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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343607712
Report Date: 06/14/2024
Date Signed: 06/14/2024 01:13:14 PM

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
04/29/2024 and conducted by Evaluator Jennifer Velasco
COMPLAINT CONTROL NUMBER: 03-CC-20240429093412
FACILITY NAME:KINDERCARE LEARNING CENTER - NATOMA (PS)FACILITY NUMBER:
343607712
ADMINISTRATOR:PARVEEN SANDHUFACILITY TYPE:
850
ADDRESS:420 NATOMA STATION DRIVETELEPHONE:
(916) 353-0687
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:70CENSUS: 1DATE:
06/14/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Parveen SandhuTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Child was injured while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer Velasco met with Facility Representative, Director Parveen Sandhu (Director), for the purpose of conducting an unannounced initial complaint investigation inspection pertaining to the above allegation. The purpose of today's inspection was explained to Director. During the investigation, LPA conducted interviews, observed care, and obtained relevant documentation. Based on witness statements and record review, the child sustained multiple minor injuries while in care. Based on photographic evidence and witness statements, the child (Child1) sustained multiple minor injuries, such as scratches and bruises, that were not observed or documented by staff and are therefore unexplained injuries. The preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED. A Title 22 deficiency being cited on LIC 9099D. Exit interview was conducted and report was reviewed with Facility Representative, Parveen Sandhu. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.

C page: B citation 101229(a) The licensee shall provide care and supervision as necessary to meet the children's needs. This requirement was not met as evidenced by: witness statements and photographic evidence of a child (Child1) in care having sustained injuries staff did not observe or document. This constitutes a potential risk to the health, safety, and/or personal rights of children in care.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2024
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-20240429093412
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 - NATOMA (PS)
FACILITY NUMBER: 343607712
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/12/2024
Section Cited
CCR
101229(a)
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The licensee shall provide care and supervision as necessary to meet the children's needs. This requirement was not met as evidenced by:
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Facility Representative stated they will develop a detailed written plan for ensuring staff provide sufficient visual supervision to prevent unexplained injuries to children in care.
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witness statements and photographic evidence of a child (Child1) in care having sustained injuries staff either did not observe or did not document. This constitutes a potential risk to the health, safety, and/or personal rights of children in care.
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 Facility representative stated they will email that detailed written plan to LPA by POC due date at
jennifer.velasco@dss.ca.gov
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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: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2024
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
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
04/29/2024 and conducted by Evaluator Jennifer Velasco
COMPLAINT CONTROL NUMBER: 03-CC-20240429093412

FACILITY NAME:KINDERCARE LEARNING CENTER - NATOMA (PS)FACILITY NUMBER:
343607712
ADMINISTRATOR:PARVEEN SANDHUFACILITY TYPE:
850
ADDRESS:420 NATOMA STATION DRIVETELEPHONE:
(916) 353-0687
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:70CENSUS: 1DATE:
06/14/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Parveen SandhuTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff hit child in care
Staff not provided adequate supervision resulting in child being bit by another child in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer Velasco met with Facility Representative, Director Parveen Sandhu (Director), for the purpose of conducting an unannounced initial complaint investigation inspection pertaining to the above allegation. The purpose of today's inspection was explained to Director. Witness statements, LPA observations, and/or document reviews failed to corroborate the allegations. There is no corroboration that a staff hit a child in care or that there was a lack of supervision that resulted in a child (Child1) being bitten by another child. Although the allegations may have happened, there is not a preponderance of evidence to prove the allegations; therefore, the allegations are unsubstantiated. Exit interview was conducted and report was reviewed with Facility Representative, Parveen Sandhu. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2024
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