complaint·August 5, 2025

*** This is an amended report dated 8/5/25 Based on record review of the documents like emails/app notifications and medical report submitted by the facility, there were 3 cases of HFM on 6/2/25 and one case on 6/3/25. However there are no documentation of the facility notifying the children representatives of the outbreak. The facility reported outbreak to Licensing Department on 6/9/25 the same time the of parents were notified. The facility did not follow reporting requirement or unusual incidents according to California Code of Regulations Title 22. The facility did not inform parents on a timely manner about the outbreak of Hand Foot and Mouth Disease. Section 101212(f) of California Code of Regulation Title 22 states that an outbreak should be reported to child's authorized representatives. None of the parents interviewed disclosed any information that supported the allegation. Based on the LPA’s conducted interviews and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. See LIC9099D for a Type B deficiency cited. An exit interview was conducted and report was reviewed and discussed wit h Director, Gloriette Cortez. Th e Notice of Site Visit was posted and must remain posted for 30 consecutive days. Appeal rights provided. Page 2 of 2 Kitchen staff stated they sanitize the kitchen area with sanitizing wipes and bleach water solution before and after preparation of each meal for children. Based on LPAs observation, the food preparation area and kitchen at the facility is clean and sanitary. None of the parents interviewed disclosed any information that supported the allegation. Based on the observation and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted and report was reviewed and discussed with Director, Gloriette Cortez. The Notice of Site Visit was posted and must remain posted for 30 consecutive days. Appeal rights were provided. Page 2 of 2