complaint·November 10, 2021

CD further stated that after an usual incident, staff were required to produce an incident report(s), and provide the report(s) to facility management which then a duplicate copy of the incident report was provided to parent(s) of all children involved in the incident(s). Statements provided by P1, P2, P3, A1 and A2 corroborated the allegation, reporting a lack of staff at the facility made it difficult for staff to check children’s diapers or check on children using the bathroom to ensure they were clean. P2 reported that twice a week for a duration of one month, staff were not changing her child’s diapers often enough resulting in soaked diapers and urine wet clothes. CD1’s apologized when brought to her attention. In addition, P1 was concerned their child was not getting assistance with toileting needs since a lot of times the child was picked up with soaked diapers. In additions, A2 and S3 believed that the staffing shortage resulted in prior incident(s) of a child smearing feces on his/herself. Multiple staff and adults confirmed the facility’s procedure for reporting unusual incident(s) as described by CD, however, A2 and S3 claimed they either heard or received complaints about incident report(s) not being distributed to parents. A1 and S3 reported parents had not received incident reports, and A1-A2 reported seeing incident report(s) that had not been distributed directly to parents and instead were sitting on a table near the children’s sign in/out binder. P1, P2, P4 and P8 reported occasions where the facility had not notified them of incident(s) in which their child was involved. P2 stated her child fell and sustained a scrape on the nose that was not reported. Also, between the months of August through September 2021, P4 witnessed her child had a busted upper lip that was not initially reported and P8 was not notified of a scrape on her child’s right elbow. Based on this investigation, the preponderance of the evidence standard has been met and therefore, the allegations are substantiated. The California Code of Regulation 101223(a)(2) and 101212(f) of the Title 22, Division 12, Chapter 1, Article 06, are being cited on LIC 9099D. This report was discussed and reviewed with CD and an Exit interview was conducted with CD. Notice of Site Visit shall be posted for 30 days. Appeal Rights were provided.