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13 | On the above date and time, Licensing Program Analyst (LPA), Kelly Gerth, made an initial 10-Day unannounced visit to address the above allegation(s) from a complaint received by CCL on November 07, 2025. LPA met with Director M. Isabel Gutierrez to discuss complaint allegation(s). LPA took census, verified enrollment of facility staff, conducted interviews with 6 staff and obtained copies of pertinent documentation including children’s roster, attendance logs and infant sleep logs.
Regarding the allegation Staff do not follow safe sleep regulations for all infants in care. During the visit, LPA Gerth reviewed the evidence gathered, which included the infant safe sleep logs and attendance sheets for the infant program and found that 15 minute sleep logs are not fully completed and/or missing altogether for at least 1 infant in care throughout the month of October 2025 to date. Interviews conducted corroborated that staff have a full understanding that 15 minute sleep checks must be conducted during periods of rest for all infants in care, yet are not always being completed. Based on the LPA’s observation, record review and corroborating interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. See Next Page
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