Incident investigation·March 11, 2026

On Wednesday, March 11,2026 , Licensing Program Analyst (LPA) Staicy Perry conducted an unannounced case management- Incident inspection to follow up with an incident that was reported to the department. LPA Perry met with Director Eshani Malasekara, who guided LPA Perry on a tour of the facility. Per Director there are currently 44 children enrolled at the facility. Census was taken and LPA Perry observed 42 children in care at the time of inspection, which include infants and preschool. During the investigation, interviews were conducted with staff, director and parents and pertinent documentation was reviewed and obtained regarding the incident with child #1. The incident was reported to the Department on 3/9/2026 (Monday) for an incident that occurred on 3/6/2026 (Friday) which is in within the required 24-hour period and written report (LIC624) was received by the Department on 3/9/2026. It was reported that Child #1 was provided breast milk belonging to another child, child#2. The facility reported that the breast milk bags and bottles brought from home were not labeled, which resulted in staff #1 providing the incorrect breast milk to Child #1. According to the facility director, Child #1 was given approximately two ounces of another child’s breast milk, child #2’s breast milk, per staff #1. It was stated by Director that Staff #1 noticed when the mother of Child #1 picked up child #1 at pick up time, that the mother informed the staff member that that was not Child’s #1 bottle. The facility reported that the child did not show any signs of illness or distress and was reported to be fine. The facility stated that both parents of child #1 and child#2 were notified the same day the incident occurred. The director reported that the incident was discussed with the teacher responsible at the time and with the parents of the children involved. LPA Perry conducted staff interviews. Staff #2 stated that staff #1 informed them that staff #1 had accidentally gave child #1 the wrong breast milk bottle and that bottle belonged to child #2. Staff #2 stated that child #2’s breast milk had been stored in the refrigerator from approximately one week prior, as child #2 had been absent due to an illness. Staff #2 stated that the breast milk had remained in the refrigerator for an unknown exact amount of time. Staff #2 stated that bottles were not properly labeled with names and dates, which contributed to the mix up. Additionally, Staff #1 informed Staff #2 of the situation. Staff #2 stated that Staff #1 needs to be told to the facility director. LPA Perry interviewed the facility director, the director acknowledged that the breast milk containers and bottles were not labeled according to Title 22 Regulations. The director stated that staff were reminded that all bottles and breast milk containers must be clearly labeled with the child’s name and date to prevent incidents from occurring. The facility also reported that parents were reminded of the importance of properly labeling all bottles and breast milk brought to the facility. It was also mentioned that parent on child#2 is currently taking medication. Parents interviewed state that parent of Child #1 is currently in communication with child's #1 pediatrician to ensure child #1 will be okay. Per parent #1, child #1 had no had an signs of illness. During today’s visit, LPA Perry conducted an inspection of the bottles stored in the infant classroom refrigerator where the incident occurred and observed that multiple bottles were not labeled with the child’s name and date as required by Title 22 regulations, which poses a potential risk to the children in care.The facility did self report the incident and understood child#1 was under the supervision of staff #1and providing the wrong breast milk is a violation of a child's personal rights. It was disclosed to LPA Perry that staff#1 who was responsible for providing the bottle is no longer employed at the facility, as staff #1 voluntarily resigned following the incident. LPA Perry attempted to reach Staff #1 and was unsuccessful. Based on information obtained, the facility failed to ensure that breast milk was properly labeled prior to being provided to child#1, resulting in child #1 receiving child #2’s breast milk, which poses immediate risk to the health and safety of the children in care. Due to the facility acknowledging that the incident occurred and the Department confirming through LPAs investigation, the incident is deemed to have happened. Currently the facility is not in compliance with Title 22 regulations, and the deficiencies are being cited today for the safety of the children in care. The deficiencies listed on the following page was observed by the LPA Perry and is being cited in accordance with California Code of Regulations Title 22. One type A deficiency is being issued today and (1) Type B deficiency is being issued today. Please see attached LIC 809-D for citation. Deficiencies that are being cited need to be cleared to protect the children’s health & safety. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt. The following is being cited in accordance to Title 22 of the California Code of Regulations and Health and Safety Code of the State of California. Exit interview conducted with Director Ashani. Copy of this report provided Director Ashani. Appeal rights were provided and explained. Notice of Site visit posted. Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100 civil penalty.