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32 | RP reported a child (herein notified at C1) suffered numerous illnesses in short succession due to the lack of cleanliness within the facility. LPA reviewed medical notes entered as evidence, in which doctor indicates several diagnoses present during varying times and states “patient should not be in daycare or at the very least large daycare setting.” However, doctor does not indicate specific source of illness(es) or that C1’s diagnoses were a direct result of facility’s alleged lack of cleanliness. Furthermore, secondary medical documents post C1 disenrollment from the facility, state C1 “parents elected to remove patient from daycare.” Interviews with staff, and parents could not corroborate this allegation and parents interviewed were satisfied with the level of care and supervision their child receives. Based on interviews, observation, and document review, although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation is UNSUBSTANTIATED.
RP reported facility was not following C1 sleep plan (napping) submitted by parents and that the most C1 slept ever was 40 minutes and C1 most typically slept 10 minutes if at all. RP stated difficulty in trying to express concerns however was dismissed by the manager and director. LPA reviewed sleep logs, although facility does try to keep with the napping request of parent(s), facility is also aware of Title 22 Division 12 Regulation that no child shall be forced to sleep. Staff interviewed stated when a child has difficulty sleeping, the routine is to comfort child and alert parent(s) of the change in napping during school hours. Interviews with staff stated, during parent(s) home visit prior to enrollment, nap routine is discussed, and staff advises parent(s) the facility is different than home, so there will be a transition period but the staff will do their best to adhere to schedule. LPA reviewed messages between RP, administration, and Director in which RP inquiries were responded to within 24-48 hours. Director did provide lengthy response to RP regarding C1 lack of napping and provided insight into children’s napping behaviosr. Based on interviews, observation, and document review, although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation is UNSUBSTANTIATED.
This investigation is closed. No citations were issued during today’s inspection.
Exit interview conducted via phone, report review and signed by authorized assistant administrator, copy and appeal rights provided.
THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817.
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