complaint·December 6, 2023

(page 2) During staff interviews on 10/12/2023, Staff #1 (S1) and Staff #2 (S2) disclosed being aware of a Hand, Foot, and Mouth Disease outbreak at the facility. S1 and S2 stated on Wednesday 09/27/2023, S1 and S2 were cleaning the children\342\200\231s hands and noticed blisters on Child #1\342\200\231s (C1) hands. S2 stated Staff #5 (S5) was called into the classroom to report the blisters. S5 told S1 and S2 the blisters are the Hand, Foot and Mouth disease. S2 requested S5 to show S1 and S2, C1\342\200\231s doctor\342\200\231s note of clearance for child to be present in the classroom. S2 stated doctor\342\200\231s note was not provided until Monday 10/02/2023. S1 and S2 stated they came into their classroom on 10/03/2023, to sanitize the classroom. S1 and S2 disclosed administration did not perform a health inspection as children were being dropped off. S1 and S2 stated when they were washing the children\342\200\231s hands, they were checking their hands and observed 6 other children with blisters under their tongue, inside their lips, and on their hands. S1 and S2 are unaware if parents were notified regarding outbreak. Staff #3 (S3) stated being aware of the Hand, Foot, and Mouth Disease outbreak because S1 informed S3 of the outbreak. S3 disclosed administration doesn\342\200\231t really have good communication with staff. S3 stated some staff were upset due to feeling that this is an incident that all staff should be made aware so staff can check the students in their class too. S3 is unsure if parents were notified of the outbreak. S3 reported no children in S3\342\200\231s class had the disease. Staff #4 (S4) disclosed being aware of a Hand, Foot, and Mouth Disease outbreak at the facility. S4 stated 2 of the students in S4\342\200\231s class had the disease. S4 is unsure if parents were notified regarding the outbreak. Staff #5 (S5) stated the first outbreak occurred September 27,2023 and 4 more children were discovered to have the disease. S5 stated staff were notified through the bright wheel app and were given sanitizer to sanitize their classrooms and gloves and masks for staff to wear. S5 stated parents were notified September 28,2023 through the bright wheel app. S5 provided doctor notes to LPA. The Facility failed to inform the licensing office of the epidemic outbreak at the facility. During the interview with S5, S5 was unaware the facility was required to report the outbreak to licensing. LPA Lucero informed S5 to report the outbreak to the licensing office, as well as to the health department. An incident report was filed with the licensing office on October 12, 2023. On 12/05/2023, LPA attempted to contact 5 parents, however only 3 parents were available for interview. 3 out of 3 parents stated they were not notified of any recent outbreaks at the facility. No other disclosures were made. (continue to page 3) (page 3) Based on pictures received from the reporting party, interviews conducted with 5 staff members, 3 parents and records obtained, it has been determined staff did not prevent hand, foot, and mouth outbreak. Therefore, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22, 101226.1 (a) Daily Inspection for Illness,101212 (d)(1)(E) Reporting Requirements and 101212 (f) Reporting Requirements are being cited on the attached LIC 9099D. Exit interview was conducted. Notice of Site Visit was posted during the visit. Director Eunice Kim was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Director was provided a copy of their appeal rights (LIC 9058 01/16) 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. End of Report.