complaint·June 4, 2025

(Page 2) During the investigation, LPA Garcia interviewed staff, reporting party, and children’s authorized representatives, obtained email correspondence, enrollment agreement, infant needs and services plan, diaper changing procedures poster, staff timecards, children supervision records (CSRs), incident reports, and children’s roster. All staff interviewed stated they follow facility diaper changing procedures which includes preparing and washing, wearing gloves, removing diaper, cleansing child, applying cream if applicable, change into new diaper, washing disposing, disinfecting, final washing, and logging diaper change in app. Based on observations, on 5/15/25 at 11:50am, LPA observed an infant wake up and at 11:55am, Staff 13 (S13) changed diaper, wore gloves, sprayed mat, closed disinfectant cabinet, and did not wash hands after diaper change. At 11:59am, LPA observed S13 mark the diaper log and feed another infant after not washing hands. Throughout the investigation, LPA interviewed 5 children’s authorized representatives. Representatives interviewed made no disclosures regarding the allegations. Based on observations, interviews and record review, it has been determined that facility staff are not following proper sanitation practices between diaper changes. Therefore, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1 Section 1 01438.1 Infant Care General Sanitation is being cited on the attached LIC 9099D. Exit interview conducted and report was reviewed with the director, Jennifer Patterson. A notice of site visit was given and must remain posted for 30 days. End of Report Page 2 During the investigation, LPA Garcia interviewed staff, reporting party, and children’s authorized representatives, obtained email correspondence, enrollment agreement, infant needs and services plan, diaper changing procedures poster, staff timecards, children supervision records (CSRs), incident reports, and children’s roster. All staff interviewed stated they always provide children with adequate supervision and report incidents in a timely manner. All staff stated they report incidents via the app, or an incident report and the director is available to step into the classrooms as well. All staff stated when children are ill with symptoms they cannot return until 24 hours or with a doctor’s note. All staff denied every being out of ratio. Based on record review, incident reports are being completed and provided to children's authorized representative in a timely manner. LPA reviewed staff timecards and children supervision records and did not find enough evidence to corroborate the allegations. Throughout the investigation, LPA interviewed 5 children’s authorized representatives. Representatives interviewed made no disclosures regarding the allegations. Based on interviews, observations, record review, the allegations that: (1) Licensee does not take adequate measures to prevent outbreaks in the facility, (2) facility staff are operating out of ratio, (3) facility staff are not providing proper supervision to infants resulting in multiple unexplained injures, (4) facility staff did not report an unusual incident to the child's authorized representative in a timely manner are unsubstantiated. 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. Exit interview conducted and report was reviewed with the Director, Jennifer Patterson. No deficiencies cited. A notice of site visit was given and must remain posted for 30 days. End of report