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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013412625
Report Date: 04/26/2023
Date Signed: 04/26/2023 02:01:55 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/09/2023 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230309081216
FACILITY NAME:KINDERCARE LEARNING CENTER, #1335FACILITY NUMBER:
013412625
ADMINISTRATOR:WRIGHT,TIFFANIEFACILITY TYPE:
850
ADDRESS:2155 NORTH LOOP ROADTELEPHONE:
(510) 521-3227
CITY:ALAMEDASTATE: CAZIP CODE:
94502
CAPACITY:81CENSUS: 49DATE:
04/26/2023
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Patricia BallanceTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff did not prevent day care children from being injured by another child in care
INVESTIGATION FINDINGS:
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On 4/26/23, at 12:15PM, Licensing Program Analyst (LPA) Catherine Fernandes arrived unannounced to deliver the findings to the above allegation and met with Director Patricia Ballance. Present in care were 49 preschoolers and eight additional staff members. During the investigation LPA Fernandes conducted interviews, observed the classroom, reviewed center documentation regarding the allegation and did a walk through of the center.
After reviewing the center's incident reports regarding a child injuring other children, and conducting interviews, the center did have a child with a history of multiple incidents. When reviewing the center's behavior guideline contract, the center did not abide to the necessary steps listed on the contract, therefore no documented plan of prevention was made for the child. Therefore, the allegation is SUBSTANTIATED, the preponderance of evidence standard has been met.
Title 22, California Code of Regulations are being cited on the attached LIC 9099 D.

Exit interview conducted with Director
Appeal Rights, Report, Notice of Site visit provided.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/09/2023 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230309081216

FACILITY NAME:KINDERCARE LEARNING CENTER, #1335FACILITY NUMBER:
013412625
ADMINISTRATOR:WRIGHT,TIFFANIEFACILITY TYPE:
850
ADDRESS:2155 NORTH LOOP ROADTELEPHONE:
(510) 521-3227
CITY:ALAMEDASTATE: CAZIP CODE:
94502
CAPACITY:81CENSUS: 49DATE:
04/26/2023
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Patricia BallanceTIME COMPLETED:
02:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not report injuries to child's authorized representative
INVESTIGATION FINDINGS:
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5
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13
On 4/26/23, at 12:15PM, Licensing Program Analyst (LPA) Catherine Fernandes arrived unannounced to deliver the findings to the above allegation and met with Director Patricia Ballance. Present in care were 49 preschoolers and eight additional staff members. During the investigation LPA Fernandes conducted interviews, observed the classroom, reviewed center documentation regarding the allegation and did a walk through of the center.

Interviews and center documents indicated conflicting information. Therefore, the allegation is 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 with Director
Appeal Rights, Report, Notice of Site visit provided.


Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023
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 3
Control Number 02-CC-20230309081216
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER, #1335
FACILITY NUMBER: 013412625
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/26/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/26/2023
Section Cited
CCR
101223(a)(2)
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Personal Rights The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement has not been met as evidence by:
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The center will come up with a plan of action and then conduct a staff training. Then send a statement of completion to CCL by proof of correction date.
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Based on record review and interviews the center did not prevent injury to children in care, which is a potential personal risk to children.
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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: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3