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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343603016
Report Date: 12/19/2025
Date Signed: 12/19/2025 10:03:38 AM

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
11/06/2025 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20251106165009
FACILITY NAME:KINDERCARE LEARNING CENTER - MACK (PS)FACILITY NUMBER:
343603016
ADMINISTRATOR:DANA MATTHEWSFACILITY TYPE:
850
ADDRESS:4920 MACK ROADTELEPHONE:
(916) 428-1880
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:68CENSUS: 19DATE:
12/19/2025
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Dana MatthewsTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not notify child’s parent regarding an incident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jeremey McClain met with licensing representative Dana Matthews to deliver findings for a complaint investigation. LPA observed 19 children supervised by two.

It was alleged that the facility did not report an incident to a parent. The allegation is based around a child that had an accident on themselves. During the investigation LPA interviewed staff and reviewed files.

Based on the evidence gathered, the allegation is determined to be UNSUBSTANTIATED. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred.

An exit interview was conducted, and this report was reviewed with licensing representative Dana Matthews. Appeal rights were provided. A Notice of Site Visit was provided and shall remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
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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