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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 340310774
Report Date: 05/14/2024
Date Signed: 05/14/2024 10:47:21 AM

Unsubstantiated


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
03/20/2024 and conducted by Evaluator Jennifer Velasco
COMPLAINT CONTROL NUMBER: 03-CC-20240320144154
FACILITY NAME:KINDER WORLDFACILITY NUMBER:
340310774
ADMINISTRATOR:BREEDING, MARYFACILITY TYPE:
850
ADDRESS:6565 BELLEAU WOOD LANETELEPHONE:
(916) 422-5437
CITY:SACRAMENTOSTATE: CAZIP CODE:
95822
CAPACITY:88CENSUS: 62DATE:
05/14/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Shelby DennisTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff inappropriately handled a day care child in a rough manner.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jennifer Velasco met with Facility Representative, Site Supervisor Shelby Dennis (Director), for the purpose of conducting an unannounced subsequent complaint investigation inspection pertaining to the above allegation. The purpose of today's inspection was explained to Director.

During this investigation, LPA conducted interviews, observed care, and obtained relevant documentation. Witness statements, LPA observations, and document reviews failed to corroborate the allegation. Witness statements indicate staff (Staff1) picked up child (Child1) and used their hand to prevent Child1 from again biting Staff1. There is a lack of evidence to suggest Staff1 grabbed, hit, or squeezed Child1, injured Child1, or caused harm to Child1. Although the allegation may have happened, there is not a preponderance of evidence to prove the allegation; therefore, the allegation is unsubstantiated. Exit interview was conducted and a copy of this report was given to the Facility Representative, Site Supervisor Shelby Dennis. Notice of site was given and must remain posted for parental review for 30 days. Appeal rights were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
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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