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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483001827
Report Date: 06/10/2022
Date Signed: 06/10/2022 02:48:45 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
04/07/2022 and conducted by Evaluator Melchisedeck Augustin
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20220407124004
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001827
ADMINISTRATOR:HAYMER, MORNENFACILITY TYPE:
830
ADDRESS:581 PEABODY ROADTELEPHONE:
(707) 447-7685
CITY:VACAVILLESTATE: CAZIP CODE:
95687
CAPACITY:20CENSUS: 0DATE:
06/10/2022
UNANNOUNCEDTIME BEGAN:
01:42 PM
MET WITH:Mornen Haymer - Center Director TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff are not following Safe Sleep practices
INVESTIGATION FINDINGS:
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On 06/10/2022, Licensing Program Analyst (LPA), Melchisedeck Augustin conducted a subsequent complaint investigation inspection to the facility for the purpose of delivering complaint finding. It was alleged that staff (S1) was not following Safe Sleep practices by placing infants on their stomachs to sleep and letting them sleep in equipment other than cribs.

The Director was interviewed on 4/25/22 and on 5/23/22. The Director denied the allegation saying that infants are placed on their backs in their cribs and that staff do 15 min checks and that S1 strictly follows the safe sleep protocols.

The LPA interviewed 6 out of 6 staff on 4/25; 5/17 and 5/19 and all confirmed seeing S1 placing infants on their backs for sleeping and that infants, when falling asleep are immediately moved to a crib for sleeping. The LPA interviewed 5 out of 5 witnesses on 5/17; 5/20, 5/23 and 5/25. (Continue to LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2022
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 2
Control Number 13-CC-20220407124004
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 483001827
VISIT DATE: 06/10/2022
NARRATIVE
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4 out of 5 witnesses confirmed since COVID started, witnesses have not been going into the building; however, they have been told that infants are placed on their backs and sleep using the provided cribs and no concerns were noted. W5 however, indicated witnessing S1 allowing children to sleep in areas other than a crib, and claimed to have seen on occasion, S1 place children on their stomachs to sleep.

The LPA reviewed the infant sleep plans and the 15-minute sleeping log and additional documentation. The LPA has determined evidence does not support S1 placing children on their stomachs to sleep. Due to conflicting statements collected during interviews, the LPA could not determine if S1 placed infants on their stomachs or in equipment other than cribs to sleep.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the finding is unsubstantiated.

Notice of Site Visit shall be posted for 30 days from today's visit. Appeal Rights were provided.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2