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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 093608581
Report Date: 01/30/2019
Date Signed: 04/22/2019 11:48:35 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/23/2019 and conducted by Evaluator Mary Ponce
COMPLAINT CONTROL NUMBER: 03-CC-20190123095324

FACILITY NAME:KINDERCARE LEARNING CENTER - PARK (INF)FACILITY NUMBER:
093608581
ADMINISTRATOR:PERLE,ROBYNFACILITY TYPE:
830
ADDRESS:3959 PARK DR.TELEPHONE:
(916) 939-0391
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY:40CENSUS: 13DATE:
01/30/2019
UNANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:VeronicaTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility has no isolation area for ill children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Mary Ponce and Jeremey Mcclain met with Director Veronica Galvan to conduct an initial 10 complaint investigation regarding the above allegation. Upon arrival there were 13 infants and four staff. During the investigation, LPAs conducted interviews, made observations, and collected pertinent documentation.

It was alleged that there is no isolation area for sick children in care. Based on disclosures made during interviews, it was discovered that children are brought to the office which does not have ample space for children to reside while waiting for parents to pick up. The program also does not provide a mat or cot for children to rest on in the office.

Title 22 deficiencies are cited on the subsequent pages of this report. Appeals rights and Notice of Site Visit was provided. Notice of Site Visit must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Mary PonceTELEPHONE: 916-263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2019
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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