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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343603017
Report Date: 09/13/2022
Date Signed: 09/13/2022 10:25:38 PM

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
08/11/2022 and conducted by Evaluator Gagandeep Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220811090513
FACILITY NAME:KINDERCARE LEARNING CENTER - MACK (SA)FACILITY NUMBER:
343603017
ADMINISTRATOR:PAULA RITTERFACILITY TYPE:
840
ADDRESS:4920 MACK ROADTELEPHONE:
(916) 428-1880
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:52CENSUS: DATE:
09/13/2022
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Paula RitterTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Lack of supervision.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Gagandeep Singh met with the director, Paula Ritter, to deliver the findings of the above allegations. Purpose of the inspection was explained.

During the investigation, LPA interviewed the staff, director and reviewed the facility records. During the insvestigation, LPA interviewed the staff and inspected the facility. During interviews it was found that on August 10, 2022, as a parent arrived at facility to pick their child, the staff was not aware that the child was present inside the classroom. The parent was director to play yard and play yard staff directed the parent to the classroom for pick up. Because the facility staff was unaware of the child's location, the allegation was found to be Substantiated. See next page for citation given 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: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022
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 3
Control Number 03-CC-20220811090513
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 (SA)
FACILITY NUMBER: 343603017
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/30/2022
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision : No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement is not met as evidenced through interviews, it was
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Director agreed to conduct staff training on supervision.
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found that the facility staff was unaware of child's location and the child was found inside the classroom. This poses a potential Health and Safety risk to children 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: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
08/11/2022 and conducted by Evaluator Gagandeep Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220811090513

FACILITY NAME:KINDERCARE LEARNING CENTER - MACK (SA)FACILITY NUMBER:
343603017
ADMINISTRATOR:PAULA RITTERFACILITY TYPE:
840
ADDRESS:4920 MACK ROADTELEPHONE:
(916) 428-1880
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:52CENSUS: DATE:
09/13/2022
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Paula RitterTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff did not notify authorized representative of incident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Gagandeep Singh met with the director, Paula Ritter, to deliver the findings of the above allegations. Purpose of the inspection was explained.

It was alleged that a child was hit in the head by another child and staff did not notify the parent about the incident. During the staff interviews, staff stated that the child never informed the staff about being hit by another child. Because of staff was not aware of the incident, the staff did not notify the parent. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3