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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483001834
Report Date: 12/13/2024
Date Signed: 12/13/2024 04:25:37 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/06/2024 and conducted by Evaluator Selena Mariani
COMPLAINT CONTROL NUMBER: 01-CC-20241206125610
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001834
ADMINISTRATOR:WENDY CERTEZAFACILITY TYPE:
830
ADDRESS:1611 WOOD CREEK DRIVETELEPHONE:
(707) 426-2275
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY:36CENSUS: 34DATE:
12/13/2024
UNANNOUNCEDTIME BEGAN:
12:59 PM
MET WITH:Shirin RashidianTIME COMPLETED:
04:35 PM
ALLEGATION(S):
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Child care is operating out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Selena Mariani conducted an unannounced subsequent complaint-investigation visit and met with Assistant Director (AD), Shirin Rashidian to deliver the findings regarding the above allegations. LPAs, Selena Mariani and Jaelyn Agbayani previously met with Center Director (CD) Wendy Certeza on 12/12/24 to initiate the investigation by discussing the purpose of the visit conduct staff interviews, made observations, obtained Child Supervision Records (CSR) staff and facility roster of the children currently in care. It was alleged the facility is operating out of ratio.

On 12/12/2024, LPAs Selena and Jaelyn interviewed 8 staff (S1-4; S7-10). LPA Selena interview 3 staff (AD, S5 and S6) on 12/13/24. AD’s statement confirmed the facility operated out of ratio when staff called off last minute and they had to fill the shift last minute which impact ratio resulting in the facility operating out of ratio. Seven out of ten staff interview stated the facility operates out of ratio.
Continue on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Selena Mariani
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2024
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 01-CC-20241206125610
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 483001834
VISIT DATE: 12/13/2024
NARRATIVE
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Continue from LIC9099

This allegation was further corroborated when LPAs Selena and Jaelyn observed two staff providing care and supervision for 9 infants at 7:00 am, two staff providing care and supervision for 11 children at 7:35 am and four staff providing care and supervision for 21 children in care at 8:14 am in the Toddler room on 12/12/2024.

Based on statements provided by AD, 7 Staff (S1-6, S10) and LPA’s observations, the preponderance of evidence standard has been met and therefore, the above allegation is found to be SUBSTANTIATED. The facility did not comply with California Code of Regulations Staff-Infant ratio 101416.5(b) which mandates one teacher for every four infants in attendance. Exit interview conducted and report was reviewed with the facility representative, Shirin Rashidian. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed. Appeal Rights were provided.
LPA Selena Mariani informed facility representative, Shirin Rashidian that this report dated 12/13/2024 document(s) one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

LPA Selena Mariani informed facility representative, Shirin Rashidian, that this report dated 12/13/2024 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Selena Mariani informed the facility representative to provide a copy of this licensing report dated 12/13/2024 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.
See LIC 9099-D.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Selena Mariani
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 01-CC-20241206125610
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 483001834
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/14/2024
Section Cited
CCR
101416.5(b)
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There shall be a ratio of one teacher for every four infants in attendance. This requirement is not met as evidenced by:
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Assistant Director (AD) stated they will bring staff in early so if someone calls off, we will still be in ratio. AD stated we have one staff transferring from another facility. AD agreed to submit a written plan which would describe the steps the facility took to ensure staffing ratio are maintained and complied with, and AD or CD intends to submit the POC to the Department by the next business day 12/16/24 via email, selena.mariani@dss.ca.gov.

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Based on statement provided by AD, 7 staff and LPA’s observations of 2 staff supervising 9 children at 7:00 am, 2 staff supervising 11 children at 7:35 am and 4 staff providing care and supervision 21 children at 8:14 am on 12/12/24.
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Furthermore, LPA intends to conduct a follow up inspection to verify compliance with ratio requirements.
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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: Leslie Lepori
LICENSING EVALUATOR NAME: Selena Mariani
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2024
LIC9099 (FAS) - (06/04)
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