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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 290310484
Report Date: 06/24/2026
Date Signed: 06/24/2026 01:37:29 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/14/2026 and conducted by Evaluator Matthew Gallo
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20260414090110
FACILITY NAME:KINDERLAND PRESCHOOLFACILITY NUMBER:
290310484
ADMINISTRATOR:LUPE PETERSONFACILITY TYPE:
850
ADDRESS:12914 COLFAX HIGHWAYTELEPHONE:
(530) 273-5255
CITY:GRASS VALLEYSTATE: CAZIP CODE:
95945
CAPACITY:60CENSUS: 28DATE:
06/24/2026
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:TIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff hit day care child
INVESTIGATION FINDINGS:
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On 6/24/2026, Licensing Program Analyst (LPA) Matthew Gallo and Licensing Program Manager (LPM) Mai Lor met with facility representative Lupe Peterson to deliver findings to a complaint investigation into the above allegation. Upon arrival, LPA observed a census of 28 children supervised by 6 staff.

Throughout the course of the investigation, LPA conducted observations, interviews, and record review relevant to the allegation that a staff member hit a daycare child. According to the allegation, a since-departed staff member (S1) corrected a child’s disruptive behavior during naptime by striking the child on the mouth with their hand. LPA interviewed S1, who denied the allegation and stated that they instead pressed their fingers gently to the lips of the child to signal silence. The child in question did not qualify as an appropriate interview subject, and there were no other witnesses to the incident. Interviews with parents of enrolled children did not produce additional observations or concerns about staff conduct. Based on the available information, the allegation is found to be UNSUBSTANTIATED, meaning that although the allegation may have occurred or is valid, there is not a preponderance of evidence to prove it. Continues on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2026
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 03-CC-20260414090110
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: KINDERLAND PRESCHOOL
FACILITY NUMBER: 290310484
VISIT DATE: 06/24/2026
NARRATIVE
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No deficiencies were cited during today's visit.

Exit interview conducted and report was reviewed with the facility representative, Lupe Peterson. A notice of site visit was given and must remain posted for 30 days. LPA provided appeal rights.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2