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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483001834
Report Date: 07/09/2025
Date Signed: 07/09/2025 06:25:03 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
07/07/2025 and conducted by Evaluator Selena Mariani
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20250707122303
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: 22DATE:
07/09/2025
UNANNOUNCEDTIME BEGAN:
10:12 AM
MET WITH:Shirin Rashidian TIME COMPLETED:
06:35 PM
ALLEGATION(S):
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Facility staff did not report an outbreak as required

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Selena Mariani made an unannounced complaint investigation visit today and met with Assistant Director (AD) Shirin Rashidian for the purpose of delivering findings for the above allegation. It was alleged that Facility staff did not report an outbreak as required.

During the investigation, interviews with AD and 6 staff (S1-S6) indicated their knowledge of an epidemic outbreak which began on Monday, 07/07/25 with four children (C1-C4), Tuesday 07/08/25 two children (C5-C6) and a few suspected cases today. AD did notify all parents of the outbreak on Monday, 07/07/25. AD admitted not reporting the outbreak to the required Departments. The Department did not receive a telephone call to report the epidemic outbreak. LPA received unusual incident report (UIR) notification from AD during today's visit. AD stated she has submit the written UIR today as well.
(continued on LIC9099-C)

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Selena Mariani
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
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 4
Control Number 01-CC-20250707122303
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: 07/09/2025
NARRATIVE
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Although AD reported the incident via in-person interview with LPA, the incident was not reported to the Department by telephone or fax within the Department’s next working day and during business hours as required. The facility violated California Code of Regulations (CCR) 101212(d)(1)(E) which required the facility to notify the Department of any epidemic outbreak of two or more children of any communicable disease.

Therefore, based on the investigation, the preponderance of evidence standard has been met. The above allegation is found to be substantiated. The following violations of the Health and Safety Code section 1596.895; see LIC 9099D. Appeal rights were provided.

Exit interview was conducted, and report reviewed with Assistant Director, Shirin Rashidian.


SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Selena Mariani
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 01-CC-20250707122303
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: 07/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/10/2025
Section Cited
CCR
101212(d)(1)(E)
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Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours…(1)Events reported shall include the following: (E) Epidemic outbreaks. This requirement was not met as evidenced by:
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Assistant Director stated she is aware of the regulations and procedures when there is an outbreak that occurs and will make sure to report all incidents moving forward.
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Based on AD admitting to not reporting the outbreak that began on 07/07/2025 and the Department has no record of the incident reported to the Department within the Department’s next working day during normal business hours. This poses a potential health, safety or personal rights risk to persons in care.
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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: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Selena Mariani
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4