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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483001825
Report Date: 07/09/2026
Date Signed: 07/09/2026 02:03:51 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
04/15/2026 and conducted by Evaluator Robert Maciel
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20260415091058
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001825
ADMINISTRATOR:MICHELLE PALACIOSFACILITY TYPE:
850
ADDRESS:1101 ROSE DRIVETELEPHONE:
(707) 745-0916
CITY:BENICIASTATE: CAZIP CODE:
94510
CAPACITY:72CENSUS: 24DATE:
07/09/2026
UNANNOUNCEDTIME BEGAN:
08:26 AM
MET WITH:Jamie CzelusniakTIME COMPLETED:
11:00 PM
ALLEGATION(S):
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Staff did not report infant’s injuries to authorized representative
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Robert Maciel-Kashima and Selena Mariani conducted an unannounced complaint visit, and met with Director Jamie Czelusniak. It was alleged that a child (C1) sustained an injury at the facility that wasn't reported to the parents of the child.

Former Director (D1) Michelle Palacios was interviewed on 4/20/26 and 5/14/26 and stated that on 4/3/26 she was informed of an incident report by staff that she needed to sign but was unable to because it was busy and she was unaware that the incident involved a head injury. D1 later overheard the parent of the child discussing the incident with staff at pick up and was asked for the incident report by the parent. D1 asked staff to retrieve the incident report but by the time it arrived, the parent had already left. D1 stated that the facility policy for any injury to a child above the shoulder requires the director to the immediately notify the parents of the child. Staff 2 was interviewed on 5/14/26 and stated that they had written the incident report regarding the child's injury and gave it to another staff to bring to the front of the building for the adminstrator signature.

Continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
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
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
04/15/2026 and conducted by Evaluator Robert Maciel
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20260415091058

FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001825
ADMINISTRATOR:MICHELLE PALACIOSFACILITY TYPE:
850
ADDRESS:1101 ROSE DRIVETELEPHONE:
(707) 745-0916
CITY:BENICIASTATE: CAZIP CODE:
94510
CAPACITY:72CENSUS: 24DATE:
07/09/2026
UNANNOUNCEDTIME BEGAN:
08:26 AM
MET WITH:Jamie CzelusniakTIME COMPLETED:
11:00 PM
ALLEGATION(S):
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9
Staff handled child in an inappropriate manner

Child sustained bruising due to staff neglect or physical abuse
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Robert Maciel-Kashima and Selena Mariani conducted an unannounced complaint visit, and met with Director Jamie Czelusniak. It was alleged that a staff member was observed grabbing a child's arm and dragging them and that a child received bruises on their arm from staff grabbing them.

Former Director Michelle Palacios (D1) was interviewed on 4/20/26 and 5/14/26 and stated that she was made aware of a parent concern regarding bruises on their child's (C1) arm that were not reported to her. D1 stated that she had grabbed the child the day prior because they were flailing on the ground to prevent them from falling and hurting themselves. The parent indicated to D1 that the bruises looked older than could've happened the day prior and that it might've been staff 1 (S1). D1 stated that she was unaware of any such incidents in which S1 had grabbed any children.

Continued LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 01-CC-20260415091058
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: 483001825
VISIT DATE: 07/09/2026
NARRATIVE
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Interviews with staff (DL, S1-S6) between 4/20/26 and 7/9/26 did not corroborate the allegations, with DL and S1-S4 stating that they hadn't directly observed or heard of any incidents in which staff had pulled children by their arms or any other inappropriate physical interactions.

Interviews with children (C1-C10) between 4/20/26 and 7/9/26 did not corroborate the allegations, however, C2 stated that they had observed a teacher, whose description matches that of S1, grab a child's arm and pull them on the playground, C4 and C6 both stated that when children get in trouble they get timeouts, but specifically C7's arm is grabbed by their teachers, S1 and S4, and C8 stated that when C7 get's in trouble, teacher's hold C7 and walk them to the office.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 01-CC-20260415091058
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: 483001825
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/17/2026
Section Cited
CCR
101173(d)
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(d) The child care center shall operate in accordance with the terms specified in the plan of operation.

This requirement was not met as evidenced by:
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Director stated that an all-staff meeting is being conducted with the Technical Support Program on 7/11/26 to discuss licensing regulations and KinderCare policies and will submit a list of attending staff as well as a summary of what was covered at the meeting to LPA by email [email protected] by 7/17/26.
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Based on staff interview and review of facility policy, the facility is required to provide an Incident/Accident Report by pick up to the parents of any child who was injured. On 4/3/26, an Incident/Accident report was not given to the parent of a child at the end of the day of the incident which poses a potential risk to the health, safety, or personal rights of children in care.
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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: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 01-CC-20260415091058
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: 483001825
VISIT DATE: 07/09/2026
NARRATIVE
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LPAs reviewed the KinderCare Family Handbook which states in part, on page 27, "If your child is injured at the center, you'll receive an Incident/Accident Report at pickup time."

Based on the evidence obtained, 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 and exit interview conducted. The Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5