complaint·May 14, 2025

Report continued from page one Staff reported on a couple of occasions staff 1 and staff 2 have been left alone in the classroom supervising C1 and the other 15-16 napping preschool children for less than 30 minutes before a second staff member entered to room to provide support. Staff 3 (S3) expressed S3 takes their lunch break on site and therefore is immediately available to step into the classroom to meet ratios. Staff interviews reported C1 authorized representative is called for pick up due to the safety issue C1s behavior poses during nap time not due to a lack of staffing. Parent interviews did not report concerns with the Centers staffing. LPA reviewed the Centers plan of operation which revealed nap time is between 12:00pm and 2:30pm. LPA reviewed C1 attendance records for February and March 2025. C1 was picked during or within 15 minutes after the Centers designated nap time on seven different dates in February and March 2025. Per LPAs review of the staff attendance records, the Center had staffing to meet the ratios. LPA reviewed C1 file, there were three written incident reports regarding C1 behaviors that correlated to the dates C1 was picked up during nap time. When LPA completed the unannounced inspection on April 21, 2025, LPA observed the staffing ratios were being met during nap time. Based on LPA record review, interviews and observations this allegation is currently unsubstantiated at this time. A second allegation was received alleging on March 19, 2025, the drawstring on C1 pants was doubled tied very tight around the waist by an unknown staff member and C1 received an unexplained scratch, red mark and bruise on the waist on March 19, 2025, by an unknown staff member. In addition, it was alleged that C1 was heard saying “Ouchie” while in the preschool classroom. Confidential interviews did not report C1 received an injury on March 19, 2025. Confidential interviews reported C1 often used the term “Ouchie” but was not hurt. Confidential interviews did not reveal staff members were violating any child’s personal rights. Parent interviews denied the allegation and reported their children have not received unexplained injuries. Staff denied the allegations that C1 received the injuries at the Center. Staff reported that on two previous unknown dates C1 arrived at the Center from school with C1 drawstring tied really tight. Staff reported on March 19, 2025, C1 was disruptive during nap time, but did not recall C1 being involved in an incident that could have caused the reported injuries. LPA reviewed C1 file, which revealed C1 was disruptive during nap time, by yelling, running, pulling out toys and walking on top of the other children. The report did not indicate C1 fell or received an injury. C1 file revealed two previous incidents involving C1 arriving to the Center from school with injuries. Per attendance records C1 was in attendance 12:27pm to 1:16pm on March 19, 2025. LPA requested C1 diaper log on April 21, 2025, however Center staff reported the log was already destroyed. Therefore, LPA could not verify if a staff member completed a diaper change on C1 which resulted C1 drawstring being tied too tight. Report continued on page three Report continued from page two Photographic evidence was reviewed which revealed C1 had an injury on the waist on March 19, 2025, at 1:34pm. Based on LPA record review, interviews and observations there is currently not enough evidence to determine if the observed unexplained injuries were received at the Center. The allegation is currently unsubstantiated at this time. A third allegation was received alleging on March 19, 2025, C1 received a scratch, red mark and bruise while in attendance at the Center. The allegation alleged the Center failed to report the injuries to C1s authorized representative. Parent interviews denied the allegation and reported injuries are reported via phone call, Procare App and/or written notified at pick up. Staff denied C1 received injuries on March 19, 2025, at the Center. Therefore, zero injuries would need to be reported to C1 authorized representative. LPA reviewed C1 file, which revealed C1 was disruptive during nap time, by yelling, running, pulling out toys and walking on top of the other children. The report did not indicate C1 fell or received an injury. Based on LPA record review, interviews and observations there is currently not enough evidence to determine if the observed injuries were received at the Center and had to be reported to C1 authorized representative. This allegation is currently unsubstantiated at this time Based on interviews, record review and observation, there is not enough evidence regarding the allegations alleging, Licensee did not ensure personnel were employed in numbers sufficient to meet children's needs, C1 sustained unexplained injury in care and staff did not report C1’s injuries to authorized representative. Therefore, the allegations are deemed unsubstantiated at this time. 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. Notice of Site Visit was given and must remain posted for 30 days. An exit interview was conducted, where this report and appeal rights were reviewed with facility representative Alyse Sanders.