complaint·August 22, 2024

Page 2 of 3 Mouth Disease. When it was reported to school, R/P was told several children have hand-foot-mouth disease. During the course of investigation, LPA interviewed 6 staff working in that particular group of children. Ten parents were contacted of whom 2 parents responded. staff # 1 (S1) stated Child # 1 (C1) was fine when present at school on 7/15/2024. C1 did not attend on 7/16 and 7/17. S1 stated that they were notified on 7/17/2024 that C1 has been diagnosed with Hand, Foot, and Mouth Disease (HFM). On 7/17/2024 they notified all the families to let them know that a case of Hand, Foot, and Mouth Disease has been confirmed. No other families disclosed of any other cases on their children. S1 stated they did not confirm with any children\342\200\231s representatives that there are more cases confirmed. C1 did not attend school for 5 days after facility was being notified. S1 stated meanwhile there were 4 other children with fever sent home on different dates but there was no confirmation of Hand, Foot, and Mouth Disease. C2 was sent home for tommy hurting and temperature of 100.8 on 7/12/2024. C2 did not attend for 3 days. It was confirmed later C2 had eczema. (C3) was out 7/10, 7/11, and 7/12, 2024. C3\342\200\231s case was not confirmed for H, F, and M Disease except for having eczema. (C4) was out 7/17, 7/18, 7/19, and the weekend. C4 is back with no fever. No case of H, F, and M Disease was confirmed for C4. S2, S3, S4, S5, and S6 did not confirm that they had an outbreak of Hand, Foot, and Mouth Disease. They stated only one case was confirmed and reported to the facility on 7/15/2024. Staff stated they watch children closely to make sure children are healthy. As soon as they find a child is not feeling well or has temperature, the child\342\200\231s representative is called for early pick up and the child is isolated. They also sanitize the area the sick child has been in contact with. They said children with fever cannot attend the school until they are fever free for 24 hours. In severe cases, doctor\342\200\231s note is required if the child is back sooner than the expected time. Staff stated they are not doctors to diagnose a child\342\200\231s illness. They would not know the sickness of the child if the parents disclose to them. Some children get over a simple fever in a day or two without seeing a doctor. LPA reviewed the Internal Kindercare Child Supervision Record (CSR) for those children mentioned above. LPA found out children were sent home and did not come back the next day to the facility. LPA also reviewed the communication between facility staff and parents for early pick up for the above children. Continued on page 3 Page 3 of 3 During the course of interviews with six staff, and 10 parents of whom 2 responded with positive feedback, and reviewing of documents related to the allegation, there is not enough proof or evidence to support the above allegation occurred or did not occur. This agency has investigated the complaint alleging \342\200\234Staff did not prevent hand, foot, and mouth outbreak.; although the allegation 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. Notice of Site Visit was posted. The notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. In the areas which were investigated, no deficiency was cited today. The director, Shannon Valdez was provided a copy of their appeal rights (LIC 9058 1/16) and their signature on this form acknowledges receipt of these rights. Exit interview was conducted with director, Shannon Valdez. The report ends here.