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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343603016
Report Date: 12/13/2021
Date Signed: 12/20/2021 09:07:33 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/15/2021 and conducted by Evaluator Gagandeep Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20211015112536
FACILITY NAME:KINDERCARE LEARNING CENTER - MACK (PRESCHOOL)FACILITY NUMBER:
343603016
ADMINISTRATOR:PAULA RITTERFACILITY TYPE:
850
ADDRESS:4920 MACK ROADTELEPHONE:
(916) 428-1880
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:68CENSUS: 31DATE:
12/13/2021
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Paula RitterTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Child sustained unexplained injury while in care.
Child was left in a soiled diaper for an extended period of time resulting in a diaper rash.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Gagandeep Singh met with the director, Paula Ritter, to deliver the findings for above allegations. Purpose of the inspection was explained.
During the investigation, LPA inspected the facility, reviewed facility records and interviewed the director and reporting party. During investigation, it was found that the facility is using electronic application to log each diaper change and other activities. It was found that there were multiple days, when the data was not entered correctly into the application. Hence, it was found that facility does not has evidence of changing diapers on time. The evidence of soiled diaper was collected from the reporting party. During record review and interviews, it was found that facility is using 'incident reports' to inform the parents about any injury to the child. LPA observed numerous incident reports, which indicated the quantity of incident happening at this facility. Previously, during the conclusion of a complaint on February 18, 2020, this facility was cited for children’s personal rights and allegation of keeping children in soiled diapers was unsubstantiated. Based on LPAs observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2021
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 03-CC-20211015112536
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: KINDERCARE LEARNING CENTER - MACK (PRESCHOOL)
FACILITY NUMBER: 343603016
VISIT DATE: 12/13/2021
NARRATIVE
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Type “A” violations (see continuation) were issued today. The center is informed to provide a copy of the Evaluation Report and the Type “A” Deficiency cited to the parents and guardians of children currently enrolled in care and to parents of newly enrolled children during the next 12 months. A signed and dated LIC 9224 shall be maintained in all Children's files. This report and appeal rights were provided and reviewed with the licensee. Notice of Site Visit shall remain posted for 30 days.
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 03-CC-20211015112536
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: KINDERCARE LEARNING CENTER - MACK (PRESCHOOL)
FACILITY NUMBER: 343603016
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/13/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/14/2021
Section Cited
CCR
101223(a)(3)
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Personal Rights: The licensee shall ensure that each child is accorded the following personal rights: 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:
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The facility has added more staff members to the 'Discovery' classroom and LPA observed the staff has conducted and documented the diaper change on the application. Director agreed to continue closely monitor the children for diaper change needs.Director will be conducting a training about the pesonal rights of the children.
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 interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement is not met as evidenced by interviews it was found that the facility has high rate of incidents. It was also found that there was a child left in soiled diapers for extended period of time. This poses an immediate health and safety risk to children in care.
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CCR
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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: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3