complaint·July 2, 2024

Upon pickup C1 was observed to be: “off, speaking nonstop, unable to sit or sleep and vomiting episodes”. C1 was taken to receive medical attention where a “rapid test” was completed resulting in a positive result for meth/amphetamine. Per P1, exposure could only have happened at facility. On 5/30/24, during 10-day inspection, licensee informed IB investigator that C2 experienced symptoms and tested positive for methamphetamine. P2 stated C2 experienced the following symptoms: “strange behavior, nervousness, nonstop talking, hand gripping, and didn’t want to sleep, eat, or drink on 05/21/24 and 05/28/24.” On this same 10-day inspection at the facility, IB investigator found medication bottles and medicine in a kitchen drawer. The medication belongs to S1. On 5/30/24, C3 began experiencing symptoms after being picked up from the daycare. P3 stated C3 was taken to the first hospital on 05/31/24 at approximately 12:15 a.m. and was told C3 could possibly have had absence seizures. During this hospital visit, they did not run any tests on the C3 and sent C3 home. P3 and W1 notified licensee on 5/31/24, of C3 symptoms, once in the morning and again in the afternoon on 5/31/24. Licensee failed to report C3s condition as required on the next business day, which was Monday, 6/3/24. P3 stated that C3 tested positive for meth on 05/31/24. Furthermore, W2 also informed IB investigator that C3 tested positive per Tara, the licensee. On 06/04/24, The licensee did not disclose anything about C3, to IB investigator, it was only after IB investigator asked for C3s information, that licensee disclosed C3 had a seizure. On 6/04/24, licensee submitted a written Unusual Incident/Injury report (LIC624) documenting that licensee became aware of C3 on 06/01/24 thus, contradicting statements from P3, W1 and W2. (W3) saw C2 on or around 5/28/24, with symptoms, and C2s body slumped over and C2 had no strength. W3 stated that (S2) assisted C2, W3 also states that S2 and (S3) knew about C2 symptoms. S2 admits to noticing C2s symptoms and condition change on 5/22/24 and 5/28/24, and that S2 notified S3. S3 told S2, to, “Tell the parents when they picked-up C2”. (W4), admits, “There have been times when a child has had a change in condition, and licensee and S3 did not do anything, and we had to wait for the children's parents to pick them up.” -- Page 2 Based on medical evidence reviewed, bio-hazard reports, staff and parent interviews, and incident timelines, the preponderance of the evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Licensee was informed an Enhanced Civil Penalty determination is pending. During the investigation, it was determined additional citations are warranted related to this complaint investigation. California Code of Regulations, Title 22, Division 12, are being cited on the attached LIC9099D. LPA Cleveland and LPM Navarro informed licensee Tara that this report dated 07/02/2024, documents three (3) Type A citations, and the notice of site visit, shall remain posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care. The notice of site visit was posted where the parent/guardian of children enter and exit the facility. Also, LPA Cleveland and LPM Navarro informed the licensee Tara to provide a copy of this licensing report dated 07/02/2024, that documents any Type A citation(s) to parents/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 (LIC 9224), or other written statement, must be placed in the child's file for verification. Exit interview conducted and report was reviewed with Licensee Tara Perera, during which appeal rights were explained. A copy of the appeal rights (LC 9058 (3/22)) was provided. --- Page 3