Follow-up on corrections·May 14, 2024

On 05/14/2024, Licensing Program Analyst (LPA) Romy Castanon conducted a Case Management due to information provided to LPA during visit on 02/27/2024. LPA met with and explained the reason for today’s visit. LPA observed 17 infants and 7 staff. A review of the Facility Personnel Report Summary on 05/14/2024 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During LPA’s visit on 02/27/2024, LPA interviewed 11 staff members regarding an incident of a child being bitten on the face. During interviews, LPA verified that the incident happened at 1:15pm and first aid was not applied until 1:30pm. Staff informed LPA that they were unable to leave the classroom and did not notify the front desk for assistance. An ice pack was applied when an extra staff member was available for coverage at 1:30pm. Facility handbook (page 25) states when a child is bitten, they will immediately wash the site with soap and water. During record review of incident reports, there were five (5) incidents of Child #1 (C1) biting other children. In 2024, there were and additional five (5) incidents of C1 biting other children. Facility handbook (page 25) states if biting behavior continues a parent conference is held and disenrollment may occur if there is no improvement in the biting behavior. LPA was unable to verify if a parent meeting was held to discuss C1’s biting behavior. Director states C1’s parents were verbally notified on the day of all incidents and all incident reports were signed. Director states there have not been any further biting incidents from C1 for the past three (3) month period. (Continue to page 2) Page 2 Based on LPA’s interview with staff members and record review, the facility is being cited in accordance with California Code of Regulations, Title 22, Division 12, Section 101223 (a)(3) Personal Rights and 101226 Health-Related Services is cited on the attached LIC9099D. Appeal Rights 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. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Nicole Carreon. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee shall have LIC9224 (Acknowledgement of Receipt) signed and kept in each child's file. End of Report