complaint·August 26, 2022

Page 2 The complainant party (CP) reported 2 infants had pink eye and CP observed staff #2 (S2) does not clean and sanitize the infant toys, and classroom. CP disclosed the first week of June a staff was left with 6 infants alone and S2 does not change children’s diapers frequently resulting in diaper rashes. During the investigation LPA Odom interviewed complaining party, Director, and 6 staff members. LPA reviewed the Children’s Roster, personnel report, personnel records, time sheets, sign in and out sheets, and ProCare daily reports. Children were not interviewed due to the age group (0 month to 24 months) all the children are nonverbal and could not be qualified to interview. During an interview on 7/11/2022, the Director (S6) stated, recently there were outbreaks of Pink Eye and Hand, Foot & Mouth in the infant center. 1 child had Pink Eye and there were a few children that had Hand, Foot, Mouth disease. The children were sent home with a notice that they were not allowed to return to the childcare center until after 24 hours and with a doctor note. S6 was not aware if the outbreak was reported to Orange County licensing office or Department of Public Health. The staff are supposed to clean and disinfect daily during the day and a janitor cleans the classroom in the evening. Staff are supposed to use the booties in the infant classroom, but they were not being used due to slipping hazard. Staff have been provided slippers to wear while in the infant classroom only. S6 stated the infant classrooms have a daily schedule in which includes diaper changing and staff are supposed to document on the ProCare App every time the infant’s diaper is changed. If an infant has a diaper rash staff will notify the parents and parents will provide diaper rash cream. According to ProCare App staff have noted when diaper cream has been placed on child. S6 disclosed they were not aware staff #4 (S4) was left alone with 6 infants while staff #7 (S7) left to another classroom to assist with diaper changing Staff #1 (S1) stated on 5/27/22 at 3:00pm while working as a floater they observed S4 was alone with 6 infants in the toddler room for about 15 minutes, because S6 told S7 to go to the 2-year-old classroom and assist with diaper changing. S4 confirmed the incident that occurred on 5/27/22. S4 disclosed S6 was not familiar with the routine and S6 sent S7 to the 2-year-old classroom to assist with diaper changing. S4 disclosed they were alone for 10 minutes. Continue to page 3. Page 3 LPA Odom interviewed five staff members on 7/11/2022 and 8/11/2022. Three out of the five staff confirmed that C1 in the infant classroom had Pink Eye and there were multiple cases of infants with Hand, Foot, Mouth disease. S2 stated C1 arrived at the childcare with gunky eyes and they were sent home for 24 hours. All the staff disclosed they disinfect the classroom and toys daily. Staff #3 (S3) stated they observed S2 would not change the infant’s diapers according to the daily schedule. The days they had to work in the infant classroom S2 wouldn’t change the infant’s diaper and wait for S3 to change the infant’s soiled diaper. S3 would observe the poop dry and sticky as if it was sitting there for a while and infant’s bottom would be red. Staff #5 (S5) stated they have observed infant’s getting diaper rash while in care and S2 will verbally say they have changed child’s diaper but they don’t document it on the ProCare App. S5 has reminded S2 to make sure they are documenting every diaper change on the ProCare App. S2 stated they will check the infants diaper every hour and half unless they have a bowl movement. S2 stated there have been a few infants with diaper rash, they will put ointment that parents provide and document it. According to the ProCare App on 6/15/22 Child #2 (C2) did not have a diaper change after 4 hours. Based on LPA facility inspection, observation, interviews conducted with complainant party, director, staff members, and records reviewed it has been determined that C1 sustained pink eye, toddler room was operating out of ratio, S2 does not meet diapering needs resulting in diaper rash and facility does not provide clean and sanitary environment. Therefore, the preponderance of evidence standard has been met, the allegations are found to be Substantiated. California Code of Regulations, Title 22, 101223(a)(3) Personal Rights and 101212(d)(1) Reporting Requirements is being cited on the attached LIC 9099D. This report cites a Type A violation and shall be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file. Exit interview was conducted with Director Rebekah Bay. Director would like to be referred to the Technical Support Program (TSP) for consultation. Notice of Site Visit was posted during the visit, failure to post will result in civil penalties of $100. Appeal rights were provided and explained.