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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 293617518
Report Date: 03/05/2026
Date Signed: 03/05/2026 12:50:06 PM

Substantiated


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
02/24/2026 and conducted by Evaluator Matthew Gallo
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20260224161354
FACILITY NAME:KINDERLAND PRESCHOOL (INF)FACILITY NUMBER:
293617518
ADMINISTRATOR:LUPE PETERSONFACILITY TYPE:
830
ADDRESS:12815 COLFAX HIGHWAYTELEPHONE:
(530) 273-1255
CITY:GRASS VALLEYSTATE: CAZIP CODE:
95945
CAPACITY:16CENSUS: 9DATE:
03/05/2026
UNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Sarah AguilarTIME COMPLETED:
12:55 PM
ALLEGATION(S):
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Food Service-Staff does not ensure dishes day care children use are clean and sanitary
INVESTIGATION FINDINGS:
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At 9:55am on 3/5/2026, Licensing Program Analyst (LPA) Matthew Gallo arrived at the facility to open a complaint investigation into the above allegations. Upon arrival, LPA observed a census of 9 infants supervised by 4 staff. Director Sarah Aguilar joined the visit after LPA's arrival.

Throughout the course of the investigation, LPA conducted observation and interviews relevant to the following allegation:

(1) Staff do not ensure dishes day care children use are clean and sanitary

It was alleged that staff do not ensure the bottles and nipples used by children are clean and sanitary. During today's visit, LPA observed that the bottles and nipples stored at the facility appeared visibly clean. LPA interviewed 5 staff and determined that staff clean the bottles and nipples with hot water and soap after each use. Report continues on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
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 4
Control Number 03-CC-20260224161354
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 (INF)
FACILITY NUMBER: 293617518
VISIT DATE: 03/05/2026
NARRATIVE
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However, according to Title 22 regulations, bottles and nipples maintained by the facility must after each use be sanitized by one of the following methods: (1) boiling for a minimum of five minutes (2) soaking for a minimum of one minute in sterilizing solution containing bleach and water, or (3) washing and sterilizing in a dishwasher. Therefore, the facility procedure of using only hot soap and water does not adhere to Title 22 regulations. The preponderance of evidence standard has been met; therefore, the allegation is determined to be SUBSTANTIATED.

A Title 22 deficiency is cited on the following 9099-C

LPA Matthew Gallo informed facility representative Sarah Aguilar that this report dated 3/5/2026 documents 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Gallo informed the licensee to provide a copy of this licensing report dated 3/5/2026 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the facility representative, Sarah Aguilar. 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: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20260224161354
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 (INF)
FACILITY NUMBER: 293617518
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/06/2026
Section Cited
CCR
101427(n)
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Bottles and nipples maintained by the infant care center shall be sterilized using any of the following methods after each use:

This requirement was not met as evidenced by:
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Facility representative Aguilar stated that the facility will purchase a sanitizing dishwashing machine and will provide LPA with pictures once they receive them. Until the machines arrive, facility representative stated they will use the bleach/water solution to soak bottles for at least one minute.
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Based on interview, the licensee did not comply with the section cited above due to cleaning bottles and nipples with soap and hot water, which is not an approved method listed in Title 22. This poses an immediate health, safety, or personal rights risk to persons 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.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
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