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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483001837
Report Date: 06/07/2024
Date Signed: 06/07/2024 05:36:22 PM

Substantiated


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
05/17/2024 and conducted by Evaluator Cindy Castro
COMPLAINT CONTROL NUMBER: 01-CC-20240517155321
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001837
ADMINISTRATOR:CANARIOS, ROSEFACILITY TYPE:
830
ADDRESS:35 ROTARY WAYTELEPHONE:
(707) 557-3007
CITY:VALLEJOSTATE: CAZIP CODE:
94591
CAPACITY:36CENSUS: 20DATE:
06/07/2024
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Justice WillisTIME COMPLETED:
05:45 PM
ALLEGATION(S):
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Staff handled day care child in a rough manner.
INVESTIGATION FINDINGS:
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On 06/07/24 Licensing Program Analyst (LPA), Cindy Castro made a subsequent complaint investigation inspection for the purpose of interviewing staff, delivering findings, and met with Center Director, Justice Willis (CD). It has been alleged that staff handled daycare child in a rough manner, specifically that staff (S1) snatched sippy cup out of child (C1) hand.

During the initial investigation inspection on 05/20/24 LPA Castro toured the facility, made observations, received documents and interviewed Center Director (CD) and Staff. CD admitted to the allegation and stated that she had a conversation with S1 about how to better handle the incident that occurred on 05/16/24 in which S1 knocked the sippy cup off C1’s hand. LPA interviewed S1 on 06/07/24, which stated that she was stopping C1 from biting another child and moved so fast in between C1 and another child. S1 added that prior to the incident happening C1 was taking the cups of other children. S1 stated that she meant to grab the cup and it fell and busted open.
Continue on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2024
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 3
Control Number 01-CC-20240517155321
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: 483001837
VISIT DATE: 06/07/2024
NARRATIVE
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“I only grabbed the cup” “I was moving quickly, and I did not mean to be aggressive, no it was not meant to be aggressive, it was the momentum". Furthermore, S1 stated that she is not trying to touch C1 since incident and will ask other staff to help her. S1 confirmed that she needs more skills to work with toddlers.

LPA Castro interviewed Staff S2-S4 on 05/20/24. Staff S2-S4 all stated they had knowledge of the incident that occurred on 05/16/24 in which S1 snatched the sippy cup out of C1’s hand. S4 corroborated that she heard sippy cup fall on the floor.

Based on interview with CD and interviews with S1-S4, the preponderance of evidence standard has been met; therefore, the above allegation is found to be substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D. Appeal rights were provided.

Exit interview conducted, and report was reviewed with Center Director (CD), Justice Willis.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 01-CC-20240517155321
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: 483001837
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/07/2024
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 including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.

This requirement was not met as evidenced by:
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CD stated she will create a written protocol for how staff are to handle children that are presenting challenging behaviors. S1 will take training on how to manage children with difficult behaviors. CD will submit protocol and proof of S1's completed training to LPA Castro by 06/21/24.
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Based on interview with S1 who admitted to aggressively grabbing cup from C1, as a method of handling C1’s undesired behavior, which posed a potential health, safety or personal rights risk to persons in care.
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Via mail, email or fax. Email:cindy.castro@dss.ca.gov Fax: (707)588-5099
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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: Alexis Hollon
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3