complaint·June 29, 2021

The parent and two other witnesses report that C1, who is an infant, was unable to sit up for feedings and should have been in the highchair. The LPA received photos taken the same day as the fall showing a large swollen discolored area on C1’s forehead. 12 interviews were conducted with parents and staff; 3 confirmed the child’s inability to sit unassisted and the internal incident report confirms C1 was placed back in the chair after the fall. Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation that a lack of supervision lead to a child being injured is found to be substantiated. It was also alleged that staff not communicating with authorized representative; specify that a parent was not informed when C1 fell on the tile resulting in a bruise and swelling on the forehead. The LPA received the internal incident report from March 30th, 2021, which confirms that the parent was not called after C1 hit her head on the tile. The LPA also received a photo of the injury taken on the same day as the incident. The director and the 7 staff who were interviewed all confirmed that it is policy to inform a parent of anytime a child hits their head. Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation that a staff not communicating with authorized representative is found to be substantiated. It was also alleged that children are being left in soiled diapers. The Director, Susan Wilson denied this. She said it is their policy to check & change diapers at least every 2 hours. The LPA interviewed 12 witnesses (parents and staff) and 5 confirmed the allegation stating some form of the following; dried feces, feces on leg, staff asks if I want the soiled diaper changed when I get there, increased rashes in number and severity. A witness also said the paperwork provided by the facility at the end of the day sometimes shows 3 to 4 hours between changes. Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation that children are left in soiled diapers is found to be substantiated. continued * Report amended 6/30/21. TYPE A The fol lowing violation of the California Code of Regulations, Title 22; Division 12, was observed: see LIC 9099D. Reports citing Type A violations are to be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file. Notice of Site Visit shall be posted for 30 days from today’s visit.