complaint·October 26, 2022

Page 2 The investigation consisted of physical plant tour on 10/21/22 and 10/26/22, interview with 6 staff and facility manager and director. Review of facility files including third party cleaning contract. The following was found; Interviews with 6 staff indicated they are unaware of when cleaning company comes. Three of six believe company only comes on weekends based on observations of crumbs left from the day prior's snacks. Interview with manager indicates she did notify director and owner about stains. Third party contractor came to facility on 10/23 and 10/24 LPA's observation on 10/21/22 noted dark spots/stains on carpet floor and dark spot underneath mat which covered the spot on the floor. LPAs observation on 10/26/22 noted dark spot on carpet floor still slightly visible but not as pronounced. Review of records show that in April 2022 third party cleaned carpeting. Review of third party work schedule did not include sweeping but it did include detail vacuum 5 days a week, vacuuming of area rugs and areas underneath 5 days a week. Per Director, contract has been on going since licensure. Based on interview statements and observation, the allegation referenced on this report is substantiated. A substantiated finding means that the complaint is substantiated, and the allegation is valid because the preponderance of the evidence standard has been met. The following violation was revealed and is being cited a Type B in accordance with California Code of Regulations, Title 22, Division 12, Chapter 1, Section 101238.3 (b) please refer to attached 9099 (D). Exit interview conducted and report was reviewed with the Ashley Neitzke, Director. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 ) 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. Page 2 The investigation consisted of staff interviews, LPA's observations, third party contractor information. The investigation found: Interviews with 5 out of 6 staff indicated they had observed black spot on rug and a black spot underneath mat which had been placed over black spot on rug. Interviews further indicated there had not been any black spots on mat prior to being placed on carpeting. Interview with Manager, Erica Benavides indicated she had been made aware of black spot on mat and on floor on 10/19/22 and the owner had scheduled cleaning over the weekend on 10/22/22 and 10/23/22. LPA observed black spot on infant rug and underneath mat which was placed over black spot on rug. LPA obtained documentation from third party cleaning company which they report no mold . Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated . An exit interview was conducted with Ashley Neitzke , D rector. 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. The Notice of Site Visit was given and discussed it must be posted as required by H & S Code Sec. 1596.817. Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00.