complaint·March 11, 2025

During the investigation, IB Investigator Rante interviewed RP, 3 staff members, 1 child, 2 adults, 4 parents, reviewed medical record from CHOC, reviewed Orange County Sheriff\342\200\231s Department call report, and reviewed reports from Child Welfare Services (CWS). During the interviews, Staff #1 (S1) stated the following: On 11/05/2024, there were four children in care, including C1 and Staff #2 (S2) was present with S1 as well. There is no video surveillance inside the facility. S1 stated None of the children are allowed upstairs and none of the children attacked or pushed C1 to the ground. and either S1 or S2 were with the children all day downstairs. C1 arrived at the facility at approximately 0830 hours and was picked at approximately 1810hours. C1 did not cry that day and appeared to be happy to be picked up to go home. S1 did not observe any injuries on C1. As C1 was new to the daycare, S1 or S2 held C1 the entire day because if C1 was not held, C1 would cry. S1 denies physically abusing C1 and stated \342\200\234\342\200\246We\342\200\231re here to take care of children.\342\200\235 S2 stated the following: On 11/5/2024, C1 was dropped at approximately at 0900 hours and picked up at approximately 1810 hours. S2 did not see C1 fall. The children are not allowed on the couch or the stairs and none of the other children attached C1. S2 also denies physically abusing C1. Parent #1 (P1) stated when P1 dropped off C1 at the daycare in the morning, there were no injuries. P1 picked C1 up at the day care at approximate 1800 hours and did not see anything unusual. When P1 was about to give C1 a shower at home, P1 noticed C1\342\200\231s right arm appeared to be swollen. P1 reached out to S1 and S1 couldn\342\200\231t tell P1 anything. P1 then took C1 to the Emergency Room and that was when the X-rays showed there was a fracture. P1 stated accidents do happen and S1 is a nice person. P1 denied C1\342\200\231s injury occurred at home. IB Investigator Rante reviewed C1\342\200\231s medical records record from CHOC which noted C1 was initially seen for right elbow pain and swelling, X-rays revealed a right supracondylar fracture. The clinical impression notes in part, \342\200\234\342\200\246non-accidental trauma given unknown mechanism of injury.\342\200\235 IB Investigator Rante reviewed reports from Child Welfare Services (CWS) and the social worker concluded the allegation of physical abuse to C1 was determined to be inconclusive. Page 2 of 3 The IB investigator attempted to interview 1 child, but the child did not qualify for an interview. The other 3 daycare children were too young for an interview. IB Investigator Rante interviewed the parents of the daycare children that were present on 11/05/2024. None of the parents interviewed revealed anything concerning regarding the care their children received at the daycare. Based on information gather from IB investigator\342\200\231s interviews, medical report, and CWS report, the preponderance of (1) Day care child sustained unexplained fracture while in care has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegation s is UNSUBSTANTIATED. During the course of investigation, it was determined that licensee did not have a roster available by the request of the IB Investigator. Although the licensee\342\200\231s daughter provided a roster to the IB investigator several hours later; the Health and Safety Code states, \342\200\234This roster shall be available to the licensing agency upon request.\342\200\235 Also, the licensee became aware of the incident on 11/21/2024 and failed to report the incident by telephone within 24 hours to licensing office and submit the Unusual Incent/Injury Report (LIC 624B) within 7 days. California Code of Regulations, Title 22, Division 6, Health and Safety Code Section 1596.841 Current roster of children provided care in facility required and 1597.467(a)(b)(1)(2) Injury or acts of violence reporting requirements are being cited on the attached LIC9099D. Please refer to attached 9099D for documentation of deficiencies. Exit interview was conducted with Licensee, Maria Aldana. The Notice of Site Visit was posted. Licensee was informed that the Notice of Site Visit must be posted for 30 consecutive days. Licensee was provided with a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above. Page 3 of 3