Incident investigation·August 19, 2021

Licensing Program Analyst (LPA) Deanna Villagrana met with Director Jennell Castillo for an unannounced case management inspection. Purpose of today's inspection is to address an Unusual Incident that the Facility self reported to Community Care Licensing (CCL) on 08/04/2021. LPA observed 10 children with one teacher and one aide in classroom 1 and eight children with one teacher in classroom two. LPA interviewed Jennell and obtained pertinent documents. Based on information obtained, it was found a child who is allergic to dairy which is noted in child's file on form LIC702 and LIC627, was given dairy products on 07/26/2021 in the form of buttered popcorn. Staff did not realize the butter in the popcorn would cause a reaction. Child did not have a reaction at the school and only showed signs in the evening when child was home. The following type B deficiency was cited on the attached page (809-D). Director was informed that failure to correct the deficiency by the specified Plan of Correction (POC) Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made. A Notice of Site was issued and must be posted for 30 days.