complaint·June 12, 2025

Reporting Party (RP) stated a toddler attempted to pull a child\342\200\231s head by the hair down forcefully and aggressively; a child pushed another child intentionally to where the child hit his the head on the wall; Staff have mixed up infant bottles and sent the wrong items home; the office failed to inform parents in a timely fashion about Hand, Foot, and Mouth Disease; no communicate was sent to parents about an outbreak; a child has been sick once a month due to daycare; the toddler room is not fully staffed on occasion. During the investigation, LPA interviewed 6 staff members, 5 parents, collected Facility Family Handbook (6/2024), Sample of Incident Report Form, Monthly Newsletters (9/2024, 6/2024, 1/2025, 2/2025, and 3/2025) and reviewed records which included Child Care Roster. LPA also conducted classroom observation, reviewed the Face to Name sheets, and reviewed live video footage. Regarding allegation: Staff did not prevent infant from harming other infants in care: During the staff interviews, 6 out of 6 staff interviewed stated they prevent infants from hurting each other by setting infants apart from each other, talking with infants, having children play with toys set-up. Staff #5 (S5) stated \342\200\234if a child is known to hurt or become aggressive, I won\342\200\231t place him/her near other children. I will read their body language before they have contact with other children. We talk to child and prevent it.\342\200\235 Per facility Parent Handbook, Staff will work with children to help them set their own limits. Facility guidance policy is proactive rather than reactive. Staff uses positive methods to support and guidance that encourage self-esteem, self-control, and self-direction. During the classroom observation on 5/1/25, infant and toddler classrooms were comfortable for staff and children. All children were busy playing with toys and were not observed to be hurting/hitting each other. Regarding allegation: Staff did not return infants items to correct authorized representative: During the staff interviews, 6 out of 6 staff interviewed stated facility has a policy in place to store used/empty baby bottles inside infant\342\200\231s individual basket. Staff #1 (S1) was asked what do you do with infant empty bottles? S1 stated \342\200\234we put empty bottles and food containers inside individual child\342\200\231s box on top of sink. As parents pick up their child staff will gather child\342\200\231s belongings from their individual box and place empty containers and bottles inside child\342\200\231s lunch box\342\200\235. Staff #2 (S2) stated \342\200\234if child finishes food or bottle it goes inside child\342\200\231s basket. If child does not finish bottle, we will try to feed child again within the hour if child will not finish bottle after an hour, we place bottle in individual box\342\200\235. Page 2 of 5 Staff #2 (S2) stated \342\200\234if child finishes food or bottle it goes inside child\342\200\231s basket. If child does not finish bottle, we will try to feed child again within the hour if child will not finish bottle after an hour, we place bottle in individual box\342\200\235. Staff #3 (S3) stated \342\200\234Each baby has a basket with their name and anything that belongs to that baby get put inside that basket\342\200\235. LPA asked 6 facility staff if they have sent the wrong item to the wrong child? 6 out of 6 staff denied they have sent the wrong items with children/families. LPA observed in all Monthly Newsletters provided (9/2024, 6/2024, 1/2025, 2/2025, and 3/2025) parents were reminded by facility to label children belongings. Also, Facility Family Handbook (6/2024) page 17 states to \342\200\234please place your child\342\200\231s first name and last name (in permanent ink) on each article of clothing and all other personal items you bring to the school\342\200\235. LPA asked facility staff how do they know what items belong to correct child? Staff #6 (S6) stated generally the parents label the items. S6 asked staff to remind parents to label items. Sometimes, if parents forget (staff) will label items. Staff #3 (S3) stated something's are labeled or staff will label things for children and remind parents to label items \342\200\235 . LPA observed infant individual containers/baskets in classroom labeled. Regarding allegation: Staff did not implement proper sanitation procedure in the facility: During the staff interviews, 6 out of 6 staff interviewed stated they use the 3 Step Solution to clean classrooms. S1 stated \342\200\234we use the 3 steps: soap, water, and bleach steps before we use the tables. We sweep floors after every meal and use Swiffer mops in classrooms. We do not wash children\342\200\231s containers, we put them in basket to take home\342\200\235. S3 stated \342\200\234every morning breakfast, lunch, and snack we clean tables with soap, water and bleach. We try to sweep the floors after every meal\342\200\235. S6 stated \342\200\234they use soap water and disinfectant. We are only allowed to use certain disinfectants with the children.\342\200\235 S4 stated \342\200\234we use soap, clean up then use water and finally bleach. We do 3 step procedure. We sweep after meals. We will put toys in boxes and baskets\342\200\235. Staff was asked if they had a recent hand, foot, and mouth outbreak. 6 out of 6 staff stated they had a recent 6 case hand, foot, and mouth outbreak on 2/6/25. All 6 staff stated they sanitized toys and classroom materials and parents were notified by office staff or facility director after the outbreak. Page 3 of 5 Regarding allegation: Facility does not have adequate staffing: During the staff interviews, 6 out of 6 staff s tated if they need support/help in classroom with children, they will call front office and front office will send assistance. S1 stated \342\200\234we help each other from infant to toddler classroom\342\200\235. S2 stated \342\200\234I will call administrators for help, and they will send staff to help\342\200\235. S3 stated S3 will call the office if S3 is out of ratio. S4 stated \342\200\234if I am going to be out of ratio, I\342\200\231ll immediately call the office to inform them, and the office will send someone to help\342\200\235. S6 stated \342\200\234we help staff. They will call the office or use walkie talkie, or ( kitchen staff ) and we will go out to help them\342\200\235. During the inspection on 5/1/25, LPA observed extra staff available to support staff in classrooms and the facility was in compliance with the ratio requirement. During the investigation, LPA obtained and reviewed Children Sign in & out Sheets along with the Face to Name sheets for 4/24/25 and 5/20/24. The facility was found in compliance with the ratio requirement. Regarding allegation: Facility did not report incidents to authorized representative: During the staff interviews, 6 out of 6 staff stated they complete Incident Reports and send messages to parents through Sprout About or inform director and director will call parents. S2 stated \342\200\234we will sooth child, address injury, notify ( director ) about the injury and then fill out injury report. It\342\200\231s a carbon copy and parent takes yellow copy, and white copy stays in center. Administrators will call and notify parent. S3 stated \342\200\234notify the office and the office notifies the parents. We have to complete an Incident Report.\342\200\235 S4 stated \342\200\234we tell the office what happened, then we complete incident report, and write what we did to sooth child; where was injury, and who was affected. There is a section to be completed by office after they called parent.\342\200\235 LPA conducted interviews with 5 parent and 5 out of 5 parents stated they are satisfied with facility. LPA did not interview children due to children were being young and non-verbal. Based on LPAs observations, interviews which were conducted, and records reviewed, the preponderance evidence of staff did not prevent infant from harming other infants in care, staff did not return infant\342\200\231s items to correct authorized representative, staff did not implement proper sanitation procedures in the facility, facility does not have adequate staffing, and facility did not report incidents to authorized representative has not been met. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated . Page 4 of 5 Exit interview conducted and report was reviewed with Director. Notice of Site Visit was posted and must remain posted for 30 days. Failure to comply with the posting requirements shall result in an immediate civil penalty of $100. Appeal Rights were explained. The Director was provided with a copy of the appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above. PAGE 5 OF 5