complaint·December 11, 2023

(Page 2 of Report) During a confidential interview, it was reported that Child #1 (C1) sustained a severe diaper rash due to staff not changing the diaper in a timely manner and facility staff didn't communicate incident to child's representatives. During investigation, LPA interviewed 5 staff members and 3 parents. LPA also reviewed facility's diaper log and camera footage of the classroom on 10/30/2023. During interviews, all interviewed staff stated they check diaper every 1-2 hours and document when they change child's diaper. If there is any concerns, staff will document the concerns in the facility's note book, inform Director and parent will be notified depending on the severity of the concern. When interviewed, Staff #1 (S1) stated S1 informed C1's representative during pick up that C1 was having a diaper rash and that C1 would not allow staff to check C1's diaper when being picked up at 3:55pm. All interviewed parents provided positive feedback about the facility and no concern related to the allegations. During record review, LPA reviewed C1's file, there were notes that C1 arrived to the facility with a diaper rash and as staff was changing diaper for child through out the day, staff also has notes about rash was getting worse. LPA observed staff's document 5 diaper changes at 8:30am, 9:30am, 11:30am, 2:30pm, and 3:30pm. Child was napping between 12pm-2:30pm. LPA also reviewed footage of the classroom on 10/30/2023 at 3:30pm, and observed staff was changing diaper for C1 at 3:30pm which was about 30 minutes before pick-up time. Based on the information gathered from LPA interviews conducted with 5 staff and 3 parents, and record review of child's file, facility's diaper log/notes and facility's camera footage, there is insufficient evidence to corroborate the allegations that (1) Staff did not meet child's diapering needs which resulted in a severe diaper rash and (2) Staff did not provide child's authorized representatives with an incident report. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove (1) Staff did not meet child's diapering needs which resulted in a severe diaper rash and (2) Staff did not provide child's authorized representatives with an incident report did or did not occur, therefore the allegations are unsubstantiated. (Continue next page) (Page 3 of Report) Appeal Rights were explained. The Director was provided a copy of 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. First level appeals should be sent to the regional manager to the address listed above. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Adriana Agreda. (End of Report)