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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343615313
Report Date: 06/12/2024
Date Signed: 06/12/2024 12:53:02 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
03/22/2024 and conducted by Evaluator Jennie Tedlos
COMPLAINT CONTROL NUMBER: 53-CC-20240322162935
FACILITY NAME:KINDERCARE LEARNING CENTER - ELK GROVE FLORINFACILITY NUMBER:
343615313
ADMINISTRATOR:CHAVEZ, ANGELAFACILITY TYPE:
850
ADDRESS:9250 ELK GROVE FLORIN ROADTELEPHONE:
(916) 714-2772
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:104CENSUS: 60DATE:
06/12/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Alejandra ParedesTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff caused injury to child.
Staff did not inform child's authorized person when the child was injured.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennie Tedlos met with Substitute Director (SD), Alejandra Paredes to deliver findings of the complaint investigation regarding the above (2) allegations. There 60 children and 6 staff during the visit. Throughout the investigation, LPA interviewed parents, staff, and children, and conducted record review.

It was alleged that staff caused injury to a child in care. Interviews with SD and staff revealed that an incident happened where a teacher (T1) caused a red mark on a child's (Child 1) nose after pinching it. LPA also reviewed documentation of the incident in Child 1's file. Although a mark was left, interviews revealed that this incident did not cause injury to Child 1. T1 is no longer employed with the facility. Children's interviews revealed consistent information. Based on interviews, observations, documentation, and other information gathered, there was not a preponderance of evidence to prove or negate the allegation, therefore the allegation is UNSUBSTANTIATED.
Report Continues on 9099-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Jennie Tedlos
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2024
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 4
Control Number 53-CC-20240322162935
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: KINDERCARE LEARNING CENTER - ELK GROVE FLORIN
FACILITY NUMBER: 343615313
VISIT DATE: 06/12/2024
NARRATIVE
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It was alleged that Staff did not inform child's authorized person when the child was injured. There was concern of an incident in which a child had a mark that was not reported to the child's authorized person. Interviews with Staff revealed conflicting information. Through record review, LPA observed a documented incident report signed by a parent. Based on interviews, observations, documentation, and other information gathered, there was not a preponderance of evidence to prove or negate the allegation, therefore the allegation is UNSUBSTANTIATED.

Based on the information obtained throughout the course of this investigation the above allegations, LPA Tedlos determined that the allegations were found to be UNSUBSTANTIATED, meaning although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.



Exit interview was conducted. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

* This is an amended version of a report originally signed on 6/12/24.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Jennie Tedlos
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
03/22/2024 and conducted by Evaluator Jennie Tedlos
COMPLAINT CONTROL NUMBER: 53-CC-20240322162935

FACILITY NAME:KINDERCARE LEARNING CENTER - ELK GROVE FLORINFACILITY NUMBER:
343615313
ADMINISTRATOR:CHAVEZ, ANGELAFACILITY TYPE:
850
ADDRESS:9250 ELK GROVE FLORIN ROADTELEPHONE:
(916) 714-2772
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:104CENSUS: 60DATE:
06/12/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Alejandra ParedesTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff made inappropriate comments to child in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennie Tedlos met with Substitute Director (SD), Alejandra Paredes to deliver findings of the complaint investigation regarding the above allegation. There 60 children and 6 staff during the visit. LPA Tedlos conducted an investigation regarding the complaint allegation listed above. LPA toured the facility, conducted interviews with the Reporting Party (RP), Staff Members, Children enrolled at the facility and parents of children that attend or who have attended the facility. LPA also obtained pertinent information to assist with the investigation.
It was alleged that a Teacher (T1) violated the personal rights of a child (Child 1) after making inappropriate comments to Child 1. It was revealed during Staff and Child interviews that T1 regularly yelled inappropriate comments to the children in care. T1 is no longer employed at the facility. Based on interviews and file reviews conducted the preponderance of evidence standard has been met. The above allegation is found to be SUBSTANTIATED. A Type-A Deficiency is cited on a subsequent 9099-D page.
Exit interview was conducted. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Jennie Tedlos
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 53-CC-20240322162935
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: KINDERCARE LEARNING CENTER - ELK GROVE FLORIN
FACILITY NUMBER: 343615313
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/13/2024
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights:...(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...
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SD states that T1 has been terminated from the facility as of 3/22/24. SD also states that the facility has conducted multiple personal rights trainings, including the CCLD Personal Rights Training Video to staff since the incident occurred. The deficiency was cleared by today's visit and a Proof of Correction...
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This regulation was not met as evidenced by:
Interviews revealed that T1 had made inappropriate comments to children in care on several occastions. This poses an immediate health, safety, or personal rights risk to children in care.
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... letter was provided to SD.
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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: Karyn Guerra
LICENSING EVALUATOR NAME: Jennie Tedlos
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4