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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483001838
Report Date: 02/13/2025
Date Signed: 02/13/2025 04:21:47 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
11/26/2024 and conducted by Evaluator Cindy Castro
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20241126162415
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001838
ADMINISTRATOR:FIELDS, DONJEFACILITY TYPE:
850
ADDRESS:35 ROTARY WAYTELEPHONE:
(707) 557-3007
CITY:VALLEJOSTATE: CAZIP CODE:
94591
CAPACITY:72CENSUS: 55DATE:
02/13/2025
UNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Justice WillisTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff do not ensure broken toys are properly removed from the facility.
INVESTIGATION FINDINGS:
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On 02/13/25, Licensing Program Analyst (LPA) Cindy Castro, made an unannounced complaint investigation inspection, for the purpose of delivering complaint findings, and met with Center Director, Justice Willis. It has been alleged that Staff do not ensure broken toys are properly removed from the facility.

LPA previously conducted inspections on 12/04/24 and 12/05/24 to initiate the investigation and met with Center Director to discuss the allegation, conducted interviews, took photographs, and received documents.
During the investigation, LPA conducted interviews on 12/02/24 and 12/05/24 with Reporting Party, Center Director (CD) and Five Staff (S1-S5). Interview with Center Director did not reveal if allegation was veridic nor was allegation denied. CD stated that theoretically broken toys should be thrown away and if it is a broken shelf or furniture a work order is sent to a handyman. Continued on LIC9099-C

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
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-20241126162415
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: 483001838
VISIT DATE: 02/13/2025
NARRATIVE
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Statements provided by S3 and S4 corroborated that there was a broken plastic toy car, Lightning McQueen in the Discovery Preschool Classroom (DP). The DP classroom is also utilized as Homeroom during drop-off in the early morning. S4 reported seeing that the car had a broken spoiler at an angle. S4 stated trying to take the car away from child who was crying and leaving the toy car, not think anything of it because car did not have a sharp edge. Child fell asleep and S4 took the car away and placed it in classroom closet.

Based on interviews the preponderance of evidence standard has been met and therefore, the above allegation is found to be SUBSTANTIATED. The facility did not comply with California Code of Regulations 101239(m)(1)Fixtures, Furniture, Equipment and Supplies. The following violation of the California Code of Regulations, Title 22; Division 12; were cite. Appeal Rights were provided. See LIC 9099-D.

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. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 01-CC-20241126162415
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: 483001838
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/14/2025
Section Cited
CCR
101239(m)(1)
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(m)All play equipment and materials used by children shall be age-appropriate.
(1) The licensee shall provide a variety of age-appropriate equipment, toys and materials in good condition and in sufficient quantity to allow children present to fully participate in planned activities.
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Center Director stated that she will submit to the department on a weekly basis for a month (02/14/25- 03/14/25) the classroom cleaning checklist for all preschool license classrooms to verify that broken toys are being removed by staff.
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This requirement was not met as evidenced by:
Based on interviews with S3 and S4 who corroborrated that broken toy was not removed from DP classroom, which posed a potential health, safety or personal rights risk to children in care.
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Documents will be submitted via email, mail or fax:(707)588-5099.
cindy.castro@dss.ca.gov Fax:
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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: Erin Virrueta
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
LIC9099 (FAS) - (06/04)
Page: 3 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
11/26/2024 and conducted by Evaluator Cindy Castro
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20241126162415

FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001838
ADMINISTRATOR:FIELDS, DONJEFACILITY TYPE:
850
ADDRESS:35 ROTARY WAYTELEPHONE:
(707) 557-3007
CITY:VALLEJOSTATE: CAZIP CODE:
94591
CAPACITY:72CENSUS: 55DATE:
02/13/2025
UNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Justice WillisTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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9
Staff did not ensure supervision was provided resulting in child sustaining injuries while in care.
INVESTIGATION FINDINGS:
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On 02/13/25, Licensing Program Analyst (LPA) Cindy Castro, made an unannounced complaint investigation inspection, for the purpose of delivering complaint findings, and met with Center Director, Justice Willis. It has been alleged that staff did not ensure supervision was provided resulting in child sustaining injuries while in care.

LPA previously conducted inspections on 12/04/24 and 12/05/24 to initiate the investigation and met with Center Director to discuss the allegation, conducted interviews, and received documents.

During the investigation, LPA conducted interviews on 12/02/24 and 12/05/24 with Reporting Party, Center Director (CD), Five Staff (S1-S5). Interview with Center Director did not reveal if allegation was veridic nor was allegation denied. CD reported that they try to have staff stand within line of sight and outside staff should be doing rotating supervision.Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 01-CC-20241126162415
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: 483001838
VISIT DATE: 02/13/2025
NARRATIVE
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All staff interviewed reported that they supervise the children. S1 reported sitting and standing where all the children can be seen and that classrooms are set up to be able to see all children. S1 added that if there is a blind spot then you move the shelf that is blocking the view. S1 stated that for an unknown injury, as soon as injury is seen it is attended and that the child is asked what happened and how they got hurt when staff did not hear or observe. S2 reported that there is supposed to be a teacher in a hidden corner so that all the children can be seen and the classroom is supposed to be scanned. S4 reported scanning the room and making sure to know where every child is. S4 reported sitting with back to the wall and listening because the children are vocal.

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: Erin Virrueta
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5