During the staff interviews, Staff 2 (S2), disclosed that the procedures for cleaning after there has been an illness is staff are supposed to sanitize the classroom, when the kids are not present, staff use bleach but if they are present staff cannot use bleach. Staff also clean the toys. S2 stated there was a Hand Foot and Mouth outbreak in S2’s class, there were at least 3-4 children that got it, this was in March. The children who contracted it were sent home and their parents were notified. The other parents were not notified because the previous director said she did not want to send parents into a panic. The other staff were not notified of it because previous director also said she did not want to send to send the school into a panic either. S2 does not think previous director reported the incident to Licensing or the Department of Health. Staff 3 (S3) said the procedures for cleaning after there has been an illness is If a child put a toy in their mouth, it has to be placed in a bin to be sanitized. There was a Hand Foot and Mouth outbreak in the toddler English classroom. S3 thinks they did sent the children home but, S3 didn’t know how many. The teacher told S3 about it. S3 was not aware if parents were told, at least not the parents in S3 class. S3 didn’t think all staff and parents notified about it. S3 is not aware if Licensing and the Health Department being notified of the outbreak. Staff 4 (S4) stated there was a Hand Foot and Mouth outbreak in one of the classrooms, not in S4's class but another class did. The infected children were sent home, but S4 doesn't know many, it was not any in S4's class. S4 doesn't think the other parents or Licensing were notified.

Staff 5 (S5) said the procedures for cleaning after there has been an illness is a chart that staff have to follow if there are a number of symptoms then we send the child home. Every day at the end of the day staff spray with the bleach solution. When asked if there was a Hand Foot and Mouth outbreak in one of the classrooms, S5 said not recently maybe last year, it was during break, the infected child wasn’t at the school but on vacation. S5 does not know of any other cases in other rooms. At least, staff, and other parents were not told of an outbreak. S5 did not know if Licensing was informed. Staff 6 (S6) the procedures for cleaning after there has been an illness, staff clean every day and sanitize the toys, at the end of the day. There was a Hand Foot and Mouth disease in S6's class, it was one child. The parents informed the staff, and the child was out a whole week. Staff did extra cleaning and checked the other children. S6 heard there might have been a case in another room, but S6 didn’t really know. Page 2 of 3

LPA reviewed the file and confirmed facility did not notify the Department about the Hand, Foot, and Mouth outbreak from March 2024.

5 of 8 parents were interviewed, 5 of 5 parents interviewed had no issues or concerns with the facility. 5 out of 5 children stated teachers clean the classrooms every day.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are UNSUBSTANTIATED. Exit interview was conducted, and report was reviewed and discussed. 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. Failure to post will result in civil penalties of $100 per day. 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.

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During the staff interviews, Staff 2 (S2), disclosed there was a Hand Foot and Mouth outbreak in S2’s class, there were at least 3-4 children that got it, this was in March. The children who contracted it were sent home and their parents were notified. The other parents were not notified because the previous director said she did not want to send parents into a panic. The other staff were not notified of it because previous director also said she did not want to send to send the school into a panic either. S2 does not think previous director reported the incident to Licensing or the Department of Health. Staff 3 (S3) stated “There was a Hand Foot and Mouth outbreak in the toddler English classroom. I think they did send the children home but, I don’t know how many. The teacher told me about it. I’m not aware if parents were told, at least not the parents in my class weren’t. I don’t think all staff and parents notified about it. I’m not aware of Licensing and the Health Department being notified of the outbreak.” Staff 4 (S4) stated “There was a Hand Foot and Mouth outbreak in one of the classrooms, not in my class but another class did. The infected children were sent home, but I don’t know many, it was not any in my class. I don’t think the other parents or Licensing were notified.”

When asked if there a Hand Foot and Mouth outbreak in one of the classrooms, Staff 5 (S5) stated “Not recently maybe last year, it was during break, the infected child wasn’t at the school but on vacation. I do not know of any other cases in other rooms. At least, staff, other parents were not told of an outbreak. I do not know if Licensing was informed, not that I know of”. Staff 6 (S6) stated “There was a Hand Foot and Mouth disease in my class, there was one child from my class, parents informed us, and he was out a whole week. We did extra cleaning and check the other children. I heard there might have been a case in another room, but I don’t really know.” Staff 7 (S7) stated “There was a Hand Foot and Mouth outbreak in the English toddler rooms. I think about about 2 children were sent home. The other parents in that room were not notified nor the other parents or other staff. The previous director did not notify Licensing.” Staff 8 (S8) disclosed there was a Hand Foot and Mouth outbreak in the toddler, English class. The parents were notified and about 3-4 children had to be sent home. The other parents and staff were not notified of the outbreak and Licensing was not informed about it, per the previous Director.

5 of 8 parents were interviewed, 5 of 5 parents interviewed had no issues or concerns with the daycare. The 5 children interviewed made no disclosures.

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Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 Section CCR 101212(d)(1)(E)Reporting Requirements, 1 Type B is being cited on the attached LIC 809D. Please refer to attached 809D for documentation of deficiencies.