complaint·May 10, 2023

Page 2 Complainant alleged that the day care child sustained unexplained injuries while in care. When notified the school about the incident on 03/03/2023, S2 dismissed it and stated that it is the child fault for being fussy and throwing tantrum. All four staff interviewed stated that they didn\342\200\231t witness this injury occur, nor were able to determine its origin. Staff #2 (S2) stated, staff noticed a marked on the child\342\200\231s neck, when staff and child went back to the classroom to sit at the table. S2 stated, while C1 was throwing themselves on the bathroom floor, S2 was attempting to get C1 up from the floor, the injury could have occurred during the struggle. The facility and S2 are uncertain on how the child received the injury. LPA called 10 parents, LPA was able to interview 7 parents on 03/21/23. All parents interviewed made no disclosures, parents stated that the facility communicates with parents on what is going on with their child(ren) when needed. Parents did not express any concerns with the care given to the children, or any issue with any staff at the facility. On 3/16/2023, LPA reviewed C1\342\200\231s record for incident reports and communication logs. LPA observed there was communication back and forth from the facility about C1 on a daily basis although LPA didn\342\200\231t observe an incident report nor any communication in the communication log from the facility about this incident. C1 is not qualify for the interview. On 3/16/2023, LPA attempted to interview all of children present, but was not able to qualify any of the children due to children being nonverbal or limited vocabulary. Based on LPA\342\200\231s interviews conducted with complainant, 4 staff members, 7 parents, and records reviewed of child\342\200\231s file, photo received of 2 linear red mark starches on C1 left neck. Mark #1 appears to be approximately 4 inches, and the second mark is approximately 1 inch, the preponderance of evidence standard has been met; therefore, the above allegation of day care child sustained unexplained injury while in care is found to be SUBSTANTIATED. California Code of Regulations, Title 22 101229(a) Responsibility for Providing Care and Supervision. Continued on Page 3 Page 3 Exit interview was conducted with Director Monica Ramirez. Notice of Site Visit was posted during the visit. Director 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.