Incident investigation·September 15, 2025

On September 15, 2025, Licensing Program Analyst (LPA) Long Pham and Licensing Program Manager (LPM) Tina Nguyen conducted an unannounced case management incident inspection in response to a self-report Unusual Incident dated 09/03/2025. LPA and LPM met with Coordinator Early Educator Carolyn Wertheim. LPA and LPM observed 1 staff and 2 infants in room 1, and 1 staff and 2 infants in room 2, and 3 staff and 6 infants in room 4. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During the visit, it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. On 09/03/2025 a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. According to an updated self-reported Unusual Incident Report (UIR) on 09/05/2025, the program supervisor Jessica Palacios notified the Licensing Office that 8 infants were affected with gastrointestinal illnesses which caused them to have diarrhea. During today\342\200\231s visit, LPA and LPM interviewed 3 staff and reviewed 4 infants' files. During the inspection, LPA and LPM observed 3 out of 6 infants were swaddled in the sleep sack in room 4 while in care. 101430(a)(3)(C) An infant shall not be swaddled while in care. In the areas that were evaluated, Type B: 101430(a)(3)(C) deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit. Page 1 of 2 Exit interview was conducted and reviewed with Coordinator Early Educator Carolyn Wertheim. A Notice of site visit was given and must remain posted for 30 days. Failure to post will result in civil penalties of $100. Appeal Rights were explained. The Coordinator Early Educator was provided with 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 at the address listed above. End of Report. Page 2 of 2