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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483001837
Report Date: 04/15/2025
Date Signed: 04/15/2025 03:12:58 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
01/21/2025 and conducted by Evaluator Cindy Castro
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20250121090559
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: 15DATE:
04/15/2025
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Justice WillisTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Infant sustained unexplained injuries in care.

Staff did not report incident(s) to day care children’s authorized representative.
INVESTIGATION FINDINGS:
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On 04/15/25 Licensing Program Analyst (LPA), Cindy Castro made a subsequent complaint investigation inspection for the purpose of delivering the findings, and met with Center Director, Justice Willis (CD). It has been alleged that and infant sustained unexplained injuries in care and that staff did not report incident(s) to day care child authorized representative.

During the investigation inspections conducted on 01/30/25 and 02/13/25, LPA toured the facility, made observations, received documents and interviewed Center Director (CD) and Staff. CD denied allegations stating that she does not think that teachers are not reporting incidents because she signs many a day. CD added that she spoke to staff at a meeting about vigilant supervision. That it was explained to staff about overview of the whole classroom versus single view and not just focusing on one activity but watching all the children.

LPA C. Castro interviewed five staff and five parents between 02/13/25 and 04/14/25. Continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
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 5
Control Number 01-CC-20250121090559
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: 04/15/2025
NARRATIVE
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Multiple individuals interviewed stated that at times there have been unexplained child injuries while in care and that those incidents are not being reported to the child’s authorize representative. Staff interviews revealed that unexplained injuries occur during transition periods. That there have been occasions in which parents have not been given an incident report because the teacher that observed the incident already left facility for the day.

Photographic evidence obtained during the investigation confirmed that unexplained injuries are happening due to staff not actively supervising children and being distracted on cellphones thus not noticing child incidents that occur. The allegations infant sustained unexplained injuries in care and staff did not report incident(s) to day care children authorized representative which is a violation of care and supervision, and observation of child are substantiated.

Based on interviews and additional evidence obtained the preponderance of evidence standard has been met; therefore, the above allegations are 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, 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: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
01/21/2025 and conducted by Evaluator Cindy Castro
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20250121090559

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: 15DATE:
04/15/2025
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Justice WillisTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff are not ensuring sanitizing procedures are being followed.
INVESTIGATION FINDINGS:
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On 04/15/25 Licensing Program Analyst (LPA), Cindy Castro made a subsequent complaint investigation inspection for the purpose of delivering the findings, and met with Center Director, Justice Willis (CD). It has been alleged that staff are not ensuring sanitizing procedures are being followed.

During the investigation inspections conducted on 01/30/25 and 02/13/25, LPA toured the facility, made observations, received documents and interviewed Center Director (CD) and Staff. CD denied allegation and reported that staff do the cleaning and sanitation of their classroom. Furthermore, that a classroom checklist is used to sanitize the room and staff divide chores amongst themselves. CD noted that there have been no issues with staff not doing their part to keep classrooms clean and sanitized.

LPA C. Castro interviewed five staff and five parents between 02/13/25 and 04/14/25.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
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 5
Control Number 01-CC-20250121090559
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: 04/15/2025
NARRATIVE
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Staff and parents interviewed stated that classrooms are cleaned and sanitized on regular basis. Although, two individuals interviewed reported observing that the sanitation process for the classrooms is not being followed correctly by some staff.

Based on interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegation was unsubstantiated.

Exit interview conducted and report was reviewed with the facility representative, Justice Willis. A notice of site visit was given and must remain posted for 30 days. Appeal Rights were provided. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 01-CC-20250121090559
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: 04/15/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/30/2025
Section Cited
CCR
101429(a)(1)
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101429 Responsibility for Providing Care and Supervision for Infants (a)In addition to Section 101229, the following shall apply:(1)Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement was not met as evidenced by:
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Center Director will meet with Center District Leader and submit a written plan or protocol on approaches to ensure adequate supervision at all times. LPA provided Technical Support Program information. CD will submit written plan or protocal to the department by 04/30/25.
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Based on interviews and photographic evidence that staff are not actively supervising children due to being on their cellphone, which poses a potential Health, Safety and Personal Rights risk to children in care.
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Via mail, email or fax. Email:cindy.castro@dss.ca.gov Fax: (707)588-5099
Type B
05/30/2025
Section Cited
CCR
101226.3(b)
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101226.3 Observation of the Child (b)Any unusual behavior, any injury or signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and recorded in the child's record. This requirement was not met as evidence by:
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Director stated that she will implement a incident tracking sheet for each classroom to keep track of all incidents that occur are being reported to children's parents and Community Care Licensing. CD will submit proof of completed tracking sheet to the department for month of May 2025 by 05/30/25.
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Based on interviews that staff are not reporting incidents that occur to parents or child's authorize representative,which poses a potential Health, Safety and Personal Rights risk to children in care.
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Via mail, email or fax. Email:cindy.castro@dss.ca.gov Fax: (707)588-5099
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: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5