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32 | RP stated that one location is currently operated with approximately 15 children present on Mondays; combining both programs would result in approximately 28 children present at the same time. RP indicated that this appears to exceed the licensed capacity for the current license type and may require additional licensing that is not held.
During the investigation, LPAs toured the facility and obtained pertinent documents. LPAs also conducted interviews with the Reporting Party, 6 staff members, and 5 parents. LPAs did not interview children because there are no children in care.
Regarding the allegation of “Licensee is operating over capacity”
During the staff interview, Staff # 1 (S1), Staff # (S2), and Staff # 3 denied the allegation and stated that the facility never operated out of ratio. They stated that they usually work with two other assistants and the Licensee when they are supervising about 10 to 12 children; they never work by themselves. LPA tried to contact Staff # 4 (S4), Staff # 5 (S5), and Staff # 6 (6), and they never returned LPA’s call. LPA attempted to request the roster for December 2025 and January 2026, but Licensee did not provide. The licensee has provided the February 2026 roster, showing 12 children scheduled per day, Monday through Friday.
During the initial 10-day visit, LPAs did not observe any children in care. During the parent interview, all 5 interviewed parents did not divulge any information pertaining to the allegation or express any concerns regarding care of the children.
Based on LPAs' observations, interviews, and records review, the preponderance evidence of Licensee is operating over capacity has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.
Exit interview was conducted and report was reviewed with the Facility Representative Holland Jacqueline.
Notice of Site Visit was posted during the visit. The facility representative was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.
Appeal Rights were explained. The facility representative was provided with a copy of the appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above. End of Report. Page 2 of 2
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