Complaint·March 29, 2023

Page 2 During the investigation LPA interviewed Director, reviewed children files, obtained the facility roster, obtained daily health checks, reviewed accident/injury reports and obtained page 23 of daily policies. During the investigation, Director was interviewed on 3/10/2023. Director stated incident dated Tuesday, February 28, 2023 was verbally communicated to the parent of child (C1). Director stated, teacher did not write an incident report until the Friday, March 3, 2023 and the report was not physically provided to the parent of child (C1). Director stated incident dated Friday, March 3, 2023 was verbally communicated to the parent of child (C1). Incident was written but was not physically given to the parent since the report was not written at time of pick up. Kiddie Academy daily policies page 23 reads “Injuries are to be recorded on an Accident/Injury report by the employee who witnessed the accident.” The Kiddie Academy Accident/Injury Report reads, This document MUST be completed immediately following an accident/injury. For an injured child, obtain the signature of a parent or legal guardian on the day of the injury. Based on LPA interview with Director who stated Accident/Injury reports were not physically given to the parent of Child (C1) and copies of Accident/Injury reports with the director and parent signature missing the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division & Chapter 12, is being cited on the attached LIC 9099 D for the deficiency section 101218.1(a)(B) Admission Procedures and Parental and Authorized Representative's Rights Exit interview conducted and report was reviewed with the Director Catherine Escobedo. A notice of site visit was given and must remain posted for 30 days. Appeal Rights and deficiencies 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.