Reporting Party (RP) alleges staff did not provide adequate supervision resulting in minor injury, staff did not follow doctor's orders, and staff did not follow minor's nutrition plan.

During the investigation, LPA interviewed the RP via email, interviewed five staff, and obtained documents.

Staff did not provide adequate supervision resulting in minor injury. RP alleges staff did not provide adequate supervision resulting in minor injury. LPA reviewed photos from the RP showing red marks on the knees of child #1 (C1) dated 5/13/2024. On 7/17/2024, two staff interviewed stated they were informed by a parent of C1 that the red marks happened at home and not at the childcare center. LPA reviewed C1 file and didn’t observe any ouch reports pertaining to red markings on C1 knees. One staff interviewed stated C1 has been observed pushing bikes while on their knees.

Staff did not follow doctor's orders. RP alleges staff did not follow doctor's orders. RP alleges a staff member hid the medication from other staff and informed staff not to administer any medication although doctors’ orders were provided for C1. RP alleges C1 was sent home on May 9, 2024, due to staff not administering medication on May 9, 2024, resulting in C1 having a fever. On 7/17/2024, LPA interviewed staff, staff interviewed stated dry medication is stored in a locked drawer inside the assistant director desk. Staff stated medication is administered by the director or assistant director and if they are both unavailable then the next authorized staff in charge can administer the medication. Staff interviewed stated they were never informed by other staff not to give C1 their medication. RP was unable to provide documentation showing they informed staff to administer medication to C1 on May 9, 2024. Staff were unable to provide documentation showing they administered medication to C1 on May 9, 2024.

Staff did not follow minor's nutrition plan. RP mentioned there are photos of child #2 (C2) attempting to eat soft foods, which C2 did not like. RP also mentioned staff gave soft food and crackers that staff brought without informing parents. On 7/17/2024, LPA reviewed the Needs and Service Plan for C2. The Needs and Service Plan does have a list of soft foods that C2 cannot have. On C2 Needs and Service Plan it reads C2 does not have any food allergies or sensitivities. On 7/17/2024, LPA reviewed C2 enrollment agreement, and the enrollment agreement does not have any allergies listed. On 7/22/2024, LPA reviewed C1 LIC 702 Child’s Preadmission Health History – Parent Report signed and dated on 2/27/2024. The report shows C2 has purees listed for food C2 usually eats. The report also shows C2 does not have any food dislikes. On 7/17/2024, LPA interviewed staff. Staff interviewed stated if parents do not want their child/children eating foods listed on the menu, parents can circle the items they do not want their child/children fed or give something in writing. LPA didn’t observe any written documents stating C2 cannot have soft foods.

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On 7/24/2024, parent interviews were conducted. LPA contacted nine parents via phone call. Out of nine parents, six parents were able to be interviewed. Parents interviewed did not divulge and information pertaining to the allegations.

LPA did not interview children due to age and children being non-verbal.

Based LPA observation, documentation, interviews with staff and parents, there was not enough evidence to substantiate the allegations.

In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.