complaint·January 10, 2023

Page 2 Allegation: facility staff are not assisting children with hygiene needs: Ten interviewed staff stated children’s noses are cleaned whenever they see them dirty. During the parent interview, Parent #5 (P5) disclosed witnessing children’s noses dirty. P5 stated always seeing children’s noses dirty with green snot running from them. P5 stated when the facility sends pictures of their child through Bright Wheel application, there were green snot hanging from child’s nose and the other children’s noses in the pictures. RP stated staff members don’t clean off the children’s faces when they have mucus running out of their noses and RP would have to ask staff to wipe their child’s nose. Allegation: facility did not report outbreak to licensing office. Two out of 10 interviewed staff stated two children had drainage from both eyes and was told by each parent the child had an infection in both ears and eye drops were applied, no pink eye was reported by parents. Five out of ten interviewed staff disclosed there were one or two cases of children with pink eye. Staff1(S1) stated there were four confirmed cases of Hand, Food, and Mouth at the facility in October 2022. S1 also stated the outbreak was not reported to licensing office. All interviewed staff disclosed parents were informed about the Hand, Foot, and Mouth outbreak through an application called Bright Wheel. Four of the five parents had no issues or concerns. One interviewed parent (P5) had concerns with children’s noses always being dirty. During the course of the investigation, LPA obtained copies of messages, that was sent to parent via Bright Wheel application, informing them of the outbreak of Hand, Foot, and Mouth disease. During the course of the investigation, LPA determined there were no outbreak of pink eye at the facility. Based on LPAs interviews and documents review the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1, 101428(b) Infant Care Personal Services and 101212(d)(1)(E) Reporting Requirement are being cited on the attached LIC9099D. Exit interview was conducted. The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) will be provided through email and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.