Regarding allegation (1) the licensee does not ensure that day care children’s diapering needs are met.

During staff interviews, all interviewed staff stated they follow diapering procedure as follow: check child’s diaper, change diaper every two (2) hours and as needed, and document the diaper change in the app. LPA review app and verified records of diaper changing from 5/30/25 to 6/3/25, record revealed staff conducted diaper changes as described. LPA also reviewed policy/procedure re: diapering and the policy/procedure was consistent with interviewed staff’s statement.

During the staff interviews, four (4) out of four (4) interviewed staff stated they change children every two hours and as needed. Staff #1 (S1) stated “For the infants, when child arrives, we change child within the hour upon arrival, then every 2 hours after that, unless they have poop or are soiled (if they feel wet). All interviewed staff stated “They do not have concerns regarding diaper changes”. LPA asked staff what is the procedure when it comes to diapering children. All interviewed staff stated they log diaper changes in App and communicate with other classroom staff by writing diaper changes on classroom board. Staff #2 (S2) stated “I show the other staff the board schedule on the wall and explain who is next and what to do. I communicate if the children have any special circumstances. LPA asked staff if they were aware of a child that has been left in a soiled diaper for a long period of time. All interviewed staff stated “No”, Staff #3 (S3) stated “Teachers will change children with BM’s first”. LPA observed classrooms conducting diaper changes during facility visit and there were no infant and toddler concerns with diaper changes. LPA also reviewed children diapering logs and children are diapered every two hours or earlier if needed. Based on information gathered, there is not enough preponderance evidence to prove allegation (1) the licensee does not ensure that day care children’s diapering needs are met.

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During staff interviews, all interviewed staff stated they follow cleaning procedure as follow: clean classroom and follow Classroom Daily Checklist. LPA reviewed the Daily Cleaning Checklist for week 05/26/25 for Infant and Toddler Classrooms, the record showed that staff conducted cleaning procedure as described and document their checklist after they cleaned. Staff interviews, four (4) out of four (4) staff interviewed stated that all facility staff are responsible for maintaining their bathrooms and classrooms clean. Facility has a daily classroom Cleaning Checklist where staff complete daily classroom tasks to keep classrooms clean and organized. LPA observed infant and toddler classrooms to be clean and organized. Some toys were observed not to be placed back on shelves by children. Most of the toys were used by all children in classrooms. LPA also observed a bin where staff placed toys after children mouthed toys. LPA also asked staff what chemicals and products staff used to sanitize and clean classrooms. Staff #3 (S3) stated that “facility uses chemicals, mops, magic erasers, rags, scrubbers, and paper towels. We also have a handy man who will pressure wash for us the structures, structures are pressured washed once a month”. Based on information gathered, there is not enough preponderance evidence to prove allegation (2) facility is dirty and unsanitary.

On 06/05/25, LPA attempted to interview 5 parents. The 5 parents were satisfied with the facility, and the 5 parents did not make any disclosure regarding the above allegations.

On 06/05/25 LPA conducted an observation of the facility: infant and toddler classrooms and playgrounds: LPA observed the playground and classrooms to be clean and organized. LPA observed toys being exchanged during facility visit. Facility staff stated toys were being exchanged because the facility received delivery of new materials and toys. LPA also observed staff conducting diaper changes for infants and toddlers. Staff was observed to be respectful, talked to children thorough process, and staff sanitized changing tables after completing procedure.

During record reviews, LPA reviewed Infant and Toddler Classrooms Cleaning Checklist for week 05/26/25, Children Daily App Reports for daily activities including diaper changes. The reviewed Infant and Toddler Classrooms Cleaning Checklist showed where staff initialed after completing cleaning tasks. LPA also reviewed ten (10) children printouts of daily activities (dated 5/30/25) including daily bathroom diaper changes. LPA did not observe any concerns

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Exit interview conducted and report was reviewed with Director. Notice of Site Visit was posted and must remain posted for 30 days. Failure to comply with the posting requirements shall result in an immediate civil penalty of $100.

Appeal Rights were explained. The Director was provided with a copy of the appeal rights (LIC 9058) 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.

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