Incident investigation·January 23, 2025

On 1/23/2025 at 9:15 AM Licensing Program Analyst (LPA) Vivian Trinh conducted an unannounced case management incident inspection in response to a self reported Unusual Incident dated 1/15/2025. LPA met with Director Stephanie Strand. LPA observed 11 infant children with 4 staff members, 11 toddler children with 3 staff members, and 11 preschool children with 2 staff members. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. On 1/15/ 2025, a self reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported on 1/14/2025, that Staff #1 (S1) fed a bottle of formula milk to Child #1 (C1) that belonged to Child #2 (C2). Staff #2 (S2) stated and confirmed that the bottle of formula milk was belonged to C2. During staff interviews on 1/23/ 2025, (S2) and Staff #3 (S3) admitted that S1 fed a bottle of formula milk belonging to Child #2 (C2) to Child #1 (C1). S3 stated that she had retrained few of the infant staff's classroom about feeding infant food services. S3 emphasized that whenever any staff member takes a bottle to feed a child, they need to confirm with a co-worker and initial the staff name on the feeding log. During the inspection on 1/23/2025, (LPA) observed that each child's full name was listed on each bottle. Additionally, the LPA observed that teachers were initiating bottle logs when feeding children in care. Based on the information gathered from the self reported unusual incident report, observations, and interviews with two (2) staff members, it was determined that (S1) fed a bottle of formula milk to Child #1 (C1) that belonged to Child #2 (C2). The facility was not in compliance and violations of the California Code of Regulations, Title 22, Section 101427(j) Infant Care Food Service. See LIC 9099-D. Continued Page 2. Page 2. Exit interview conducted and report was reviewed with the Director Stephanie Strand. Notice of site visit was given 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 and deficiencies were discussed. The Director 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. End of the Report.