complaint·January 5, 2026

Allegation- Staff do not meet the diapering needs of a daycare child. According to the RP, child (name unknown) has been observed (dates unknown) with horrible diaper rashes, and every time diaper cream is provided, staff do not apply it. RP also stated that the child was dropped off at 7am and stopped by the facility (date unknown) at 10am and observed the child with the same diaper and diaper cream. The RP revealed that they spoke to S1 and S9 regarding the ongoing issue but felt that the staff told the RP what they wanted to hear and never followed through. Per RP, they have also spoken to S3 (date and time unknown) who apologized and told the RP that they are having problems with S4 changing diapers and to tell the office. RP reiterates that they spoke to the office, but they refuse to do anything. No additional information was provided by the RP. Interviews conducted with S1 thru 9 did not reveal any information that corroborates the allegation. Interviews conducted with S1-S4 and S6-S9 revealed that diaper changes are as needed or 1 to 2 hours, and bowel movement is changed right away or as soon as there is a smell. Interviews conducted with S5 revealed that there\342\200\231s no specific time on how often diaper changes are done; however, S5 was able to provide LPA with a breakdown of when diaper changes are done. S5 revealed that diaper changes are done throughout the day and time will vary. S1, S3, and S9 denied having any knowledge of children who had the same diaper or diaper cream for 3 hours. S1, S3, and S9 deny that anyone has brought to their attention issues with diaper changes, rashes, or refusal to apply diaper cream. S3 also denies apologizing to a parent or authorized representative regarding the diaper rash or diaper cream and stated that they never mentioned they were having problems with S4 changing diapers or to speak with the office. Other staff interviewed did not reveal any corroborating information regarding children with diaper rashes or refusal to apply the diaper cream. Staff revealed that if parents want the diaper cream applied to their children, they must provide the diaper cream and complete a medical release form. Staff interviews revealed that children with a diaper cream or a medical release form have not been refused, and diaper cream has been applied. LPA conducted interviews with P1 thru 6 who made disclosures. Interviews conducted with P1 revealed that there has been a couple of times they observed a diaper rash on their child. P1 stated that recently they observed a diaper rash when they arrived home and forgot to bring it to the facilities attention; however, the rash was not severe (little), and staff documented the rash on the Procare app which also indicated that ointment was applied. Per P1, all previous rashes were not severe and denied that the rashes begin at home. Interviews conducted with P4 revealed that staff (names/dates unknown) have released their child during pick up with soiled/dirty diapers; however, the parent brought it to the staff\342\200\231s attention and requested for a diaper change. P4 stated that their child gets diaper rashes multiple times at the facility and will come home with ointment which means the child has a rash. Page 2 of 3 Per P4, the diaper rashes are not severe; however, the area is red, and the rash goes away but it comes back within a week. P4 denied that the diaper rashes begin at home and stated that the child doesn\342\200\231t get diaper rashes at home. LPA conducted an interview with P3 who made no disclosures. According to P3, there are no issues or concerns regarding diaper changes and stated that their child has never had a diaper rash. LPA attempted to interview P2 and P5-P6; however, parents did not return LPAs call. LPA reviewed random children\342\200\231s daily reports dated 11/03-11/12 and copies of children\342\200\231s medical release forms for the diaper rash cream. LPA observed that the daily reports are not consistent with capturing all diaper changes, none included placing ointment (diaper cream) or identified children with diaper rashes. LPA also observed that the medical release forms were completed by parents or authorized representatives; however, none of the medical release forms indicated if the diaper cream was applied. RP did not provide additional information that identified child or dates of concern which led to the LPA to request an estimated timeframe mentioned above for the purpose to review daily reports. LPA also reviewed a portion of the family handbook and did not observe any information regarding the frequency of diaper changes or having a diaper changing log. This agency has investigated the complaint alleging \342\200\234Staff do not meet the diapering needs of a daycare child.\342\200\235 Based on interviews and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiencies are being cited (see attached 9099D). A notice of site visit was given and must remain posted for 30 days. An exit interview was conducted, and a copy of this report was provided to the facility representative Stephanie Garcia. Page 3 of 3