Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343603021
Report Date: 10/24/2018
Date Signed: 10/24/2018 12:07:25 PM


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
10/18/2018 and conducted by Evaluator Seychelle De Luca
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20181018104503
FACILITY NAME:KINDERCARE LEARNING CENTER - PURSLANE (INF)FACILITY NUMBER:
343603021
ADMINISTRATOR:CHARLOTTE PETERSONFACILITY TYPE:
830
ADDRESS:6825 PURSLANE WAYTELEPHONE:
(916) 723-9696
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:36CENSUS: 10DATE:
10/24/2018
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Pamela DeetsTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Record Keeping - Facility staff are failing to follow proper sign in and sign out procedures.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Seychelle De Luca met with Director Pamela Deets to open and close a complaint in regards to the allegation that the facility staff are failing to follow proper sign in and sign out procedures. Upon arrival, LPA observed 10 infant children and three staff members. During today's inspection, LPA reviewed September's and October's sign in and sign out sheets and obtained copies of sign in and sign out sheets.

During LPA's review of September's and October's sign in and sign out sheets, LPA observed numerous missing signatures. Furthermore, supporting documents show that children were present and not signed in or out. Director stated that she and her staff are already working on making sure parents and van drivers (when applicable) sign the children in and out of the facility with full legal signatures and the time.
Based on LPA's investigation, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. Type B deficiency is cited on the following page. Appeal Rights were provided. A Notice of Site Visit was provided and an exit interview was conducted.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De LucaTELEPHONE: 916-217-4316
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2018
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 2
Control Number 03-CC-20181018104503
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 - PURSLANE (INF)
FACILITY NUMBER: 343603021
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/21/2018
Section Cited
CCR
101229.1(b)
1
2
3
4
5
6
7
Sign In and Sign Out - The person who brings the child to, and removes the child from, the center shall sign the child in/out. This requirement is not met as evidenced by LPA's review of September's and October's sign in and sign out sheets, which reveal that numerous signatures are missing. This
1
2
3
4
5
6
7
Director has already started handing out notices to parents in regards to remembering to sign their children in and out of the center.

LPA will return to clear the deficiency.
8
9
10
11
12
13
14
poses a potential health and safety concern.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De LucaTELEPHONE: 916-217-4316
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2018
LIC9099 (FAS) - (06/04)
Page: 2 of 2