complaint·February 7, 2024

Page 2 Per interviews, the Licensee had conducted an infant sleep check on two children, including Child 1, napping in the infant room at approximately 2 PM. The Licensee went on to the kitchen at the front of the home for a few minutes to prepare a snack, which typically took around 7 to 10 minutes, while Child 2 was in the learning room adjacent to the infant nap room. After a few minutes of preparing the snack, the Licensee inquired with Adult 1 about the whereabouts of Child 2 since they were no longer visible in the learning room. Adult 1 advised that Child 2 must have gone to use the restroom which is located in the infant nap room. Licensee entered the infant nap room and heard Child 1 crying and saw they had scratches all over their face. It was reported that parents of Child 2 inquired with Child 2 to determine what happened and Child 2 stated they scratched and pushed Child 1.Licensee notified Child 1\342\200\231s parent who picked up Child 1 and took them to Kaiser Permanente Urgent Care. Comments from the physical exam noted that Child 1 had multiple abrasions on the face, neck, around nose, forehead and a possible questionable bite mark on the forehead. Based on the interview with the pediatrician, Child 1 would have cried immediately and it would have taken more than a couple of minutes for the injuries to be sustained. Although the Licensee had conducted an infant sleep check minutes before the incident occurred, the facility failed to properly supervise child 1 and child 2. Therefore, the allegation is substantiated. The preponderance of evidence standard has been met. California Code of Regulations, (Title 22, Division 12, Chapter 1), are being cited on the attached LIC 9099D and a civil penalty of $500 is being assessed for a violation resulting in injury of a person in care. Child 1, Child 2 and Adult 1 are identified on Confidential Names form (LIC811).The notice of site visit was posted where the parent/guardian of children enter and exit the facility. A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility. Both the notice of site visit and licensing report shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. 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\342\200\231s file, acknowledging receipt. Licensee was advised that due to the severity of the complaint findings, a Non-Compliance Conference is scheduled for February 22, 2024. Licensee was also advised that a copy of this report will be provided to the Resource and Referral Agency per an agreement between CDSS and the R&R network. Exit interview conducted and a copy of this report and appeal rights were given to the Licensee, Chandrika Gamaralalage.