Incident investigation·December 4, 2025

Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced Case Management inspection, for the purpose of following up on an incident reported to the Department on 11/25/2025. Upon arrival at 2:20pm, LPA met with Facility Representative Deanna Nancarrow, to whom the purpose of the inspection was explained. A tour of the facility was provided and census was taken. There were 20 children with 5 staff members. On 11/24/2025, Child #1 was given the incorrect breast milk bottle by Staff #2. Staff #2 was filling in on another teacher's lunch break and accidentally provided the wrong bottle to Child #1. There were no injuries or illness reported in relation to the self reported incident. LPA toured the classroom and observed where bottles are stored and labeled. Staff #2 stated that they were a part of the affected classroom previously, but moved on to another classroom. Per Staff #2, due to changes in color coding since they were last in the class, the color associated with Child #1, that Staff #2 was familiar with, now belonged to Child #2. Parents of Child #1 and Child #2 were both contacted after the incident. Per Staff #1, they have increased communication and labeling areas of the counter where bottles sit so that it is specific to each child in care. Based on the information above, there was a violation of Child #1's Personal Rights. On 02/04/2025, the facility was cited for a similar incident of Personal Rights being violated. An immediate $250 civil penalty is being assessed for Repeat Violation. LPA Tcheng informed Facility Representative that this report dated 12/04/2025 documents One Type A citation, which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, and personal rights of children in care. REPORT CONTINUES PAGE 1 of 2 Also, LPA Tcheng informed the Facility Representative to provide a copy of this licensing report dated 12/04/2025, that documents any Type A citation, to parent/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC9224), or other written statement, must be placed in the child's file for verification. The deficiencies listed on the following pages were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809D for deficiencies that are being cited and need to be cleared to protect the children\342\200\231s health & safety. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Facility Representative Deanna Nancarrow, at 3:35pm. Copy of Report provided. END OF REPORT PAGE 2 of 2