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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343603024
Report Date: 10/04/2023
Date Signed: 10/04/2023 10:26:07 AM

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
08/11/2023 and conducted by Evaluator Mandie Goodwin
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230811152011
FACILITY NAME:KINDERCARE LEARNING CENTER - VINTAGE PARK (INF)FACILITY NUMBER:
343603024
ADMINISTRATOR:ROMERO, TIAFACILITY TYPE:
830
ADDRESS:8887 VINTAGE PARK DR.TELEPHONE:
(916) 682-1111
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY:24CENSUS: 12DATE:
10/04/2023
UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Tia RomeroTIME COMPLETED:
10:35 AM
ALLEGATION(S):
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Staff handled day care child in a rough manner
Staff caused injury to a daycare child
INVESTIGATION FINDINGS:
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At 8:35am on Wednesday October 4th 2023 Licensing Program Analyst (LPA) Mandie Goodwin met with Director Tia Romero for the purpose of continuing a complaint investigation and delivering findings for the above allegations.

During the course of the investigation, LPA conducted interviews, made observations, and reviewed documentation. Four teachers interviewed corroborated the allegation that a staff member (S7) is rough with the children in care. Two teachers stated that they have observed S7 flip children onto their mats in the past and push their heads down onto the cot. One teacher stated when they observed this the child (C3) had a pacifier in their mouth and it hit their face. Additionally a staff member reported observing S7 throw a bag of clothes at a child's (C2) head because he wasn't listening. Another staff member observed S7 "squish" that same child's face and drop him onto the floor after a diaper change. A staff member also reported that they observed S7 grab children by the arm for diaper changes and push them when it's time to go inside. Staff members also stated they felt "intimidated" by S7. continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023
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-20230811152011
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: KINDERCARE LEARNING CENTER - VINTAGE PARK (INF)
FACILITY NUMBER: 343603024
VISIT DATE: 10/04/2023
NARRATIVE
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LPA interviewed staff and reviewed documentation in regards to an injury than occurred on 8/9/23, where a child was treated in the office for a cut and swollen upper lip. It was learned through interviews that a child (C1) was getting off of his cot during nap time. An injury report given to the parents stated that the child tripped on his bed and hit his mouth on the bed. A staff member reported hearing S7 relay that information to the parents, but they stated they didn't know if that's what happened. S7 stated to LPA that she was the one who brought C1 back to bed and "he must have tripped" when asked about the incident. In additional interviews one staff member stated they observed S7 "flip (C1) over on his cot and pushed his head down roughly and put the blanket over his head". Another staff member stated that S7 took C1's arm and put him on his mat face first which must have caused him to bit his lip. A third staff member stated that they observed the child crying on their mat and was told by the teachers that "he didn't want to go to bed so we put him back". After the child was put back on his cot, six staff members reported seeing blood. The injury was described as "a circle of blood" on the child's sheet which soaked onto the mesh cot and dripped on the child's clothes. One staff member stated they didn't see a cut, but the lip was bleeding fast. S7 brought C1 to the Director and Assistant Director who treated the child for a "noticeable fat top lip". S7 later reported to Director that she picked C1 up, put him on the cot, and covered him with a blanket.

Based on LPA observations of records and interviews the preponderance of evidence standard has been met; therefore, the above allegations are substantiated.

LPA Mandie Goodwin informed Director that this report dated 10/4/23 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA Mandie Goodwin informed the Director to provide a copy of this licensing report dated 10/4/23 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Exit interview with Director Tia Romero was conducted and appeal rights were provided.

See LIC 9099-D for deficiencies.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20230811152011
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: KINDERCARE LEARNING CENTER - VINTAGE PARK (INF)
FACILITY NUMBER: 343603024
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/05/2023
Section Cited
CCR
101223(a)(3)
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(a)The licensee shall ensure that each child is accorded the following personal rights:(3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...
This requirement is not met as evidence by
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Director will meet with each teacher in the infant and toddler room to review the training "OPS-300" guidance protection and respect for children" and have teachers sign.
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Based on interviews a staff member (S7) was determined to be rough with children, including putting them on their mat face first in a rough manner on more than one occasion, this caused a fat lip and blood on one child. This is considered an immediate health, safety, or personal rights risk.
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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: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023
LIC9099 (FAS) - (06/04)
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