complaint·May 9, 2025

The Site Supervisor and staff stated that staff were not checking or changing the children in a timely manner nor were they updating the facility diapering log (Toddler Grams). Staff members stated to the Site Supervisor that on several occasions, children were found to be in either wet or soiled diapers when they would arrive to relieve staff for breaks or meals. Staff also stated that the required documentation of a diaper check at arrival and then every one to two hours were either incomplete, non-existent or inaccurate. Interviewed staff stated that they would check the children's diapers every two hrs and or change the children as needed and document it on the Toddler Gram diapering log. Based on interviews conducted, finding at least 5-9 incidents per child in six of the children's diapering logs reviewed, and review of attendance sign in and out sheets, the preponderance of evidence standard has been met and the allegation that the staff did not meet children's diapering needs in a timely manner is therefore SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 12, Chapter 1, one Type B deficiency is being cited on the attached LIC 9099D. A Notice of Site Visit (LIC 9213) was given to Acting Site Supervisor, Laura Calderon and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Appeal Rights (LIC 9058) were provided. An exit interview was conducted, and report was reviewed with Acting Site Supervisor, Laura Calderon. The Site Supervisor and staff interviewed stated that care and supervision is always provided to the children when they are indoors and during outdoor activities. Staff stated that they are aware of incidents where, a day care child has the tendency to put different objects in their mouth, and that it's an ongoing occurrence. Staff stated that although they are not always able to prevent the child from committing the act, they developed a plan to pay closer attention to the child, monitor and take action as soon as they notice or become aware that the child has committed the said act. Staff also state that they talk with the child and remind the child of what should not go in their mouth after every occurrence. Staff stated that they inform the child's authorized representative regarding the incidents. Based on interviews and record review, there were no disclosures that collaborated that a day care child put foreign objects in their mouth due to a lack of supervision , and therefore the allegation is found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiency cited. A Notice of Site Visit (LIC 9213) was given to Site Supervisor, and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Appeal Rights (LIC 9058) were provided. An exit interview conducted, and report was reviewed with Acting Site Supervisor Laura Calderon.