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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 093606933
Report Date: 05/03/2023
Date Signed: 05/03/2023 12:25:18 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
04/25/2023 and conducted by Evaluator Soleil Marx
COMPLAINT CONTROL NUMBER: 03-CC-20230425153036
FACILITY NAME:KINDERCARE LEARNING CENTER - FRANCISCO (PS)FACILITY NUMBER:
093606933
ADMINISTRATOR:STAPLES, ROBBFACILITY TYPE:
850
ADDRESS:2220 FRANCISCO DR.TELEPHONE:
(916) 941-0358
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY:96CENSUS: 86DATE:
05/03/2023
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Robb StaplesTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Licensee does not ensure outdoor play areas are free from hazards.
INVESTIGATION FINDINGS:
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On May 3rd, 2023, Licensing Program Analyst (LPA) Soleil Marx, met with Director, Robb Staples, to open and close a complaint. Upon arrival, LPA observed 86 preschool students being supervised by nine staff.
It was alleged that the Licensee does not ensure outdoor play areas are free from hazards. During the investigation, LPA Marx inspected the facility, reviewed injury reports, and interviewed Director. LPA Marx observed holes/ruts and uneven ground throughout the grass and dirt in the outdoor activity space, which is also unlevel with the cement. Based on interview, observations, and record review, the preponderance of evidence standard has been met, therefore the above allegation weas found to be SUBSTANTIATED.

Director submitted a work order on 04/26/23 to level and resurface the outdoor activity space, which is in process to be completed 05/26/23 and that area of the outdoor space is currently not being utilized until the ground is leveled and free of hazards. Title 22 Deficiencies are being cited on 9099-D.

Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
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-20230425153036
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: KINDERCARE LEARNING CENTER - FRANCISCO (PS)
FACILITY NUMBER: 093606933
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/03/2023
Section Cited
CCR
101238.2(d)(2)
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d) The surface of the outdoor activity space shall be maintained:
(1) In a safe condition for the activities planned.(2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

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Director stated he has put in a work order to have the ground leveled and resurfaced and that area of the yard is not being utilized until the changes have been made to free the space of hazards.
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This requirement is not evidenced by:

Based on observation, interview, and record review the facility did not meet this requirement by having hazards of holes and uneven ground in the outdoor activity space
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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: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
LIC9099 (FAS) - (06/04)
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