complaint·September 11, 2025

(2) Staff are not disinfecting the changing table after changing diapers It was alleged that the staff were not disinfecting the changing table after each diaper change. While at the facility, LPA observed that the facility covers their changing pads with cloth, upon which disposable sheets are further used. Through staff interview, LPA determined that the staff's reported procedure after changing a diaper is to throw the disposable sheet away, while sanitizing the cloth cover to the pad only once a week. The preponderance of evidence standard has been met; therefore, the allegation is SUBSTANTIATED. (3) Staff did not supervise napping children It was alleged that the staff did not supervise napping children. During a visit on 8/1/2025, LPA observed 5 sleeping infants in the infant classroom while the staff member responsible for supervision was in the toddler classroom, separated by a closed glass sliding door. As the staff member did not have full sight and sound observation of the sleeping infants, the preponderance of evidence standard has been met; therefore, the allegation is SUBSTANTIATED. (4) Staff did not check on sleeping infants every 15 minutes checks nor document the checks It was alleged that the staff did not check on sleeping infants every 15 minutes nor document the checks. During an initial visit on 7/9/2025, LPA observed that the infant sleep checks were not documented, and staff interview confirmed that there had been a recent lapse in documenting the checks. The preponderance of evidence standard has been met; therefore, the allegation is SUBSTANTIATED. (5) Facility commingles infant and school-age children It was alleged that the facility commingles infants and older children in the infant room. Based on interview with staff, LPA determined that a 3 year old child has at times spent up to 15 minutes in the infant room being supervised among the infants. The preponderance of evidence standard has been met; therefore, the allegation is SUBSTANTIATED. Title 22 deficiencies are cited on the accompanying 9099-D (2) Staff did not ensure children were not drinking other children’s water It was alleged that staff did not ensure children were not drinking other children’s water. During staff interviews, a staff member stated they have observed a child reach out and grab another child’s water and bring it to their mouth, but that they took immediate action to stop the behavior. LPA did not observe the behavior during visits, and saw that the water bottles in the toddler room are currently labeled. Based on available information, The preponderance of evidence standard is not met; therefore, the allegation is UNSUBSTANTIATED, meaning that although the allegation may have occurred or valid, there is not a preponderance of evidence to prove it. (3) Facility is operating out of ratio. It was alleged that the facility was operating out of ratio. LPA observations and interviews with staff did not produce further evidence to support the allegation. Based on the information collected, the preponderance of evidence standard is not met; therefore, the allegation is UNSUBSTANTIATED, meaning that although the allegation may have occurred or valid, there is not a preponderance of evidence to prove it. (4) Infant care accepted sick children into care It was alleged that staff was not screening for sick children and allowing them into care. Staff interviews demonstrated a knowledge of policy regarding the screening of children presenting symptoms of illness. Parent interviews did not produce further evidence that their sick children were accepted into care, and LPA did not observe sick children present during visits. Based on the information collected, the preponderance of evidence standard is not met; therefore, the allegation is UNSUBSTANTIATED, meaning that although the allegation may have occurred or valid, there is not a preponderance of evidence to prove it. (5) Staff do not wash their hands after feeding It was alleged that staff were not washing their hands after feeding. Staff interviews demonstrated a knowledge of the need to wash hands after feeding, and LPA did not observe improper food handling during visits. Based on the information collected, the preponderance of evidence standard is not met; therefore, the allegation is UNSUBSTANTIATED, meaning that although the allegation may have occurred or valid, there is not a preponderance of evidence to prove it. (6) Staff do not ensure each infant has his/her bedding It was alleged that staff were not ensuring that each infant had their own bedding. LPA observed that the cribs were formally labeled in the middle of LPA's first visit to open the complaint, although staff interview did not produce further evidence that the staff was not ensuring that the proper bedding was being provided to the proper child. Based on the information collected, the preponderance of evidence standard is not met; therefore, the allegation is UNSUBSTANTIATED, meaning that although the allegation may have occurred or valid, there is not a preponderance of evidence to prove it. Exit interview conducted and report was reviewed with facility representative Patricia Perez. A notice of site visit was given and must remain posted for 30 days. Licensee acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 9099D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided. Exit interview conducted and report was reviewed with facility representative, Patricia Perez. A notice of site visit was given and must remain posted for 30 days.