Complaint·April 20, 2026

LPA interviewed 6 staff including the director, 7 children and 3 parents. LPA reviewed documents obtained such as Parent Handbook, Medical Assessment for C1 and C2 and Orange County Sheriff's Department dated 2/17/26. 5 Staff stated they assess children for illness, and they notify the child’s authorized representative after assessing the children. Staff 4 (S4) stated that C1 kept touching their back inside the underwear in the morning. S4 stated by the 5 th or 6 th time, they asked C1 if there was something wrong and C1 told S4, there was blood in their bottom. At this time, S4 stated, nothing was communicated to C1’s parents because they were still observing C1. S4 stated they brought C1 to the restroom with Staff 3 (S3) while having visual on both of the restroom and the classroom. S4 stated they asked C1 to bend over and touch C1s toes. S4 stated they observed something like pinworms but they were not certain. Then they asked Staff 1 (S1), who is a non-medical staff to step in since S1 has previous experience with pinworms. S1 stated they took C1 to the restroom with Staff 4(S4) and asked C1 to bend over touching their toes. S1 confirmed with S4 that they suspected it was pinworms on C1s bottom. S1 stated they were also told that C2 was also itching their bottom. S1 stated they did the same procedure and asked C2 to bend over touching their toes. S1 stated S2 was in the restroom with them during the assessment of C2. S2 stated, S1 was wearing gloves. S2 stated C2 pulled down and pulled back on their own pants before and after physical examination on C2s bottom. Director confirmed there was a prior conversation in 2025 about C2 that the authorized representative prohibits the facility to assess C2 without prior consent. Director also confirmed they are not medical professionals to diagnose sickness. LPA reviewed medical assessments for both C1 and C2. Based on the medical assessments, none of the children were diagnosed with Pinworms. LPA interviewed 3 parents, none of the parents interviewed disclosed any information that could support the allegation. Page 2 of 3 7 children interview conducted. 3 children stated the doctor checks their bottom. 4 children stated Mommies and Daddies check their bottoms. Authorized representatives of C1 and C2 did not allow LPA to conduct an interview. On 4/16/26, LPA received a report from Orange County Sheriff's Department dated 2/17/26, stating the report as informational only. LPA reviewed Parent Handbook. Parent Handbook did not specify a health check will be perform if child becomes ill in school. Director was reminded about the Health-Related Services regulations “ The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken.” Based on interviews and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation that Staff performed unauthorized physical examinations on daycare children without proper consent is found to be SUBSTANTIATED. See LIC9099D for 1 Type B violation. An exit interview was conducted, and report and deficiency were reviewed and discussed with Director, Celeste Cisna. The Notice of Site Visit was posted during the visit and must remain posted for 30 consecutive days. Appeal Rights provided. Page 3 of 3 Reporting Party (RP) stated they were not notified that Child 2 (C2) was also assessed by staff privately. 5 Staff stated they assess children for illness, and they notify the child’s authorized representative after assessing the children. Staff 1 (S1) stated they notify parents of any examination conducted. Staff 2 (S2) and Staff 3 (S3) stated the office notifies parents of illness. Staff 4 (S4) stated if there are injuries, they take a photo and send it to parents through Procare. If it is a health concern, S4 stated the office notifies the parents. Staff 5 (S5) stated they notify parents of health examination. Director stated they called C1 and C2 representative and notified them through a phone call of their observation and then sent a Procare notification after. LPA reviewed Procare notifications dated 2/11/26 to the authorized representatives notifying of C1 and C2 observations. LPA interviewed 3 parents, none of the parents interviewed disclosed any information that could support the allegation. 7 children interview conducted none of the children interviewed disclosed any information that could support the allegation. Authorized representatives of C1 and C2 did not allow LPA to conduct an interview. Based on the interviews conducted and records reviewed, the preponderance of evidence standard has not been met. Although the allegation of Staff did not properly report incidents involving daycare children may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted and report was reviewed and discussed with Director, Celeste Cisna. The Notice of Site Visit was posted during the visit and must remain posted for 30 consecutive days. Appeal Rights provided. Page 2 of 2