Incident investigation·June 26, 2023

Licensing Program Analyst (LPA) Judy Mora conducted a case management inspection due to an incident that occurred on 05/26/2023. LPA met with Director, Cristina Spik, who guided LPA on a tour of the facility. LPA conducted interviews and obtained documentation during this visit. The incident that occurred on Friday, May 26, 2023, was reported to the Department on Tuesday, May 30, 2023. Monday, May 29, 2023 was a legal holiday. The facility reported the incident in a timely manner. The incident which occurred consisted of C1 being given a food by with a known allergy by S1. The child began to have an allergic reaction on site. Based on the information obtained from staff interviews and records obtained, staff gave child a food with a known allergy. The child's allergies were listed on the LIC 701, Physician's Report dated 08/26/22, Child's Preadmission health history LIC 702, Child's Application for Enrollment and Authorization & Instructions for Dispensing Medication. It was found that the allergy was also posted in the classroom. The facility was in violation of child #1's Personal Rights, each child shall be accorded safe, healthful and comfortable accommodations. *REPORT CONTINUES ON NEXT PAGE Upon receipt of this report, the licensee shall post ANY licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year. A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided to the Director. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. The deficiency listed on the following page was observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809d. Deficiency that is being cited needs to be cleared to protect the children’s health & safety. Exit interview was conducted with Licensee. Appeal rights explained & provided. *END OF REPORT