During the staff interviewed, S5 stating all teachers are aware of C1’s allergy condition and was thinking C1 had an allergic reaction due to cross contamination which means staff probably wore food gloves to serve bread and used the same food gloves to pick up the orange to serve to C1. Corporate office has already provided training to all staff regarding allergy, what to do in case of an emergency, and how to use an Epi-pen.

During the staff interview, S3 stated on 11/22/23, around 3pm, S3 was at the front desk and Adult #1 (A1) came to S3 asking S3 to locate C1 since C1 was not in attendance of gymnastics class. S3 and A1 went to classroom #5 where C1 was in attendance. C1 was in the room with S7 and S9. C1 was observed to have a runny nose. S3 asked S6 what C1 had for snack and S6 informed S3 that S6 gave C1 an orange.

LPA Duron interviewed 4 parents. All interviewed parents stated they did not have any concern with facility.

Page 2 of 3

Based on the information gathered from the above, the preponderance of evidence standard has been met, therefore the allegation of Staff did not meet child’s dietary needs is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 Section 101223 Personal Rights (a)(3). Please refer to attached 9099D for documentation of deficiencies.

This requirement is met as evidence by: Based on LPA’s interview and record review ,on 11/22/23, C1 received an allergic reaction to wheat. Facility served the children bread during afternoon snack and the staff members did not know how C1 had the allergic reaction as staff denied serving bread to C1. This poses an immediate health risk to the children in care.

LPA Duron informed Director, Lura Nixon that this report dated 03/18/24 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. LPA Duron informed the Director to provide a copy of this licensing report dated 03/18/24 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights were provided. The facility representative was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days. Any proposed changes to the physical plant, including telephone number, shall be immediately reported to the Department.

Page 3 of 3 End of Report.

Regarding allegation: Staff did not seek medical attention for daycare child in a timely manner. Staff #3 (S3) stated the following: On 11/22/23, around 3pm, S3 was at the front desk and Adult #1 (A1) came asking S3 to locate C1 since C1 was not in attendance in the Gymnastic class. S3 and A1 went to classroom #5 where C1 was in the room with S7 and S9.

S6 stated S6 took some children to classroom #5 after snack and did not remember taking C1 to classroom #5. Indeed, S6 stated S6 was a substitute for the day and did not remember what C1 looked like.

8 interviewed staff stated the facility has a list of children with allergies posted in every classroom on the cabinet. If the children had an allergic reaction, staff would call 911, apply Epipen as needed, and call the parents. S7 and S9 observed C1 looked fine, observed a runny nose on C1.

Regarding allegation: Staff did not properly supervise daycare child. S5 stated the following: On 11/22/23, S10, the substitute Gymnastic teacher was supposed to take C1 and the other children enrolled in gymnastics to the Gymnastic lesson, but S10 was subbing for the day and only took the other children enrolled in the Gymnastic class. C1 was in the classroom #5 and was supervised by S7 and S9. At no time, was C1 left unsupervised.

S3 confirmed on 11/22/23, S3 and A1 observed C1 was supervised by S7 and S9 in classroom #5. S7 and S9 confirmed they were supervising C1 when S3 and A1 arrived to classroom #5.

During the children interview, 5 out of 5 children did not make any disclosure.

LPA Duron interviewed 4 parents. All interviewed parents stated they did not have any concern with facility.

Based on the information gathered from LPA's interviews, observation, and reviewing records, there is insufficient evidence to corroborate the allegations of Staff did not seek medical attention for daycare child in a timely manner and Staff did not properly supervise daycare child. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are UNSUBSTANTIATED. Exit interview was conducted, and report was reviewed and discussed. 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 per day. The facility was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. Page 2 of 2. End of Report.