complaint·September 24, 2025

Once home redness and swelling were observed on C1's eyes and lips and redness and swelling were noticed on C2's lips, legs and foot. C1 and C2 were taken into urgent care where they were diagnosed with burns and prescribed medication. The following day the burns worsened, and the children returned for further medical treatment. C2 had to be sedated for skin debridement of the wounds. In addition, upon C3 being picked up from care, the child was observed holding a wet paper towel to their eyes and with redness observed around the eye area. C3 was taken to urgent care and diagnosed with chemical burns to the area surrounding the left eye. Interview with Staff 1 (S1) revealed the staff was assigned to spray/sanitize the playground during nap time. S1 admitted they did not precisely measure the chemical to water ratio for the solution used to sanitize/spray the playground, and interior of the facility. The responsibility of the licensee to ensure that children are accorded safe, healthful and comfortable accommodation to fit their needs was not met, resulting in 3 children sustaining serious injuries. Based upon interviews conducted, evidence obtained, and staff admission, the Department has determined the preponderance of the evidence standard has been met, and the allegation is Substantiated. Please refer to page three for the deficiency cited under the California Code of Regulations, Title 22, Division 12. Additionally, a civil penalty in the amount of $5,000 is being assessed for serious injury, as documented on the LIC-421IM. The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post Type A reports for 30 days will result in a Civil Penalty of $100.00 If the facility receives a Type A violation, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days, and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file. An exit interview was conducted with Director Song Ramos appeal rights were discussed and issued, and a copy of this report was provided.