complaint·February 5, 2026

Information gathered stated the facility recently had students in care that had a disease commonly known as Hand Foot and Mouth Disease. Information gathered stated the facility reported this to the parents via verbal communication and a sign posted on the wall. Information gathered stated that the facility followed their illness guidelines when children showed symptoms of illness. Information gathered stated the facility properly informed Community Care Licesning as soon as the facility had 2 confirmed cases of Hand Foot and Mouth Disease on 1/6/2025. This report was made at the correct time. However, other information gathered stated that the facility had other children in the facility that exhibited possible symptoms of Hand Foot and Mouth Disease. Information gathered stated that during the course of the latter half of December 2025, there were multiple children that were noted to be suspected of having Hand Foot and Mouth Disease. Title 22 regulations require that a facility report all outbreaks or suspected outbreaks of communicable disease to their local health officer immediately. Information gathered stated the facility did not contact the local health officer until 1/6/2025, which is after the end of December, when there had been 2 or more children with suspected cases of Hand Foot and Mouth Disease. See LIC9099D for deficiency cited. It was alleged that Licensee did not ensure required staff-to-child ratios were maintained. Information gathered stated that the facility does not operate out of ratio. Information gathered stated the facility responds quickly to avoid being out of ratio. Information gathered stated the facility uses walkie talkies to contact management if there is a need for more staff in a room. However, other information gathered stated that the facility sometimes operates out of ratio. Information gathered stated this occurs when children are dropped off in quick succession and not all staff are present yet, causing rooms to operate out of ratio. Information gathered stated this lasts for a short amount of time until another teacher can enter the classroom. Facility records reviewed stated that 2 out of 3 randomly selected dates showed multiple instances where different rooms were left out of ratio for 5 or more minutes. Based on information gathered, the preponderance of evidence standard has been met, therefore the above allegation(s) are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, CCR 101212(g)(1) and 101416.5(b) is being cited on the attached LIC9099Ds. LPA Atherton informed facility representative Karina Hines that this report dated 2/5/2026 document(s) 1 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Atherton informed the facility representative Karina Hines to provide a copy of this licensing report dated 2/5/2026 that documents any Type A citation(s) to parents of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Appeal Rights issued and discussed with facility representative and their signature on this form acknowledges receipt of these rights. Exit interview conducted and report was reviewed with the facility representative Karina Hines A notice of site visit was given to facility representative Karina Hines and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. This report must be made available to the public for 3 years. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.