complaint·December 15, 2025

C1 was struggling to finish a bottle and then lost the contents of the bottle all over themselves which is why P1 was contacted to pick the child up. One staff (S1) was interviewed on 9/25/25 and stated they were present with C1 during the sickness. S1 never saw any leaves near C1 and did not think C1 have anything in their mouth that they were aware of. S1 stated that C1 vomited mucus up and had been congested when they arrived at the facility. On 12/8/25 LPA interviewed three parents who stated they have not had concerns about the care and supervision of their children. All parents have been notified immediately in the event their child was sick or injured. All parents stated that their children have fallen and gotten sick and they receive immediate updates. One parent (P2) stated that their infant puts everything in their mouth, but they feel confident that if the staff saw their child ingesting anything they would be notified immediately. None of the parents have ever seen the facility operate out of ratio or operate with less than two staff. One parent (P2) stated there have been times at pick up that their children may be overdue for a diaper change, but believed it was an oversight, not due to staffing issues. LPA reviewed staff CPR/ First Aid certifications. LPA reviewed the facility\342\200\231s sick policy and parent notification board which addresses bringing children to the facility with illness. Licensee and P1 witnessed a leaf removed from C1\342\200\231s mouth and a diaper rash on C1 but it is not clear if there was a lack of supervision that caused the incident. Based on interviews and record review LPA determined that the allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. Exit interview conducted and report was reviewed with the licensee Angelic Quezada. Appeal rights were provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.