complaint·February 8, 2024

However, during interviews with pertinent parties it was disclosed if a child has a severe allergic reaction and does not have an Incidental Medical Service Plan on file they will immediately call emergency services but the facility is not aware of this incident. There are no records of any child leaving the facility to receive medical care whether by personal vehicle or by emergency services and there is no medical or non-medical documentation from the Authorized Representative stating the child received medical care after hours. It was noted children are constantly biting other children and hitting other children. During interviews staff stated they are unaware of any chronic bitters, hitters or similar behaviors. The complaint did not specify which classroom these behaviors were taking place but the staff stated in the younger classrooms these behaviors are considered developmentally appropriate. When the facility does encounter a child who is having these types of challenges they will offer a multitude of resources such as teethers, redirection to different activities/centers, shadowing and lastly a conference will be held with the Authorized Representative in effort to work together on solutions at the home and the facility. Lastly, it was noted staff grab the children by their arms instead of by their hands. During interviews with pertinent parties it was disclosed the facility is unaware of an any incidents related to this allegation. Staff are provided training on how to handle children when they are attempting to guide them or direct them to other areas of the classroom or facility. It was disclosed during children interviews that the staff have never grabbed them or mishandled them inappropriately. This agency has investigated the complaint regarding the above allegation. Based on the interviews conducted and documentation collected, the allegations are UNSUBSTANTIATED. A finding of unsubstantiated means, although the allegations may have happened, or are valid, there is not a preponderance of the evidence to prove the allegations occurred. No deficiencies cited during this inspection. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with Shannon Garcia, Director and Heather Burr, Assistant Director.