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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073401317
Report Date: 08/14/2019
Date Signed: 08/14/2019 02:15:27 PM



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
08/12/2019 and conducted by Evaluator Dayna Collier
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20190812120213
FACILITY NAME:KINDERCARE LEARNING CENTER, #1367FACILITY NUMBER:
073401317
ADMINISTRATOR:BETTS, LAWANDAFACILITY TYPE:
830
ADDRESS:3240 SAN PABLO DAM ROADTELEPHONE:
(510) 222-1144
CITY:SAN PABLOSTATE: CAZIP CODE:
94806
CAPACITY:24CENSUS: 10DATE:
08/14/2019
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Vidya Singh TIME COMPLETED:
02:20 PM
ALLEGATION(S):
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PERSONAL RIGHTS: Facility staff failed to prevent the spread of a communicable disease.
INVESTIGATION FINDINGS:
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LPA Dayna Collier met with Acting Assistant Center Director Vidya Singh for a complaint investigation regarding the above allegation. It was alleged that staff have failed to prevent recurring outbreaks of a communicable disease. During the course of the investigation, interviews were conducted. Per staff, children have suffered from hand, foot and mouth. The first case was reported in June and the facility appeared free of disease. However, three days ago, another case was confirmed. Diapering, handwashing and cleaning practices were discussed. It was disclosed that staff have become aware that a child is sick and suffering from hand, foot and mouth once the child has been signed in and accepted into the environment.
Based on the LPA's observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Div. 12, Chap. 101226.1), are being cited on the attached LIC 9099D. An exit interview was conducted and the report was discussed. Licensee was provided a copy of their appeal rights (LIC 9058 12/15) and the signature on this form acknowledges receipt of these rights.
A SITE VISIT NOTICE WAS POSTED.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2019
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 02-CC-20190812120213
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, #1367
FACILITY NUMBER: 073401317
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/21/2019
Section Cited
CCR
101226.1(a)
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101226.1 Daily Inspection for Illness
(a) The licensee shall be responsible for ensuring that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted.
This requirement is not met as evidenced by interviews conducted.
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POC: By 8/21/19, a written plan of action will be sent to Licensing detailing the steps staff will take to ensure a daily inspection is performed prior to the acceptance of children into care.
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This poses a potential risk for the health and safety of children in care.
STAFF FAIL TO CONDUCT A DAILY INSPECTION FOR ILLNESS PRIOR TO ACCEPTING 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: Diane PerezTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3