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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343602991
Report Date: 06/05/2023
Date Signed: 06/05/2023 01:20:32 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
03/10/2023 and conducted by Evaluator Jennifer Velasco
COMPLAINT CONTROL NUMBER: 03-CC-20230310123202
FACILITY NAME:KINDERCARE LEARNING CENTER - LEXINGTON (PS)FACILITY NUMBER:
343602991
ADMINISTRATOR:GALVAN, NANCYFACILITY TYPE:
850
ADDRESS:295 S. LEXINGTON DRIVETELEPHONE:
(916) 983-6169
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:72CENSUS: 47DATE:
06/05/2023
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Jody DaroneTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff hit daycare child
Child sustained a bruise while in care due to lack of supervision
Staff did not report incident to appropriate parties
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst Jennifer Velasco (LPA) met with Facility Representative Kimberly Iverson (D1) to deliver findings. LPA toured the facility, including all activity and classroom spaces, restrooms, food service and outdoor play areas. Census included 47 preschool children being supervised by five classroom staff. D1 was reminded never to exceed the conditions, limitations, and capacity specified on the license. Facility hours of operation are Monday through Friday from 6:00 AM to 6:30 PM.
It was alleged staff hit a child (C1), C1 sustained a bruise in care due to lack of supervision, and staff did not report incident to authorized representative. During the investigation, LPA observed staff provide care to children, conducted interviews, and reviewed documents. Witness statements, LPA observation, and facility documentation failed to corroborate the allegations that staff hit a child, that a child sustained a bruise in care due to lack of supervision, and staff did not report incident to appropriate parties. Though the alleged violations may have happened, the preponderance of evidence standard has not been met; therefore, they are unsubstantiated. An exit interview was conducted, and a notice of site visit provided. Notice of site visit shall remain posted for 30 days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Natalie DunawayTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jennifer VelascoTELEPHONE: 707-953-7341
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023
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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