Incident investigation·September 19, 2023

Licensing Program Analyst (LPA ) Patricia Duron conducted an on-site inspection for the purpose of a Case Management Incident Inspection on 9/19/2023. LPA Duron met with Director Barbara Brown. There was a total of 16 infant age children present with 4 infant staff at the time of visit. A review of staff criminal clearance records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions. Today's Case Management inspection is being conducted in response to a self-reported incident, reported to the Orange County Community Care Licensing Regional Office on 5/18/23. The Director stated child 1 (C1) was given food that gave child an allergic reaction, it also stated parent (P1) of C1 was contacted and directed facility to give C1 Benadryl. C1 was picked up by P1 and taken to doctor. At the time of the incident 12:30 p.m. C1 began vomiting and was observed to have a skin rash on the chest area. C1 was picked up by parent at 1:01 p.m. and taken to emergency care. On the UIR it was stated to LPA Castanon that the facility was aware C1 had an egg allergy and allergy lists are posted. During the inspection, LPA interviewed Director, Assistant Director and staff that were directly involved in the incident, as well as inspecting the kitchen and classrooms where the allergy lists are posted. Director Barbara Brown stated facility took action regarding the incident, and staff member involved in the incident was terminated. Page 1 of 2 Based on LPA observations, child file review, and interviews conducted, the preponderance of evidence standard has been met. Facility failed to meet the needs of the child in care and served an item listed as an allergic item on LIC 702 Child's Preadmission Health History-Parents/Authorized Representative Report, LIC627 Consent for Emergency Medical Treatment, and Enrollment Application Information form which poses an immediate risk to Health and Safety. California Code of Regulations, Title 12, Division 22 Section 101227(7)(B) is being cited for Food Services. LPA Duron informed Director Barbara Brown that this report dated 9/19/2023 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Duron informed the Director Barbara Brown to provide a copy of this licensing report dated 9/19/2023 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Exit interview conducted and report was reviewed with the Director Barbara Brown. A notice of site visit was given and must remain posted for 30 days. Appeal Rights were explained. The Director was provided a copy of appeal rights (LIC 9058 01/16) 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. Page 2 of 2. End of Report.