complaint·May 1, 2025

On 2/14/25, facility sent out another message stating some children with fever were observed. On 3/5/25, another message was sent out stating there were some cases of vomiting within the school. On 3/14/25, RP witnessed a little boy was vomiting while being picked up. RP noticed all doors and windows were open in school and the temperature outside was around 50 degrees, so it was cold inside. It was shared that everything was open because the classrooms were disinfected, and the school wanted air circulating inside. It was also shared that more children became ill at school after the incident. During the investigation, LPA interviewed 4 staff members, 5 parents, 5 children, and reviewed records which include Child Care Roster. Regarding allegation: Facility staff accept ill children into care: During the staff interviews, 4 out of 4 staff interviewed stated they do not accept sick children into facility. LPA received a copy of facility parent handbook. Per facility parent handbook, as part of arrival procedures staff conducts visual wellness check of all children upon arrival and throughout the day. Staff will also take children\342\200\231s temperature each morning upon arrival and document /log children\342\200\231s temperature. LPA received a copy of children's temperature for date 2/28/25. LPA asked staff what happens if a child is sick at facility? Staff #2 stated, \342\200\234In the morning we check temperatures. If children are OK they come into facility. If children are not OK, then we inform the parents. If the child has green buggers, we tell parents, the child has to go home.\342\200\235 Staff #4 stated \342\200\234When children come in, we check them and make sure they are OK, I know my kids. They are active so if I see they are not themselves, we will call their parents. We asked parents to keep children at home if their children seem sick\342\200\235. Facility has a policy in place for sick children and will not accept sick children. Regarding allegation: Staff did not prevent an outbreak in the facility: During the staff interviews, 4 out of 4 staff interviewed stated facility has a policy in place to prevent sick children from attending facility. Parent handbook states that staff will also monitor children throughout the day for signs of illness. If children have a temperature of 100.4 degrees or higher, cough or other covid 19 symptoms, facility will isolate child from the general population and notify child\342\200\231s parents or caregivers to immediately pick up child from facility. Page 2 of 3 Staff take children temperature daily at children\342\200\231s arrival. Per Parent Handbook, any child, caregiver or staff exhibiting symptoms of Covid-19 will not be allowed to enter the facility. Staff will also take children\342\200\231s temperature each morning upon arrival and document /log children\342\200\231s temperature. LPA received a copy of children \342\200\230s temperature for date 2/28/25. LPA asked staff. Do children go home if they are sick? Staff #1 stated, \342\200\234Yes, last week one child was sick at circle time and child started to throw up. Child was sent home that same day. The carpet was removed, and we opened the windows. That child was out of the program for 3 days.\342\200\235 LPA asked staff how do they sanitize their classrooms? Staff #1 stated, \342\200\234We sanitize the room or only the affected area, open window to let air come in, not too much so it\342\200\231s not cold. LPA completed two inspection dates, 3/12/25 and 03/14/25. When LPA was at facility, classrooms were comfortable for staff and children and all classroom windows were observed to be closed. As part of the plan to prevent the outbreak, staff is cleaning the toys, cleaning the carpet, will continue sending notices out to parents to inform them about the outbreak. Regarding allegation: Staff did not maintain a comfortable temperature for children in care: During the staff interviews, Staff #2 (S2) stated, \342\200\234We keep classroom at 72 degrees. S2 checked and confirmed temperature was 72 degrees. We opened the window one day to let the classroom ventilate because we had a child that threw up. We don\342\200\231t open the classroom window often.\342\200\235 LPA asked staff if the classroom temperature is comfortable? All four staff responded, \342\200\234yes, room is comfortable\342\200\235. LPA asked staff, what if it\342\200\231s too cold in the classroom? S1 stated the children will put on a sweater, and we move the children on the other side of room where it\342\200\231s not cold. Staff #3 (S3): stated \342\200\234I will close the window and turn on and off the heater. I don\342\200\231t want the room to be too hot or too cold.\342\200\235 Staff 4 (S4) stated the classrooms are not too cold and not too hot. If it gets too hot, I turn the heater off. LPA interviewed 5 parents and 5 children. 5 out of 5 parents stated they are satisfied with facility. 5 out of 5 children interviewed did not divulge any information pertaining to the allegation. Page 3 of 4 Based on LPAs observations and interviews which were conducted, and records reviewed, the preponderance evidence of facility staff accept ill children into care, staff did not prevent an outbreak in the facility, and staff did not maintain a comfortable temperature for children in care has not been met. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated . Exit interview conducted and report was reviewed with Director. Notice of Site Visit was posted and must remain posted for 30 days. Failure to comply with the posting requirements shall result in an immediate civil penalty of $100. Appeal Rights were explained. The Director was provided with a copy of the 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 4 OF 4