions. It was also alleged that facility staff are not reporting special incident to children’s authorized representatives. The report noted there was a lack of supervision at the facility.

From 09/24/21 through 10/18/21, LPA Augustin interviewed CD, eight parents (P1-P8), two adults (A1 - A2), and six staff (S1-S6). CD denied the claim that staff did not assist C1 with toileting needs and stated that staff checked children’s diapers every one and half hours and provided assistance to child(ren) requesting to utilize the bathroom. CD also had not seen any children’s under garment soiled with feces on four separate occasions. (Continue to LIC 9099-C)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck Augustin	TELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021

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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Control Number 01-CC-20210811111417

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 483001838
	VISIT DATE: 11/10/2021

NARRATIVE

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CD further stated that after an usual incident, staff were required to produce an incident report(s), and provide the report(s) to facility management which then a duplicate copy of the incident report was provided to parent(s) of all children involved in the incident(s).

Statements provided by P1, P2, P3, A1 and A2 corroborated the allegation, reporting a lack of staff at the facility made it difficult for staff to check children’s diapers or check on children using the bathroom to ensure they were clean. P2 reported that twice a week for a duration of one month, staff were not changing her child’s diapers often enough resulting in soaked diapers and urine wet clothes. CD1’s apologized when brought to her attention. In addition, P1 was concerned their child was not getting assistance with toileting needs since a lot of times the child was picked up with soaked diapers. In additions, A2 and S3 believed that the staffing shortage resulted in prior incident(s) of a child smearing feces on his/herself.

Multiple staff and adults confirmed the facility’s procedure for reporting unusual incident(s) as described by CD, however, A2 and S3 claimed they either heard or received complaints about incident report(s) not being distributed to parents. A1 and S3 reported parents had not received incident reports, and A1-A2 reported seeing incident report(s) that had not been distributed directly to parents and instead were sitting on a table near the children’s sign in/out binder. P1, P2, P4 and P8 reported occasions where the facility had not notified them of incident(s) in which their child was involved. P2 stated her child fell and sustained a scrape on the nose that was not reported. Also, between the months of August through September 2021, P4 witnessed her child had a busted upper lip that was not initially reported and P8 was not notified of a scrape on her child’s right elbow.

Based on this investigation, the preponderance of the evidence standard has been met and therefore, the allegations are substantiated. The California Code of Regulation 101223(a)(2) and 101212(f) of the Title 22, Division 12, Chapter 1, Article 06, are being cited on LIC 9099D. This report was discussed and reviewed with CD and an Exit interview was conducted with CD. Notice of Site Visit shall be posted for 30 days. Appeal Rights were provided.

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck Augustin	TELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20210811111417

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 483001838
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/10/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/24/2021 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by: Statements provided by P1, P2, P3, A1 and A2 corroborated the allegation, reporting a lack of staff at the facility made it difficult for staff to	1 2 3 4 5 6 7	CD stated to hire staff that is qualified and CD will work in the class to fill the ratio. So far, staff have checked the children's diapers to ensure they are cleaned and CD holds monthly meeting to discuss the needs of the children are being met. CD stated the next staff meet will be held on 11/19/21 and CD will submit the meeting agenda/topic(s) and staff attendance
	8 9 10 11 12 13 14	check children’s diapers or check on children using the bathroom to ensure they were clean. This poses a potential health,safety and personal rights risk to the children in care.	8 9 10 11 12 13 14	singature page to the Department on 11/24/21 via mail, email or fax. Email: melchisedeck.augustin@dss.ca.gov Fax: 707-588-5099
Type B 11/24/2021 Section Cited CCR 101212(f)	1 2 3 4 5 6 7	Reporting Requirements. The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. This requirement was not met as evidenced by: multiple statements parents statements reported occasions where the	1 2 3 4 5 6 7	CD stated five staff are currently enrolled in CDA program and the staff would soon be fully qualified teachers. CD stated in the next staff meeting being held on 11/19/21, she would discuss the matter of supervision, as well as reporting requirements, and CD would submit the meeting agenda/topics and staff attendance signature page to the Department by 11/24/21 via mail, email or fax.
	8 9 10 11 12 13 14	facility had not notified them of incident(s) in which their child was involved. This posed/poses a potential health, safety and personal rights risk to the children in care.	8 9 10 11 12 13 14	Email: melchisedeck.augustin@dss.ca.gov Fax: 707-588-5099

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 Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck Augustin	TELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021

LIC9099 (FAS) - (06/04)

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