Complaint·December 20, 2022

Page 2 Allegation: day care child was bit while in care: During the investigation, LPA interviewed 4 staff members including licensee and 4 parents. LPA attempted to interview the children, but no children qualified for an interview. During the staff interview, licensee stated the following: Parent 1 (P1) texted Licensee about the bite mark. When RP told the staff about the bite mark on 09/12/2022, that\342\200\231s when they saw it on the Child #1 (C1)\342\200\231s arm, it was very small couldn\342\200\231t really see it. Staff #1 (S1) stated P1 and Adult #1 (A1) notified them of the bite mark 09/12/2022. They didn\342\200\231t notice anything regarding a bite mark. S1 also stated it looked like a Lego indentation like C1 was lying on it for a long time. Staff #2 (S2) stated seeing a bite mark on C1 on 09/08/2022 when A1 showed it to S2. S2 also stated the biting happened once to the C1 and they didn\342\200\231t realize it happened until P1 and A1 told them the bite mark was on the C1\342\200\231s arm around the elbow area. S3 stated seeing a bite mark on the C1 one time on 09/08/2022 after being told by P1 and A1. S2 and S3 did not know how C1 got the bite mark or who bit C1. During the course of the investigation, LPA Torrence received pictures depicting a bite mark on C1\342\200\231s arm. After LPA Torrence reviewed the pictures, it was determined the pictures indicated the mark on the child was a bite mark. LPA Torrence contacted four parents. Interviewed parents had no issues or concerns. Allegation: day care child was left in a soiled diaper for a long period of time During the staff interview, S2 stated the following: They change the child\342\200\231s diapers 3 times a day or whenever the children poop. Diapers are changed in the morning before nap and after nap. Parents bring their own diapers, ointment and wipe, but the facility has extra if needed. A rash was noticed on C1 one time and the parent was immediately notified through a text message. The rash was noticed on C1 after nap. C1 had a bowel movement while C1 was taking a nap and S2 noticed the rash when S2 changed C1\342\200\231s diaper. P1 disclosed to S2 that C1 had really sensitive skin. P1 also stated to S2 that P1 would put cream on C1 when they get home. S2 did not apply ointment cream or put a diaper on C1, but S2 air dried the rash instead. S3 stated the following: Diapers are changed 3-4 times a day. Parents provide diapers, wipes, and ointment. The facility has some extra just in case. Last month a rash was noticed on C1. S2 changed C1 and showed S3 about the rash. Licensee and staff members stated children nap between an hour and two hours a day. During the course of the investigation, LPA Torrence received pictures depicting a diaper rash on the C1. LPA Torrence contacted four parents. Interviewed parents had no issues or concerns. 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, 102416(f)(1) Reporting Requirement and 102423(a)(2) Personal Rights are being cited on the attached LIC9099D. If the facility receives a Type A violation, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child\342\200\231s file. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days. 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. End of Report