1
2
3
4
5
6
7
8
9
10
11
12
13 | On October 29, 2025, Licensing Program Analyst (LPA), Marilou Monico, met with Site Director, Brittany Strange, for an unannounced follow up complaint inspection. LPA toured the facility both indoor and outdoor and a census was taken.
During the investigation process, LPA conducted observations, interviewed staff and parents, reviewed records, and obtained pertinent documents. Based on interviews, the facility had 2 or more cases of Hand, Foot and Mouth disease involving children around the first week of October 2025. The facility failed to notify Licensing and parents regarding the communicable disease. LPA learned from interviews that infant beddings are changed weekly and beddings are not replaced when a child uses the crib that belongs to another child. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.
As a result, Type B deficiencies are being cited on the attached LIC 9099D.
Continuation on next page: |
| Substantiated | Estimated Days of Completion: |
|
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
10/31/2025
Section Cited
CCR
101439.1(e)(1) | 1
2
3
4
5
6
7 | Infant Care Center Sleeping Equipment - (e) Each infant's bedding shall be used for him/her only. Such bedding shall be replaced when wet or soiled, or when the crib, mat or cot is to be occupied by another infant. (1) Bedding shall be changed daily, or more often if required.... | 1
2
3
4
5
6
7 | Site Director states that she will submit a written plan by 10/31/25 detailing how staff will ensure that infant beddings are replaced daily or as needed and each time a child uses the crib that belongs to another child. |
 | 8
9
10
11
12
13
14 | This requirement was not met as evidenced by: Staff did not prevent the spread of Hand, Foot, and Mouth disease by not changing the beddings daily and not replacing the beddings when a child uses the crib that belongs to another child. This poses a potential risk to the health, safety, and personal rights to children in care. | 8
9
10
11
12
13
14 |  |
Type B
10/31/2025
Section Cited
CCR
101212(d)(1)(A)&(f) | 1
2
3
4
5
6
7 | Reporting Requirements - (d)Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day...(1) Events reported shall include the following:....(E) Epidemic outbreaks. (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.
| 1
2
3
4
5
6
7 | Site Director states that she will submit a written plan by 10/31/25 to ensure that two or more cases of communicable disease is reported to Licensing and parents are notified. |
 | 8
9
10
11
12
13
14 | This requirement was not met as evidenced by: The facility failed to notify the Department and parents regarding two or more cases of Hand, Foot, and Mouth disease. This poses a potential risk to the health, safety, and personal rights to children in care. | 8
9
10
11
12
13
14 |  |