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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 293617518
Report Date: 04/23/2026
Date Signed: 04/23/2026 04:07:49 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: 4DATE:
04/23/2026
UNANNOUNCEDTIME BEGAN:
03:35 PM
MET WITH:Sarah AguilarTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Facility did not discard spoiled food products upon expiration date
INVESTIGATION FINDINGS:
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On 4/23/2026, Licensing Program Analyst (LPA) Matthew Gallo met with facility representative Sarah Aguilar to deliver findings to a complaint investigation into the above allegation. Today's census included 4 infants in care.

Throughout the course of the investigation, LPA conducted observations and interviews concerning the allegation that facility did not discard spoiled food products upon expiration date. During an initial facility visit on 3/5/2026, LPA observed a half-gallon carton of store-bought milk in the fridge labeled with an enrolled child's name and featuring a printed expiration date of 2/26/2026. The carton was discarded during LPA's visit. The preponderance of evidence standard has been met; therefore, the allegation is SUBSTANTIATED.

A Title 22 Deficiency is cited on the following 9099-D. 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.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
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-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: 04/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/01/2026
Section Cited
CCR
101227(a)(19)
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All food shall be protected against contamination. Contaminated food shall be discarded immediately.

This requirement was not met as evidenced by:
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Facility has implemented a policy that requires every employee to check the dates of items in the refridgerator prior to clocking out. During today's visit, LPA did not observe any contaminated food stored at the facility. The plan of correction has been fulfilled.
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Based on observation, the licensee did not comply with the section cited above due to not immediately discarding spoiled milk, which poses a potential 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: 04/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2