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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343602991
Report Date: 06/02/2022
Date Signed: 06/02/2022 04:41:36 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, 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
03/23/2022 and conducted by Evaluator Kelly Ferrara
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220323092209
FACILITY NAME:KINDERCARE LEARNING CENTER - LEXINGTON (PS)FACILITY NUMBER:
343602991
ADMINISTRATOR:GALVAN, NANCYFACILITY TYPE:
850
ADDRESS:295 S. LEXINGTON DRIVETELEPHONE:
(916) 983-6169
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:72CENSUS: 50DATE:
06/02/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Nancy GalvanTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Facility staff did not follow reporting requirements
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kelly Ferrara conducted a complaint follow up inspection to deliver findings and met with Director Nancy Galvan. LPA observed there were currently 50 preschool children in care with five staff. During the investigation, LPA obtained relevant documentation and pictures and conducted interviews with Reporting Party, Director, and staff.
It was alleged that a child in care received an injury by being poked in the eye with a paintbrush by another child and it was not reported to the parent. Director and staff stated that the injury occurred right before the child was picked up from care and the parent was told by staff at that time. LPA learned that the child was taken to the emergency room and the eye doctor, therefore the eye injury should have also been reported to Licensing.
Based on the evidence obtained, LPA determined that the allegation is substantiated, meaning the preponderance of evidence standard has been met. Exit interview was conducted and a copy of this report was given to the Director. Notice of Site visit was provided which must remain posted for 30 days.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
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 03-CC-20220323092209
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: KINDERCARE LEARNING CENTER - LEXINGTON (PS)
FACILITY NUMBER: 343602991
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/10/2022
Section Cited
CCR
101212(d)(1)(B)
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Reporting Requirements (d) Upon the occurrence… a report shall be made to the Department… a written report containing the information…shall be submitted to the Department within seven days…(1)Events reported shall include the following: (B) Any injury to any child that requires medical treatment.
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The Director shall submit a written Unusual Incident Report to the LPA by POC due date.
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This requirement was not met as evidenced by: LPA learned of an injury to a child that occurred at the center that was not reported to Licensing. This poses a potential health and safety risk to children 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: Maria Mayorga
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/23/2022 and conducted by Evaluator Kelly Ferrara
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220323092209

FACILITY NAME:KINDERCARE LEARNING CENTER - LEXINGTON (PS)FACILITY NUMBER:
343602991
ADMINISTRATOR:GALVAN, NANCYFACILITY TYPE:
850
ADDRESS:295 S. LEXINGTON DRIVETELEPHONE:
(916) 983-6169
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:72CENSUS: DATE:
06/02/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Nancy GalvanTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Facility staff do not adequately supervise day care children
Day care child sustained numerous injuries while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kelly Ferrara conducted a complaint follow up inspection to deliver findings and met with Director Nancy Galvan. LPA observed there were currently 50 children in care with five staff. During the investigation, LPA obtained relevant documentation and pictures and conducted interviews with Reporting Party, Director, and staff.
It was alleged by the Reporting Party that staff are not supervising the children appropriately which has led to a child receiving multiple injuries while in care. Consistent statements were made during staff interviews that staff are aware of a child with behavior issues and are using prevention methods such as shadowing, redirection, teaching self-regulation, reading stories, and discussing the issue with the parents. Staff stated that the child is quick and impulsive, and they were not always able to stop the child in time. This led to injuries of other children such as scratches and poking a child with a paintbrush in the eye.
Based on the evidence obtained, LPA determined that the allegations are unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove it. Exit interview was conducted and a copy of this report was given to the Director. Notice of Site visit was provided which must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3