Disease outbreak check·October 18, 2024

On October 18, 2024, Licensing Program Analyst (LPA) Annelise Villa arrived at the facility for a case management visit. Present at the visit were Christian Brebu, Environmental Health Specialist, Dr. Rosita San Diego and Noely Garnica from the District Public Health Nurse and Rosa Ayala Lopez, Director. The purpose of the visit was to follow up on an Unusual Incident reported by the facility via telephone on October 9, 2024. The report indicated a recent outbreak of an unknown illness at the facility. During the visit, LPA Villa conducted a census of the children present and discussed the details of the outbreak. Description of Incident: The outbreak involved 31 children experiencing nausea, vomiting, and diarrhea between October 1, 2024 through October 17, 2024, across multiple classrooms. On 10/1/24, Child #1 experienced diarrhea On 10/4/24, Child #2 experienced vomiting On 10/2/24, Child #3 experienced vomiting and diarrhea On 10/2/24, Child #4 experienced vomiting and diarrhea On 10/14/24, Child #5 experienced diarrhea On 10/17/24, Child #6 experienced diarrhea On 10/3/24, Child #7 experienced diarrhea Continued on LIC 809-C During these incidents, affected children were sent to the isolation area and parents were contacted for pickup. Cubbies, cots, and sheets were washed and disinfected the same day, and this cleaning continues on a weekly basis. Children's blankets and clothes are cleaned by the facility, and affected children were not allowed to return until they were symptom-free. The local L.A. County Department of Public Health was notified of the outbreak by Rosa Ayala Lopez. A report number OB2024653 was provided. LPA Villa observed postings regarding a suspected communicable disease outbreak on the doors of each classroom. Director Rosa Ayala Lopez also stated that parents were informed via Learning Genie, an electronic communication system used by the facility. LPA confirmed that proper protocols for sanitizing and cleaning the facility were followed, including: Parents received an Exposure Notice. Additional cleaning was conducted, and floors, toys, surfaces, and furniture were sanitized in all classrooms. Staff have adjusted cleaning schedules to be twice daily, instead of the once daily. Staff notified the L.A. County Health Department and have been providing updates as cases arise. At this time, further follow up is needed. An exit interview was held. Appeal rights along with a copy of this report was provided at the time of visit.