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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073407464
Report Date: 11/01/2021
Date Signed: 11/01/2021 12:47:01 PM

Unsubstantiated


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
07/16/2021 and conducted by Evaluator Tasha Hackett-Alexander
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20210716153508
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
073407464
ADMINISTRATOR:ADEEBA AQMALFACILITY TYPE:
830
ADDRESS:4108 LONE TREE WAYTELEPHONE:
(925) 754-1236
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY:30CENSUS: 1DATE:
11/01/2021
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:SHANNON REGACHOTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
PERSONAL RIGHTS-Staff failed to use safety measures to prevent spread of communicable disease.

PERSONAL RIGHTS-Staff did not meet daycare child's diapering needs.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LICENSING PROGRAM ANALYST TASHA ALEXANDER MET WITH CENTER DIRECTOR SHANNON REGACHO TO DELIVER THE FINDINGS TO THE ABOVE COMPLAINT ALLEGATIONS.

UPON ARRIVAL THERE IS 1 CHILD PERSENT IN THE INFANT CLASSROOM ALONG WITH 1 STAFF MEMBER. DURING THIS ANALYST 'S LAST VISIT, AN INTERVIEW WAS CONDUCTED WITH THE CENTER'S DIRECTOR AND SEVERAL DOCUMENTS WERE REQUESTED AND SUBMITTED. FURTHER INVESTIGATIONS WAS CONDUCTED.

ALTHOUGH THE ALLEGATION MAY HAVE HAPPENED OR IS VALID, THERE IS NOT A PREPONDERANCE OF EVIDENCE TO PROVE THE ALLGED VIOLATIONS DID OR DID NOT OCCUR, THREFORE THE ALLEGATION IS UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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