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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483001828
Report Date: 03/11/2020
Date Signed: 03/11/2020 04:28:40 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/17/2019 and conducted by Evaluator Melchisedeck Augustin
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20191217092517
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001828
ADMINISTRATOR:WILKERSON, CARENFACILITY TYPE:
850
ADDRESS:581 PEABODY ROADTELEPHONE:
(707) 447-7685
CITY:VACAVILLESTATE: CAZIP CODE:
95687
CAPACITY:75CENSUS: 32DATE:
03/11/2020
UNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Toni CarreraTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Staff failed to provide adequate supervision.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Melchisedeck Augustin made an unannounced subsequent inspection to investigate complaint allegation. It’s alleged that staff failed to provide adequate supervision while children were in care. It’s further noted that children sustained injuries as a result of the lack of adequate supervision. LPA previously met with Center Director Toni Carrera (CD) on 12/20/19 and 02/14/20 to discuss the purpose of the inspection, and obtain a facility roster of the children in care on 12/20/19. On 12/20/19 at 9:45am, LPA interviewed CD, and CD claimed that she instructed staff to produce and implement a plan to ensure all children are being supervised appropriately.

On 12/20/19 starting at 8:11 am, LPAs Augustin and N. Cunningham qualified and interviewed five children (C2, C3, C5, C6 & C7) and could not qualify two children (C4 & C8) to interview at 8:45 am. LPAs further interviewed two staff (S1 & S2) at 9:00am. On 12/23/19 at 10:20am, LPA Augustin attempted to interview one child (C1), however, C1 did not qualify to interview because C1 was not verbal to the extent necessary to provide responses. (Continue to LIC 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020
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
Control Number 13-CC-20191217092517
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 483001828
VISIT DATE: 03/11/2020
NARRATIVE
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On 01/27/20 at 9:11am, LPA conducted subsequent interviews with six parents (P2, P3, P4, P5, P6 & P7). Concerns were expressed regarding inadequate supervision of children in the classroom. Statement provided by P2 indicates that approximately five months ago, P2 observed a bad gash on P2’s child’s face and a second gash on the child’s left cheek which started bleeding at some point. P2 reported another incident where the child was bit hard on a different occasion. P2 reported separate incidents where P2’s child was bitten several times within a two-week period, in which three to four bite marks could be seen. On 02/11/20, P2 provided corroborating evidence that indicates that P2’s child had been pinched on the face on 02/10/20 and scratched on the chest on 02/11/20 by another child which resulted in the child sustaining at least three visible pinched marks on the face and scratch on the chest. According to P5’s statement, P5 has seen one teacher, and one Aide provide supervision to as many as 30 children; and also reported seeing a child left unattended in the three-year-old classroom bathroom on multiple occasions.

On 02/14/20 at 8:18am, LPA conducted subsequent interviews with Assistant Director (AD) and two staff (S3 & S4). According to S3’s statement, there have been occasions where a classroom has been out of ratio. According to S3, if there are 13 children or more in a classroom with only one teacher, the staff will contact management to inform that the classroom is over capacity, and that the children need to be rotated. Interviews provided by P2, P5 and S3 indicates there is sufficient corroborating evidence to support the allegation that children have sustained injuries while in care, as a result of inadequate supervision, and have been left unattended. This report was reviewed and discussed with CD. Notice of Site Visit shall be posted for 30 days from today’s inspection. The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 9099-D. Appeal Rights were provided.

Reports citing Type A violations are to be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 13-CC-20191217092517
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 483001828
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/12/2020
Section Cited
CCR
101229(a)(1)
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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 by: Based on Interviews provided by P2, P5 and S3 indicates there is sufficient corroborating evidence to support the allegation that children
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The Director stated she will produce a written plan that details how the facility's plans to comply with CCR101229(a)(1) and the Director will submit the plan to the Department by 03/12/20. The Director will also hold a staff meeting on 03/13/20 to discuss the topic of active supervison. The Director will submit evidence of staff meeting attendance, entire agenda of topic covered at the meeting.
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have sustained injuries while in care, as a result of inadequate supervision, and have been left unattended. This poses an immediate health, safety, or personal rights risk to the children in care.
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The Director will provide the Department will weekly updates on the recruitment of qualified candidates.

Email: melchisedeck.augustin@dss.ca.gov
Public email:
Fax: 707-588-5099
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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.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020
LIC9099 (FAS) - (06/04)
Page: 3 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/17/2019 and conducted by Evaluator Melchisedeck Augustin
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20191217092517

FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001828
ADMINISTRATOR:WILKERSON, CARENFACILITY TYPE:
850
ADDRESS:581 PEABODY ROADTELEPHONE:
(707) 447-7685
CITY:VACAVILLESTATE: CAZIP CODE:
95687
CAPACITY:75CENSUS: DATE:
03/11/2020
UNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Toni CarreraTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Child sustained an injury while in care.
Staff failed to notify authorized representative of an incident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Melchisedeck Augustin made an unannounced subsequent inspection to investigate complaint allegations. It is alleged a child (C1) sustained an injury while in care, specifically, C1 had a scab underneath C1's eye, and a swollen red eye. Furthermore, it is alleged that staff failed to notify authorized representative of an incident, where C1's eye became red and swollen. LPA previously met with Center Director Toni Carrera Coraro (CD) on 12/20/19 and 02/14/20; and LPA discussed the purpose of the inspection with CD, at which time, LPA obtained a facility roster of the children in care on 12/20/19.

LPA interviewed CD on 12/20/19 at 9:45am, and according to CD, C1 was washing C1’s hands with soap and water, while playing in the water and, got soap in the left eye in which it became red. CD claimed that staff (S1) was present during the incident, who witnessed the incident, but did not see any injury on C1, to CD’s knowledge, C1 did not sustain any other injury while in care. CD claimed that the children in the Discovery Preschool class are split into groups, to eliminate problems like biting, scratching; and the incident did not rise to the level where S1 was required to report the incident to C1’s authorized representative. (Continue to LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 13-CC-20191217092517
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 483001828
VISIT DATE: 03/11/2020
NARRATIVE
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On 12/20/19 starting at 8:11 am, LPAs Augustin and N. Cunningham qualified and interviewed five children (C2, C3, C5, C6 & C7) at 8:45 am, but two children (C4 & C8) did not qualify to interview. LPAs further interviewed two staff (S1 & S2) at 9:00am. Interviews conducted with five children and two staff did not provide corroborating evidence to support the allegations that C1 sustained a red eye as a result of staff not providing adequate supervision, and staff did not notify C1’s authorized representative of incident. According to S1’s statement, S1 noticed C1’s right eye was red when C1 was dropped off at care at 8:15am, and at approximately 3:00pm, while C1 was playing with soap, C1 rubbed soap in his eye and hair. S1 washed C1’s whole face and did not see any injuries on C1. S1 claimed C1 was fine and that the incident did not rise to the level where the incident needed to be reported to C1’s authorized representative.

On 12/23/19 at 10:20am, LPA Augustin attempted to interview one child (C1), however, C1 did not qualify to interview because C1 was not verbal to the extent necessary to provide responses. On 01/27/20 at 9:11am, LPA conducted subsequent interviews with six parents (P2, P3, P4, P5, P6 & P7), which did not provide corroborating evidence to indicate that C1 sustained an injury while in care.

On 02/14/20 at 8:18am, LPA conducted subsequent interviews with the Assistant Director (AD), two staff (S2, S3 & S4), and obtained additional information from S2. Interviews conducted with AD and two staff did not provide corroborating evidence to support the allegations. Therefore, based on the investigation, the allegations are unsubstantiated. This report was reviewed and discussed with CD. Notice of Site Visit shall be posted for 30 days from today’s inspection. There were no Title 22 deficiencies during today's inspection. Appeal Rights were provided.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020
LIC9099 (FAS) - (06/04)
Page: 5 of 5