<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483001838
Report Date: 02/15/2023
Date Signed: 02/15/2023 01:20:04 PM

Unsubstantiated


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
10/19/2022 and conducted by Evaluator Melchisedeck Augustin
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20221019163046
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001838
ADMINISTRATOR:FIELDS, DONJEFACILITY TYPE:
850
ADDRESS:35 ROTARY WAYTELEPHONE:
(707) 557-3007
CITY:VALLEJOSTATE: CAZIP CODE:
94591
CAPACITY:72; 72CENSUS: 44DATE:
02/15/2023
UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Justice Willis - Facility RepresentativeTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff caused injuries to a daycare child as a form of punishment
Staff are not following a licensed physician's order
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), M. Augustin conducted an unannounced subsequent complaint-Investigation visit and met with the facility representative, Justice Willis to deliver the findings regarding the above allegations. LPA previously met with Center Director (CD) on 10/26/22 to initiate the investigation by discussing the purpose of the visit, conducting interviews with children, CD and staff, making observations; and requesting a facility roster of the children currently in care. It was alleged that staff caused injuries to a daycare child as a form of punishment and staff are not following a licensed physician's order. The report noted that a child (C1) allegedly incurred bruises on the arm when a staff (S1) grabbed and pulled C1 by the arm and that the facility was provided with a bottle of medication to assist C1, however; the facility did not give C1 the medication as prescribed.

LPA, Augustin interviewed CD and four staff (AD & S1-S3), four children (C1-C4), and five parents (P1-P5) from 10/24/22 through 02/14/23. CD denied the allegations stating to CD’s knowledge, S1 had not spoken to C1 around the time of the alleged incident and during the time(s) CD saw C1, CD did not see any bruising on C1. (Continue to LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
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 2
Control Number 01-CC-20221019163046
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: 483001838
VISIT DATE: 02/15/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
CD added that the facility did not discipline the children but rather; positively redirected or separated children and CD had not seen staff utilize any other inconsistent methods. Furthermore, CD claimed C1 took all dosages of the prescribed medication which came with the prescription and medical doctor’s instructions, and that upon completion of the medication, CD returned the bottle to C1’s parent. CD could not provide any evidence to show C1 took all prescribed dosage(s).

The statements provided by children, staff (S1) and parents (P2-P5) did not indicate or report any concerns. According to S1-S3, they had not seen any bruising on C1’s arm and they had not seen any staff use a form of punishment as a method to discipline children. In addition, staff and parents did not have any information to offer regarding the allegation that staff did not follow a licensed physician’s order. S1 stated the last time S1 saw C1, C1 looked okay and to S1’s knowledge, C1 was not involved in any unusual incident(s) with staff or another child(ren). S1 added that she handled children’s challenging behavior(s) by keeping the children busy, separating or redirecting children. Although some children statements indicated they did get injured while on the playground or when playing with each other, it could not be determined exactly when or how C1 sustained the injuries as there were no witnesses to the alleged incident.

During LPA’s unannounced visit to the facility on 10/26/22, LPA observed staff interacting well with the children, and LPA did not see any child that appeared to be afraid or in distress. LPA did not see any staff use any form(s) of punishment to discipline the children. Based on LPA’s investigation, it could not be determined how C1 sustained bruises on the arm, however; there is no conclusive evidence to confirm staff used punishment to discipline C1 or to determine the facility did not follow a licensed Physician’s order. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. 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. There were no violation(s) of California Code of Regulations, Title 22, Division 12 cited at this time. Appeal Rights were provided.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2