complaint·March 10, 2026

classrooms should stop combining for nap time, to reduce potential exposure. The director instructed staff to continue combining classrooms, stating that it was \342\200\234fine.\342\200\235 During the course of the investigation, LPA interviewed 8 staff members and contacted 6 parents/authorized representatives but only 1 responded. Children interviews were attempted but either children refused or they did not qualify with the Ten Step Investigative Interview. During the staff interviews, 8 out of 8 staff stated preventive protocols were in place once the Child Care Center was notified of the Hand, Foot, and Mouth Disease diagnosis. The director stated on 12/09/2025, the director was called to the classroom by Staff 3 (S3). S3 showed the director a rash on Child 1 (C1) during a diaper change. The director called the parent/authorized representative around 12:00 PM and requested C1 be picked up. A short time after, as C1 was still on the changing table, the parent/authorized representative arrived to take C1 home. The facility was notified of a confirmed diagnosis of Hand, Foot, and Mouth Disease by Parent 1 (P1) on 12/10/2025 at 9:55 AM via BrightWheel (document on file). The director stated on 12/10/2025 at 1:46 PM, the facility sent notification to parents/authorized representatives, via BrightWheel, regarding confirmed cases of Hand, Foot, and Mouth Disease at the school (document on file). The director stated on 12/09/2025, the director reviewed diaper changing protocol with all staff. On 12/09/2025, the director reviewed the diaper changing protocol with Staff 8 (S8) who did not change gloves after each diaper change. The director stated the previous director, Staff 10 (S10) had hired S8. The director stated S8 was not experienced. The director stated S10 and S8 have since been terminated from the Child Care Center (CCC). 8 out of 8 staff, stated on 12/09/2025, the director reviewed daily inspection for illness protocol with staff, which was immediately put into action for Hand, Foot, and Mouth Disease. 8 out of 8 staff stated on 12/09/2025, all staff increased daily cleaning protocol to include increased disinfection and sanitizing. 8 out of 8 staff confirmed the daily illness inspection checks were heightened to include symptoms of Hand, Foot, and Mouth Disease. 8 out of 8 staff confirmed increased cleaning, disinfection, and sanitizing protocol were completed daily. During record review, LPA received BrightWheel printouts of communication between the CCC and parents/authorized representatives confirming date of confirmed diagnosis for C1 as 12/10/2025. BrightWheel documentation confirms CCC communication of Hand, Foot, And Mouth Diagnosis at the CCC and parent/authorized representative responsibility and guidance for identifying possible symptoms of Hand, Foot, and Mouth Disease. LPA contacted 6 parents/authorized representatives but only 1 responded. 1 out of 1 interviewed parents/authorized representatives did not make any disclosure regarding the above allegation. Based on LPA\342\200\231s interviews and record review, the preponderance of evidence has not been met. Although the allegation: Staff did not prevent the spread of Hand, Foot, and Mouth Disease may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . The exit interview was conducted with the facility representative, Perla Zavala-Benitez. The Notice of Site Visit was posted during the visit. The licensee was reminded that the Notice of Site Visit must be posted for 30 consecutive days. Appeal Rights were discussed and provided to the licensee and their signature on this form acknowledges receipt of these rights. Licensee must file an appeal, in writing, to the Regional Manager within 15 business days from the date of receiving the penalty assessment or notice of deficiency. First level appeals should be sent to the Regional Manager at the address listed above. End of report