complaint·June 23, 2025

The licensee stated that children in care have spare clothing available and are typically changed promptly when they soil their clothing or diapers. The licensee noted that C1 wears a combination of pull-up briefs and regular underwear while at the facility and is changed into pull-ups for nap time, then back into underwear afterward. The licensee acknowledged two specific instances involving child C1 in which the child was not changed from soiled clothing/pull-up briefs in a timely manner due to a miscommunication with C1’s authorized representative. The licensee explained that, due to prior incidents in which C1 intentionally soiled them self, she had an arrangement with the child’s authorized representative that C1 would be picked up from the facility in the event of a potty accident. Based on previous experiences, the licensee believed that C1 would be picked up promptly upon notification, given the representative’s close proximity to the facility. In both instances, the licensee reported that C1 remained in soiled clothing for approximately 30 minutes while waiting to be picked up. The licensee stated that had she known C1’s authorized representative would be delayed, she would have changed the child before their authorized representative's arrival. Both the licensee and S2 acknowledged that they made a mistake in their assumption and expressed regret regarding how the situation was handled and for being unable to meet C1's needs. Furthermore, during the LPA’s visits to the facility on April 8, April 17, and today’s date, no observations were made that indicated any violations of children’s personal rights. The children in care appeared to be treated with dignity in their interactions with staff and others and were provided with safe, healthful, and comfortable accommodations, furnishings, and equipment. Based on information obtained from interviews and the licensee’s own admission, the preponderance of evidence standard has been met; therefore, the above allegation is found to be substantiated. California Code of Regulations, Title 22, is being cited on the attached LIC 9099-D. Appeal rights were provided. An exit interview was conducted, and this report was read and discussed with the licensee, Debra Durgin. The Notice of Site Visit shall be posted for 30 days.