Incident investigation·November 20, 2025

On 11/20/2025 at 1:15pm Licensing Program Analyst (LPA) Long Pham conducted an unannounced case management incident inspection in response to a self-reported Unusual Incident dated 11/17/2025. Upon arrival, LPA met with Director Aimee Valentin and toured the facility. The overall census observed was 4 staff and 20 infants. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. On 11/17/2025, a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported on 11/14/2025 around 3:20pm that Staff #1 (S1) fed the wrong bottle of 4 ounces of breast milk to Child #1 (C1) that belonged to Child #2 (C2). Staff #3 (S3) stated that the bottle of breast milk was belonged to C2. During staff interviews on 11/20/ 2025, Staff #2 (S2) and Staff #3 (S3) confirmed that Staff #1 (S1) fed the wrong bottle of breast milk belonging to Child #2 (C2) to Child #1 (C1). S3 stated that she had retrained the infant staff on Infant Care Food Services on 11/18/2025. S3 emphasized that whenever any infant staff member takes a bottle to feed a child, they need to confirm with a co-worker and initial the staff name on the feeding log. During the inspection on 11/20/2025, (LPA) observed that each child's full name was listed on each bottle. Additionally, the LPA observed that the infant staff were initiating bottle logs when feeding children in care. Page 1 of 2 Based on the information gathered from the self-reported unusual incident report, observations, and interviews with three staff, it was determined that S1 fed the wrong bottle of breast milk to Child #1 (C1) that belonged to Child #2 (C2). The facility was not in compliance and a Type B: 101427(j) Infant Care Food Service deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit. See LIC 809D. Exit interview conducted and report was reviewed with the director Aimee Valentin. A notice of site visit was given and must remain posted for 30 days. Appeal Rights were explained. The director was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above. End of Report. Page 2 of 2