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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073401322
Report Date: 08/25/2022
Date Signed: 08/25/2022 02:12:02 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/11/2022 and conducted by Evaluator Monica Mathur
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20220711155704
FACILITY NAME:KINDERCARE LEARNING CENTER, #1039FACILITY NUMBER:
073401322
ADMINISTRATOR:SAUTER, LISAFACILITY TYPE:
850
ADDRESS:2300 MAHOGANY WAYTELEPHONE:
(925) 778-8888
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY:95CENSUS: DATE:
08/25/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Lisa SauterTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Personal Rights - child sustained bruises while in care
INVESTIGATION FINDINGS:
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On 8/25/22 at 1 pm Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Subsequent Complaint Investigation at Kindercare Learning Center. LPA met with Director, Lisa Sauter and explained purpose of investigation. Finding for the above allegation was delivered during the inspection.

Complainant alleges that daycare child sustained bruises while in care. During the course of the investigation, LPA inspected the facility, reviewed records and conducted interviews.
It was determined that staff S1 was helping child C1 during bathroom break, she held and squeezed C1’s upper arms to stop C1 from sitting on the soiled pull-up and having an accident on the floor. S1 admitted this incident did occur which resulted in bruises on C1’s arm but it was unintentional and to avoid an accident. Although S1’s action was not intentional, it caused injury/bruises, made C1 upset and cry, therefore a violation of personal rights.

Based on the interviews and information obtained throughout the investigation, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 is being cited on 9099-D page for Type B deficiency.


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2022
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 02-CC-20220711155704
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER, #1039
FACILITY NUMBER: 073401322
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/01/2022
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 corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature [...] This requirement is not met as evidenced by:
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By POC Due Date 9/1/22 Director agreed to:
1. Hold all staff training on personal rights, and watch training video on CCLD website.
2. Meeting agenda and attendance verification to be sent to CCL no later than 9/1/22.
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It was determined staff S1 was helping child C1 during bathroom break, she held/squeezed C1’s upper arms to stop C1 from sitting on a soiled pull-up and have an accident on the floor. S1 admitted this incident occurred. This resulted in bruises on C1’s arm and made child upset, cry. This is a violation of personal rights and potential risk to safety of children. Since action was unintentional Type B is cited .
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www.ccld.ca.gov
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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: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 02-CC-20220711155704
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: KINDERCARE LEARNING CENTER, #1039
FACILITY NUMBER: 073401322
VISIT DATE: 08/25/2022
NARRATIVE
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Exit interview was conducted with Director, Lisa Sauter. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 DAYS.

101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3