complaint·January 24, 2024

Page 2 Child #1 (C1) was taken to the local emergency room and treated. Complaint states C1 was not changed often enough. Complaint also stated that as a request, C1 was to be fed 30 minutes after being dropped off, at 8:30am. During the interview with Reporting Party (RP), they provided copies of C1’s daily reports from the facility’s electronic communication application dated 10/10/2023-10/13/2023 and 10/17/2023. The daily reports are updated throughout the day by staff members and provide details of the child’s feeding, diaper changes and nap schedule. RP states the staff can enter information on the app but are not actually performing the tasks. RP states C1 was enrolled at the facility for a week and was not being fed the food that was sent from home at the time requested. C1 was not interviewed as they are a non-verbal infant. During LPA’s initial visit, the Director and six staff were interviewed. Regarding 1) diapering needs allegation: The Director stated that all staff are trained in diaper changing procedures upon hire. Director states procedures include all children’s diapers be checked and/or changed every hour as children are dropped off at staggered times, there is no set schedule. During the interviews with the six staff, 6 out of 6 staff stated they check and/or change children’s diapers every hour. 6 out of 6 staff stated they inform the children’s authorized caregivers verbally or on the facility’s app of any irritation observed during diaper changes. 3 out of 6 staff stated they informed RP of irritation observed and suggested different brands of medicated diaper rash creams. LPA audited the daily reports for C1 for the seven days they attended on 10/09/2023-10/17/2023. 7 out of 7 days, the C1’s diapers were changed four to seven times a day. 7 out of 7 days, diaper cream was applied to C1 multiple times throughout the day during diaper changes. On 10/17/2023, C1’s last diaper check was at 4:12pm and they were described as dry. C1 was then picked up at 4:58pm, totaling a 46-minute time gap between C1’s last diaper check recorded and when C1 picked up. During interviews regarding 2) feeding schedule allegation: 6 out of 6 staff stated if the child has a written feeding schedule, they will follow it. 6 out of 6 staff stated they will attempt to offer food brought from home. 6 out of 6 staff stated they do not falsely enter data in the facility app and have not observed staff falsify information being entered. (Continue to page 3) Page 3 During daily report audits, 2 out of 7 days, there was a written request for C1 to be fed at 9:00am. During record review for C1, required documentation including licensing forms for infant routine and eating habits were incomplete. LPA was unable to verify a feeding schedule for C1. LPA interviewed a total of 2 out of 5 parents who were contacted. There were no disclosures made by parents regarding the allegations of this complaint. Based on LPA’s interviews and record review, the allegations 1) staff did not ensure daycare child’s diapering needs are being met resulting in daycare child sustaining diaper rash and 2) staff is not following daycare child’s feeding schedule may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. Exit interview was conducted with Nicole Carreon. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. The Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. End of Report