complaint·September 12, 2025

During the investigation, LPA toured the facility, obtained copies of the children’s roster and personnel report. LPA also conducted interviews with 8 staff members and 4 parents. During staff interviews, the director confirmed that she did not report 14 cases of hand, foot, and mouth outbreak to the licensing office. The director stated that she was told by the health department that she did not need to report the outbreak to the licensing office unless there were 20 or more cases on each license. LPA confirmed that there is no record on the facility’s file of an outbreak being reported during the month of June 2025. During the 4 parent interviews, the 4 parents did not divulge any information pertaining to the allegation or express any concerns regarding care of the children. Based on information gathered from LPA’s staff interviews, record review, and parent interviews the preponderance of evidence has been met; therefore, the allegation of (1) Facility did not report Hand, Foot, and Mouth outbreak to licensing is SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 Section was being cited on the attached LIC9099D. Please refer to attached 9099D for documentation of deficiencies. Exit interview was conducted with Director, Kelsie Nanez. The Notice of Site Visit was posted. Director was informed that the Notice of Site Visit must be posted for 30 consecutive days. The Director 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 2 of 2 On 7/3/25 the Orange County Child Care Office received a complaint alleging (1) Facility did not provide safe and healthful accommodations for children. Reporting Party (RP) stated the following: RP has a concern regarding the way the director is handling the epidemic outbreak. Around June 13, 2025 there have been around 50 cases of hand, foot, and mouth disease. The director is not taking precautionary steps to prevent the hand, foot, and mouth outbreak from spreading to the children, such as deep cleaning the classrooms. During the investigation, LPA toured the facility, obtained copies of the children’s roster and personnel report. LPA also conducted interviews with 8 staff members and 4 parents. During staff interviews, the director and assistant director stated there were 14 infant age children that were infected with hand, foot, and mouth disease during the month of June. The director stated the following: staff members were sanitizing more than usual. Sanitizing all the toys and all the surfaces, staff members were using sanitizing products multiple times a day. Having staff members wash their hands and using gloves as well. We didn’t hesitate when we observed blisters on the children, we would sent them home right away. 7 staff members stated during the outbreak they cleaned the classroom and sanitized the classroom toys. 3 staff members stated a cleaning crew comes to the facility to clean the classrooms on Tuesday, Thursday, and Saturday. 6 staff members stated the children that were infected with the disease were not allowed to return to school until the blisters were popped, healed, and dried. During the 4 parent interviews, the 4 parents did not divulge any information pertaining to the allegation or express any concerns regarding care of the children. Based on information gathered from LPA’s interviews with staff members and parents, the preponderance of evidence has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (1) Facility did not provide safe and healthful accommodations for children; therefore, the allegation is UNSUBSTANTIATED. Exit interview was conducted with Director, Kelsie Nanez. The Notice of Site Visit was posted. Director was informed that the Notice of Site Visit must be posted for 30 consecutive days. The Director 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 2 of 2