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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 093608580
Report Date: 07/18/2024
Date Signed: 07/18/2024 01:57:14 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/06/2024 and conducted by Evaluator Soleil Marx
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240506155311
FACILITY NAME:KINDERCARE LEARNING CENTER - PARK (PS)FACILITY NUMBER:
093608580
ADMINISTRATOR:GALVAN, VERONICAFACILITY TYPE:
850
ADDRESS:3959 PARK DR.TELEPHONE:
(916) 939-0391
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY:116CENSUS: 74DATE:
07/18/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Niecy RhoneTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Facility is operating out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Soleil Marx met with Facility Representative, Niecy Rhone, for the purpose of conducting an unannounced consecutive complaint investigation inspection to deliver findings for the above allegation. The purpose of today's inspection was explained.LPA observed a census of 74 preschool age children being supervised by eight staff.

It was alleged the facility is operating out of ratio. Throughout the course of investigation, LPA conducted observations, reviewed records, and interviewed staff. On 07/18/2024, upon arrival, LPA observed that there were 17 children in the preschool classroom with a teacher and an aide. LPA verified by interview and record review that the teacher and aide, did not have the qualifications to have more than 15 children in the classroom. LPA determined the facility was out of compliance with ratio requirements by two children. (continued on 9099-c)


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
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 03-CC-20240506155311
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: KINDERCARE LEARNING CENTER - PARK (PS)
FACILITY NUMBER: 093608580
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/19/2024
Section Cited
CCR
101216.3(b)
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101216.3 Teacher-Child Ratio
(b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance.

This requirement was not met as evidenced by:
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Facility Representative (FR) moved two children into another classroom and will submit a written plan of compliance on maintaining ratios with staff signatures to LPA Marx by POC due date.
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Based on observation, interview, and record review, the facility did not ensure compliance with the section cited above by having 17 children with a teacher and an aide, which poses an immediate 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: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20240506155311
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: KINDERCARE LEARNING CENTER - PARK (PS)
FACILITY NUMBER: 093608580
VISIT DATE: 07/18/2024
NARRATIVE
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Based on LPA observation, interview, and record review, the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED.

One type A Title 22 deficiency was cited on 9099-D.

The Facility Representative was informed that this report dated 07/18/2024 documents one Type A citations which shall be posted for 30 consecutive days. The director shall also provide a copy of this licensing report to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report reviewed with Facility Representative. Appeal rights were provided. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3