LPA’s observations during the inspection, LPA observed the infant Diaper Changing Log that log each infant’s bowel movements. Staff stated they will start to log urination diaper changes as well. Staff seemed to change the children’s diapers as needed.

Regarding the allegation, Facility restricted children from drinking water, S1 disclosed that children have constant access to water. The children have their own water bottles, staff refill them as needed. Each classroom also has jugs of water with cups. There are water breaks throughout the day and staff do encourage children to drink water often. S2 stated children have their own water bottles that are labeled with their names. Classrooms have a water jug so that staff can refill them. S2 disclosed giving the children water every 30 minutes to 1 hr. S2 will ask does anyone want water and the children come running. S3 stated children have access to water by the classroom water jug and cups and kids have their own sippy water bottles. S3 ensures the infants have water often by reading their body language, and some do say “wawa” and staff make sure to always offer water. Staff cannot push it but staff encourage them. S4 disclosed children have access to drinking water by water pitchers in the classrooms and children have their own water bottles and cups for those that don’t. Staff also offer water at meals.

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LPA’s observations during the inspection, LPA observed water pitchers in each classroom with cups in addition to children’s own water bottles with their names labeled on them. Every child’s bottles had water in the them and staff seemed to refill them as needed and had water available for children throughout the day.

Regarding the allegation, Facility did not ensure that it is free of bugs/insects, S1 stated the only time there has been insects is during the summer like mosquitos and fleas. The facility was treated twice, inside and outside. Since then, S1 has not seen any fleas. If staff see any evidence of insects, they will get the facility serviced right away but if not, at least annually during the summer. S2 disclosed sometimes that in the summer the children get mosquitos bites but it’s only like one or two and staff ask parents to bring bug spray. But never like a swarm of bites. S2 stated that usually in the summer there is mosquitoes and fruit flies. When staff start to see insects, staff tell S5, and S5 takes care of it right away and the facility gets treated. In the summer as soon as staff notice any bites on the children, staff tell S5. Some kids come with bites from home, but staff still let S5 know. S3 disclosed that in the summertime the facility got mosquitoes and fruit flies. Pest control comes often to maintain the facility. If more treatments are needed, they come more often. The children have gotten bites in the summertime, but they also get some from home, some kids are sensitive. S4 disclosed that last year and this year, in the summer, there was a flea problem. S4 had an exterminator come and treat the facility. When there is a problem, the exterminators come on the weekends. The facility was treated until there wasn’t a problem anymore. Some of the children got bites but just during that time in the summer but no more. Three (3) out of four (4) children interviewed denied getting insect bites at the facility. Child #1 (C1) disclosed getting mosquito bites and that since the school got sprayed, it helped the problem. Two of two parents interviewed made no disclosures regarding the allegation.

LPA’s observations during the inspection, LPA did not observe insects or evidence of insects at the facility. LPA was provided with Pest Control invoices which show the facility seems to be getting treated regularly from 2022 to the current year, 2025.

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Based on LPA’s interviews and record review, there is insufficient evidence to corroborate the allegation of Facility did not meet child's diapering needs, Facility restricted children from drinking water, and Facility did not ensure that it is free of bugs/insects. Although the allegations 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 allegation is UNSUBSTANTIATED.

Exit interview was conducted, and report was reviewed and discussed with facility representative. 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. 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. End of Report.

Page 4 of 4. End of Report.