Incident investigation·June 27, 2025

****visit conducted in Spanish***** On June 26, 2025, Licensing Program Analyst’s (LPA’s) Staicy Perry and Joanne Solorio conducted a Case Management Incident visit at the above facility. The visit was conducted in response to a self reported Unusual Incident Report submitted to the Department on May 23, 2025. Upon arrival, LPA’s met with Licensee Maria Aldana and explained the purpose of the visit. A walkthrough of the home was conducted. During the inspection, LPA observed three children in care. The home was operating within its licensed capacity and maintaining appropriate staff-to-child ratios. Report was submitted in a timely manner according to Title 22 Regulations. The incident involved a child in care (C#1) who developed a fever around 11:00 AM. The licensee administered Children’s Motrin , which had been previously authorized by the C#1’s parent and left at the facility for such use. The licensee contacted the C#1’s mother to notify her of the situation. The mother indicated that she was not available but would arrange for another authorized representative to pick up the child (A#1). Due to the C#’s 1 slowly increasing temperature, the licensee informed the mother that C#1 to be picked up. A#1 picked up the C#1 shortly after. Later in the day, the licensee received a text messages from A#1 alleging that C#2 was caressing Child #1’s face and hair during bottle feeding and C#2 allegedly slapped C#1 in the face. LPA’s reviewed the child’s medication forms. Although present, the forms were incomplete and missing required sections related to medication authorization. LPA’s informed the licensee that all sections of the LIC 9221 (Parent Consent for Administration of Medication) must be fully completed for both prescription and non-prescription medications. LPA’s spoke to the parent of C#1, who confirmed that authorization had been granted for non-prescription medication and committed to completing the required forms correctly. LPA reviewed records, observed the environment, and conducted interviews, including with Child #2 (age-appropriate). There was no evidence observed or substantiated through interviews or documentation to confirm inappropriate physical contact or mistreatment occurred between C#2 and C#1. LPA’s also confirmed with licensee and C#1’s mother that authorization to administer medication was given. Mother of C#1 did sign a declaration stating she did authorize licensee to administer medication and acknowledges that the form was not filled out correctly. Based on observations, interviews, and documentation reviewed, no violations of Title 22 regulations were substantiated. The facility is currently operating in compliance with Title 22 Regulations. A Technical Violation was discussed regarding incomplete medication authorization forms. A Notice of Site Visit was issued and must remain posted at the facility for 30 consecutive days. Failure to comply with posting requirements may result in a $100 civil penalty. An exit interview was conducted with the licensee Maria Aldana . Appeal rights were provided and explained.