complaint·August 16, 2023

Director states that there were cases of Hand, Foot, and Mouth Disease (HFMD) at the school and that the children were sent home. Director states that parents were contacted on when they are able to return to facility. LPA received screenshot of the message sent on their ProCare App. LPA observed that the message to parents on 06/15/2023, states “Children can return to school and daycare when fever free for a 48 hr period without fever reducing medication. If they have any open sore they need to be kept at home.” Staff interviews indicate that there were HFMD cases at the facility. Staff #2 states that there were cases in June and that doctor’s clearance was required to return to school. Staff #3 corroborated HFMD occurring at the facility in June. Per staff #3, there were “6 or 7” HFMD cases, and that they were allowed to return if their “blisters healed and had no fever for I think 48 hours.” Parent interviews disclosed that the facility has communicated to parents regarding contagious diseases. Parent #1 and #2 state that they utilize an app in order to send messages to families. Parent #3 indicated that for HFMD, the facility provided return policy information, “I think that one is 2 days. The days it says, they let us know they can’t return unless cleared by doctor.” Children interviews were not conducted regarding the above allegation. Based on the information provided above, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Information from the complainant indicates that staff are not having children in care take part in proper hygiene practices. Director stated during interview that children “wash hands before you eat, after the bathroom, touch your nose, in the morning. Just wash your hands and wash your hands again." Director discloses that since they have started working at the facility, they do see the hand washing happening. Staff all corroborated that hand washing occurs throughout the day during transition times. This includes first arrival, before meal, after meal, and coming back from outside. Children interviews made no disclosures regarding the allegation. Child #1 states that they wash hands "often." Child #2 states that they wash hands during breakfast and when they potty. REPORT CONTINUES PAGE 2 of 3 Interviews with Parent #1 and #3 indicate children are instructed and taught to wash hands. Parent #2 states that their understanding of the hygiene protocols is “dirty.” Parent #2 believes if there were more teachers there would be more attention. Based on the information provided above, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies are being cited during today’s inspection, per California Regulations Title 22. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Exit interview was conducted with Director Diane Connell, at 10:45am. Copy of report provided. END OF REPORT PAGE 3 of 3