complaint·September 18, 2023

Allegedly, no disposable paper towels and/or similar covering disposable items were observed to be discarded after each diaper change. Additionally, it was also alleged staff were not observed wearing gloves nor washing their hands after each diaper change. Per Title 22 regulation, changing table(s) may be covered with disposable paper towels or a similar covering that shall be discarded and table/pad sanitized after each diaper change. Staff must wash hands after each diaper change and as part of the toileting process, each child should receive instruction and assistance in hand washing after using the toilet or receiving help with diaper change. During interviews conducted with staff, it was reported that stains in the changing pad were observed. However, the facility did not have disposable paper towels and it was difficult for staff to follow the proper procedure and actively supervise all the children in care at the same time. The facility implemented changes for staff by relocating the changing table next to the children activity area, which is within arm\342\200\231s reach of the sink. This change allows staff to have a full view of all children while conducting a diaper change. Supplies such as: disposable paper towel(s) rolls, disinfecting wipes, gloves and other items were verified to be in substantial compliance on subsequent inspection after 08/09/23. Childcare administrator and licensee acknowledged center\342\200\231s responsibility to have clean, safe, and sanitary environment at all times to ensure the safety and well-being of children, employees and visitors. Based on the information obtained and observations conducted while at the facility. It was confirmed that the facility failed to use proper general sanitation procedures. Therefore, the preponderance of evidence standard has been met, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, divisions & chapter number are being cited on the attached LIC 9099D.) LPA informed licensee, Yanping Zhang that this report dated 09/18/23 documents 1 Type A citation which shall be posted for 30 consecutive days as there was an immediate risk to the Health, Safety, or Personal Rights of children in care. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224) was provided to facility during this inspection. The Lic 9224/Type A citation must be provided to parents/guardian 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 the verification. Exit interview conducted and report was reviewed with Licensee,Yanping Zhang (Ella) . Appeal rights were discussed, and A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. THIS REPORT MUST BE AVAILABLE TO THE PUBLIC, UPON THEIR REQUEST, FOR THREE YEARS.