complaint·March 28, 2023

Complainant alleged that the facility didn’t report outbreaks of contagious illnesses such as hand foot mouth to the Health Department. All staff interviewed denied any reporting of outbreak of Hand Foot and Mouth disease at the facility to the health department. Five staff interviewed stated that the facilities procedure is when a child is sick, the parents are asked to call the school’s office, if the child is at school and is sick, the teacher notifies the director immediately. Five staff interviewed stated that when the facility sends the child home for illness, a doctor’s note is needed upon return. The parent handbook policy states for communicable diseases, a notice will be posted for parent information and the facility will notify the Public Health Department within 24 hours should an occurrence of a “Reportable disease” occur. The director stated that if an incident report needs to be sent to Community Care Licensing or a notice to the parents, she will be the one completing the necessary form/s. Director stated a parent did express that a child was getting sick very often and we at the facility reinsured the parents that the facility is cleaning and sanitizing daily. Director also stated that one parent had mentioned back in September 2022 that a child had hand foot, and mouth disease. LPA interviewed Staff #5 who stated was made aware by parent that C #3 was diagnosed with Hand Foot and Mouth. Staff #5 stated that two other children were having symptoms but wasn’t aware if they were confirmed with Hand Food and Mouth disease. Staff #5 stated made the director aware of the one confirmed case and two other children with symptoms of the Hand Foot Mouth. LPA called 11 parents, LPA was able to interview 6 parents out of 11 parents on 2/01/23, 3 out of the 6 parents disclosed that their children were infected with Hand Foot Mouth dise ase. On September 10, 2022, P7 stated C3 was diagnosed with Hand Foot Mouth disease. On September 1 2, 2022, P7 stated, reported to the school office and S5 C3’s diagnoses. On September 16, 2022, P4 stated C1 was diagnosed. On September 19, 2022, P4 reported to the director C1s diagnose. On September 19, 2022, P6 stated that C2 was diagnosed. On September 19, 2022, P6 stated reported to the school office and S5 on the same day. On 3/28/23, LPA reviewed C1, C2, and C3 children’s records to determine the number of Hand Foot and Mouth disease reporting, LPA reviewed for incident reports, parent letters and medical notes. (Page 2 of 4) Based on LPA interviews conducted with complainant, 5 staff members, 6 parents, and records reviewed by LPA, it has been determined that facility didn’t report outbreaks of contagious illnesses to the health department. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 101212(d)(1)(E) Reporting Requirements is being cited on the attached LIC9099D. Complainant also alleged that the facility is not notifying parents of an outbreak of hand foot and mouth disease. All staff interviewed denied any reporting or outbreak of Hand Foot and Mouth disease at the facility to the parents. Five staff interviewed stated that the facilities procedure is when a child is sick, the parents are asked to call the school’s office, if the child is at school and is sick, the teacher notifies the director immediately. Five staff interviewed stated that when the facility sends the child home for illness, a doctor’s note is needed upon return. The parent handbook policy states for communicable diseases, a notice will be posted for parent information and the facility will notify the Public Health Department within 24 hours should an occurrence of a “Reportable disease” occur. The director stated that if an incident report needs to be sent to Community Care Licensing or a notice to the parents, she will be the one completing the necessary form/s. Director stated a parent did express that a child was getting sick very often and we at the facility reinsured the parents that the facility is cleaning and sanitizing daily. Director also stated that one parent had mentioned back in September 2022 that a child had hand foot, and mouth disease. LPA interviewed Staff #5 who stated was made aware by parent that C #3 was diagnosed with Hand Foot and Mouth. Staff #5 stated that two other children were having symptoms but wasn’t aware if they were confirmed with Hand Food and Mouth disease. Staff #5 stated made the director aware of the one confirmed case and two other children with symptoms of the Hand Foot Mouth. LPA called 11 parents, LPA was able to interview 6 parents out of 11 parents on 2/01/23, 3 out of the 6 parents disclosed that their children were infected with Hand Foot Mouth disease. P4, P6 and P7 stated that the school did not disclose to them that the school had an outbreak of Hand Foot and Mouth disease. (Page 3 of 4) Based on interviews conducted with staff and parents, it was determined that the facility did not report the contagious outbreak of Hand Foot Mouth disease to families. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 101212(f) Reporting Requirements is being cited on the attached LIC9099D. Exit interview was conducted with Assistant Director, Karen Villianueva-Diaz and Director Josefina Diaz. 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. (Page 4 of 4)