Complaint·April 30, 2025

RP1 and RP2 alleged, “Staff do not ensure reporting requirements are being followed”. Per RP’s, staff are not documenting incidents that occur at the center. LPA interviewed S2 and S4 who indicated that there were no injuries with C1 while in care at the facility. Per S3, there are no know incidents that occurred with C1. LPA reviewed C1's file and did not observe any injury/incident reports in the file. LPA interviewed P2 and P3, who did not corroborate with the allegation. LPA was unable to interview P1. RP1 and RP2 alleged, " Staff do not ensure adequate care and supervision is being provided". Per RP1 and RP2, C1 was getting bullied by other boys at the center by pulling her hair. LPA interviewed S1, S2 and-S4 who stated, that they feel the facility provides adequate care and supervision. However, S1, S2 and S4, did acknowledge that there are times when children pull hair. Per S1, S2 and S4, when that occurs, they talk to the children and notify the families of what occurred. S1, S2 and S4 stated that hair pulling has occurred, but did not occur with C1. LPA interviewed P2 and P3 who stated, that they feel the facility provides adequate care and supervision to the children. LPA was unable to interview P1. RP1 and RP2 alleged, " Personal Rights: Child sustained unexplained bruises while in care". Per RP1 and RP2, C1 sustained multiple bruises on both the shins. Per RP's, they do not know where the bruises came from but suspected that it's from the other kids being mean and kicking C1 and the staff not paying attention. LPA interviewed S2 who stated that there are times when child kick if they fighting over a toy but S2 talks to the children, redirects the children and talk to the parents. Per S4, children may kick their leg up at times and accidentally kick another child, but also talks to the children about how kicking their leg up may harm another child. Per S1-S4 there were no observed kicking incidents with C1. LPA interviewed P2 and P3, who did not corroborate with the allegation. LPA was unable to interview P1. Based on interviews conducted, the above allegations are deemed UNSUBSTANTIATED. There is not enough evidence or witnesses to substantiate, therefore, allegations are rendered Unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged allegations occurred. An exit interview was conducted with Program Manager, Bertha Rodriguez and a copy of this report was provided along with Appeal Rights. A Notice of Site Visit was provided and must be posted for 30 days. RP1 and RP2 alleged, " Staff do not ensure children's dietary meal plan is being followed". Per RP's, "C1 has special needs when it comes to food intake and the portions need to be small so that C1 can chew and swallow the food servings. RP's, stated that C1 got sick and vomited due to eating to much food due to the staff not monitoring C1 food intake". LPA interviewed S1-S4 who stated they give the children small portions of snacks and if the child request more staff give the children are given additional small portions. LPA reviewed snack menus in all the classrooms. LPA interviewed P2-P3 who stated they receive a monthly snack menu. While reviewing the snack menu, LPA did not observe serving portions listed on the snack menu. LPA asked S1-S4 how they measure the snacks, S1-S4 stated they just provide a small portion and demonstrated with their hands, a hand full. LPA informed the director that snacks need to be measured in accordance to the age of the child and if the child has a dietary plan, that also needs to followed. LPA did not observe a meal/dietary plan in C1's file. Based on observation and interviews conducted the above allegation is deemed SUBSTANTIATED. A finding of Substantiated means that the preponderance of evidence standard has been met. Although the facility has a snack menu available they are not following Title 22 Regulations, to ensure that the proper portions are being provided to the children. The facility is being cited a Type B deficiency, see LIC9099D. The facility has provided LPA with a copy of May 2025 snack menu where portions sizes are now included. An exit interview was conducted and a copy of this report was provided to Program Manager, Bertha Rodriguez along with Appeal Rights. A Notice of Site Visit was provided and must be posted for 30 days.