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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343615336
Report Date: 03/09/2023
Date Signed: 03/09/2023 05:32:09 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
12/13/2022 and conducted by Evaluator Salene Mayberry
COMPLAINT CONTROL NUMBER: 53-CC-20221213130432
FACILITY NAME:KINDERCARE LEARNING CENTER - ELK GROVE FLORIN (SA)FACILITY NUMBER:
343615336
ADMINISTRATOR:CHAVEZ, ANGELAFACILITY TYPE:
840
ADDRESS:9250 ELK GROVE-FLORIN ROADTELEPHONE:
(916) 714-2772
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:26CENSUS: 12DATE:
03/09/2023
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Stephanie ChavezTIME COMPLETED:
05:45 PM
ALLEGATION(S):
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1. Daycare child was threatened by an adult while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Salene Mayberry met with Assistant Director, Stephanie Chavez to deliver findings for the above complaint allegation.

During the investigation LPA toured the facility, observed staff interactions with children in care, conducted interviews with staff and enrolled children and obtained pertinent documents.

It was alleged that a “daycare child was threatened by an adult while in care”. Interviews were consistent in confirming that a parent addressed a day care child in a manner perceived by staff and children to be inappropriate and threatening. Although center staff immediately spoke with the parent and took steps to prevent future incidents all accounts corroborated the incident taking place. Accordingly, based on a preponderance of evidence obtained the complaint regarding the above allegation was SUBSTANTIATED.

Report continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Salene Mayberry
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023
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 5
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
12/13/2022 and conducted by Evaluator Salene Mayberry
COMPLAINT CONTROL NUMBER: 53-CC-20221213130432

FACILITY NAME:KINDERCARE LEARNING CENTER - ELK GROVE FLORIN (SA)FACILITY NUMBER:
343615336
ADMINISTRATOR:CHAVEZ, ANGELAFACILITY TYPE:
840
ADDRESS:9250 ELK GROVE-FLORIN ROADTELEPHONE:
(916) 714-2772
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:26CENSUS: 12DATE:
03/09/2023
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Stephanie ChavezTIME COMPLETED:
05:45 PM
ALLEGATION(S):
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9
1. Staff mishandled a daycare child while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Salene Mayberry met with Assistant Director, Stephanie Chavez to deliver findings for the above complaint allegation.

During the investigation LPA toured the facility, observed staff interactions with children in care, conducted interviews with staff and enrolled children and obtained pertinent documents.

It was alleged that facility “staff mishandled a daycare child while in care”. LPA’s observations and interviews with staff did not reveal a concern regarding children being “mishandled” or grabbed in a rough manner by staff. Additionally, interviews with children in care consistently demonstrated that they felt safe and had not seen a classmate be mishandled or grabbed roughly by a teacher

Report continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Salene Mayberry
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 53-CC-20221213130432
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 - ELK GROVE FLORIN (SA)
FACILITY NUMBER: 343615336
VISIT DATE: 03/09/2023
NARRATIVE
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Based on conflicting statements and lack of clear corroborating evidence, the above allegation could not be substantiated or dismissed. 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 finding is UNSUBSTANTIATED.

An Exit interview was conducted in which the report was reviewed and discussed with the Assistant Director. LPA provided a copy of the report and Appeal Rights to Assistant Director. A Notice of Site visit was posted by LPA and Assistant Director understands it must remain posted for 30 days.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Salene Mayberry
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 53-CC-20221213130432
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 - ELK GROVE FLORIN (SA)
FACILITY NUMBER: 343615336
VISIT DATE: 03/09/2023
NARRATIVE
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A Type A deficiency was cited on the subsequent page (LIC9099-D) of this report.

Upon receipt of Type A citations, the Director shall post and provide copies of the LIC9099-D for parents/guardians of children in care and for parents/guardians of newly enrolled children for the next 12 months. Director must also keep the signed, Acknowledgement of Receipt of Licensing Reports (LIC9224) of the LIC9099-D in each child's file.

An Exit interview was conducted, and the report was reviewed and discussed with Assistant Director. Appeal Rights and a copy of the report was printed and provided to Assistant Director. A Notice of Site Visit was posted by LPA and must remain posted for 30 days. A failure to comply with the posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Salene Mayberry
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 53-CC-20221213130432
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 - ELK GROVE FLORIN (SA)
FACILITY NUMBER: 343615336
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/10/2023
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from…intimidation, threat…This requirement was not met as evidence by:
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Assistant Director (AD) said she will hold a staff training where they will go over classroom management and how to prevent these types of situations. AD will provide LPA with a copy of the attendance sheet with signatures. AD will also provide all currently enrolled families with a copy of
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LPA learned a parent addressed a day care child in an inappropriate and threatening manner in the classroom. Although staff intervened & took steps to prevent future incidents, all accounts corroborated the incident occurring. This poses an immediate risk to the health & safety of children in care.
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pg. 32 of the parent handbook: Suspension and Explusion, and remind families that a child or family member's behavior or actions that threaten or endanger the safety and well-being of other children or staff can result in suspension and/or explusion.


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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: Bettina Engelman
LICENSING EVALUATOR NAME: Salene Mayberry
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5