483001837-2-19-2026-01-CC-MAUN-DS9SHC-20260317135316

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 483001837
Report Date: 02/19/2026
Date Signed: 02/19/2026 09:42:17 AM

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
12/17/2025 and conducted by Evaluator Selena Mariani

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20251217150238

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	483001837
ADMINISTRATOR:	CANARIOS, ROSE		FACILITY TYPE:	830
ADDRESS:	35 ROTARY WAY		TELEPHONE:	(707) 557-3007
CITY:	VALLEJO	STATE: CA	ZIP CODE:	94591
CAPACITY:	36	CENSUS: 12	DATE:	02/19/2026
		UNANNOUNCED	TIME BEGAN:	08:31 AM
MET WITH:	Nakia Orlando		TIME COMPLETED:	09:45 AM

ALLEGATION(S):

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Staff did not provide adequate supervision resulting in day care child sustaining injuries.

Staff did not provide incident report to day care child's responsible party.

INVESTIGATION FINDINGS:

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A subsequent complaint investigation visit was conducted today by Licensing Program Analyst (LPA), Selena Mariani who met with Assitant Director (AD), Nakia Orlando for the purpose of delivering complaint investigation findings for the above allegations. LPAs Cindy Castro, Selena Mariani and Dianne Morrison conducted the initial visit and follow-up visits on 11/20/25, 12/19/2025 and 12/23/25 to interview. The complaint alleged that staff did not provide adequate supervision resulting in day care child sustaining injuries and staff did not provide incident report to day care child's responsible party. Specifically, it was alleged that on a certain date, child C1 obtained head injuries, resulting in a black eye, and a busted lip and C1’s authorized representative was not notified about it until inquiring the next day.

Continue on LIC9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Selena Mariani
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20251217150238

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: 02/19/2026

NARRATIVE

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Continued from LIC9099-C
During the course of the investigation, LPAs interviewed center director (CD) Nikita Wallace, assistant director (AD), 6 staff (S1-S5 & S7), made observations, obtained documents and conducted record review from 11/20/25 through 02/11/26. LPA attempted to interview S6 and two staff S4 & S7 were not working on the date of incident. CD stated S1 provided two different versions of the incident, child 1 (C1) fell forward on cot while getting onto the cot, hitting face and left eye and that C1 fell off the cot hitting his left eye. S1 denied a child had visible injuries from an incident and in a follow up interview stated C1 was running around the classroom and tripped, fell on the floor by the shelf. S4 stated S1 communicated, “C1 fell off the bed and hit their eye when C1 and another child were fitting.” AD, S1-S3 & S5 stated they did not witness C1’s incident that caused injuries, however, they did see C1 with a black eye. CD stated there was no incident report written regarding C1’s eye injury. S1 denied not writing an incident report to a parent. S2 stated, the day following C1’s incident, S1 and S2, both wrote C1’s incident report; S1's date and time on the incident report was documented as the day after C1’s incident occurred and S2's date and time on the incident report was for the day of C1’s incident occurred, furthermore, both incident reports had different dates and times, were incomplete and not signed by CD or parent. S3 stated that, "Whenever I am in the toddler classroom at the end of the day, there are never incidents that are written or staff does not know what happened when I ask." S5 stated, "There was no record of a write up incident and the other teachers had no idea what happened." CD, AD and S1-S5 interviews and LPAs documents obtained corroborate the incidents as alleged.

Based on LPAs interviews which were conducted, documents obtained and record review(s), the preponderance of the evidence standard has been met, therefore, the allegation is determined to be substantiated. California Code of Regulations, Title 22, is being cited on the attached LIC 9099-D.

Appeal rights were provided. An exit interview was conducted, and this report was read and discussed with the Assistant Director, Nakia Orlando.
The Notice of Site Visit shall be posted for 30 days.

SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Selena Mariani
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20251217150238

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: 02/19/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/13/2026 Section Cited CCR 101429(a)(1)	1 2 3 4 5 6 7	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:	1 2 3 4 5 6 7	AD stated that she will provide training to all staff members regarding active supervision procedures and incident reporting. AD stated that she will submit proof of training including attendance sheet and topics covered to LPA at selena.mariani@dss.ca.gov, by March 13, 2026.
	8 9 10 11 12 13 14	Based on interviews conducted by LPA, staff are not actively supervising children due to S1-S3 & S5 stated they did not witness C1’s incident that caused injuries and S1’s statements that do not corroborate, which poses a potential Health, Safety and Personal Rights risk to children in care.	8 9 10 11 12 13 14
Type B 03/13/2026 Section Cited CCR 101226(a)	1 2 3 4 5 6 7	The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	AD stated that she will provide training to all staff members regarding active supervision procedures and incident reporting. AD stated that she will submit proof of training including attendance sheet and topics covered to LPA at selena.mariani@dss.ca.gov, by March 13, 2026.
	8 9 10 11 12 13 14	Based on the LPA’s interviews, it was corroborated that the facility did not notify C1's parent of head injury upon pick-up time the day of the incident. It was corroborated through interviews that C1 obtained a head injury while in care. This posed a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14

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: Selena Mariani
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC9099 (FAS) - (06/04)

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