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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483001824
Report Date: 09/04/2025
Date Signed: 09/04/2025 12:35:32 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/22/2025 and conducted by Evaluator Robert Maciel
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20250822101404
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001824
ADMINISTRATOR:ERIKA SILVAFACILITY TYPE:
830
ADDRESS:1101 ROSE DRIVETELEPHONE:
(707) 745-0916
CITY:BENICIASTATE: CAZIP CODE:
94510
CAPACITY:34CENSUS: 22DATE:
09/04/2025
UNANNOUNCEDTIME BEGAN:
11:27 AM
MET WITH:Diane PalaciosTIME COMPLETED:
12:44 PM
ALLEGATION(S):
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9
Due to lack of supervision, child was "chewing" on a lizard
INVESTIGATION FINDINGS:
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A subsequent complaint investigation inspection was conducted at the facility by Licensing Program Analyst (LPA), Robert Maciel for the purpose of delivering findings. It has been alleged that due to lack of supervision, a child, C1, was chewing on a lizard.

Today, LPA met with facility representative Diane Palacios, the district leader for the facility, to review the investigation findings. LPA conducted interviews with staff (D1, D2, and S2-S12) between 8/25/25 and 9/4/25. S5, S7, S9, and S11 stated that on 8/21/25, C1 did grab and put a lizard into her mouth while playing in the outdoor playground at approximately 10 AM which S11 noticed and immediately removed it from C1's mouth which does not corroborate the allegation.
Continued LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
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 01-CC-20250822101404
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 483001824
VISIT DATE: 09/04/2025
NARRATIVE
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Based on available information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove alleged violation did or did not occur, therefore, the allegation is determined to be unsubstantiated at this time. This report was reviewed and discussed with the facility representative, Diane Palacios. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4