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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343603016
Report Date: 06/02/2022
Date Signed: 06/02/2022 11:59:34 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/05/2022 and conducted by Evaluator Gagandeep Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220405145645
FACILITY NAME:KINDERCARE LEARNING CENTER - MACK (PRESCHOOL)FACILITY NUMBER:
343603016
ADMINISTRATOR:PAULA RITTERFACILITY TYPE:
850
ADDRESS:4920 MACK ROADTELEPHONE:
(916) 428-1880
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:68CENSUS: 25DATE:
06/02/2022
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Jessica Turner & Paula RitterTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Day care child's arm was pulled causing injury while in care.
Day care child was left in soiled clothing while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Gagandeep Singh and Erwin Tjhia met with facility representative, Jessica Turner and Paula Ritter, to deliver the findings for the above allegations. Purpose of the inspection was explained.

The allegation of child's arm was puuled causing injury was investigated by the investigation bureau of the Department. During investigation, facility records were reviewed, and interviews were conducted. During investigation bureau's investigation, it was found that a child's arm was pulled and the child had to go to hospital and get medical assistance. Based interviews conducted, it was found that there has been times, when the children were left in soiled diapers. Based on observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. See next page for deficiency cited today. Copy of this report was reviewed and provided to the director. Notice of site visit is posted and shall remain posted for next 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
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-20220405145645
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: KINDERCARE LEARNING CENTER - MACK (PRESCHOOL)
FACILITY NUMBER: 343603016
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/03/2022
Section Cited
CCR
101223(a)(2)
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Personal Rights: The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced it was found that a child's arm was pulled and caused
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Director stated that the facility has conducted the training on child guidance and supervision. LPA received a copy of attendance sheet for the training. Per director, staff has been retrained on diaper needs. During today's inspection,
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injury to the child. It was also found through the interviews that there has been times when children were left in soiled diapers or cloths for extended period of time. This poses an immediate health and safety risk to children in care.
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LPAs observed the facility has changing log filled and shows each child being changed in timely manner.
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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: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2