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32 | During record review, LPA obtained a copy of an email letter dated 04/28/26 from CCC to families informing them that a “health issue” had occurred in the toddler classroom, however the letter only indicated “someone” had been diagnosed with Pinworms and did not disclose that an outbreak had occurred. According to the San Diego Public Health Department (SDPHD), an outbreak is defined as 2 or more linked cases of a communicable disease within a specific setting. In addition, LPA could find no evidence that the outbreak was reported to CCLD. Interviews further revealed that apart from the aforementioned letter, only the parents of the children infected had been spoken to directly by CCC staff and full disclosure of the outbreak had not been clearly shared with enrolled families.
Regarding the allegation that staff did not take adequate measures to prevent an outbreak, LPA inspected the facility, conducted confidential interviews and reviewed records. During the investigation, at the time of interview, CCC representative disclosed that SDPHD had not been informed of the outbreak and no information other than the email letter had been provided to parents on the measures to take to treat the infection at home. Record review and confidential interviews also revealed that no additional cleaning procedures have been taken to ensure disease is not transmitted between children or with staff. CCC provided a classroom cleaning checklist provided by CCC corporation that is be used, however upon review of “Daily/As needed” tasks for the week of 04/27/26-04/30/26, only 9 out of 24 items had been initialed as complete, and 1 out of 4 “Weekly/As Needed” tasks had been initialed. Record review also revealed that classroom staff were given a “Universal Precautions” training packet which focuses on blood borne pathogens and a guide to support frequent hand washing. The CCC did not have evidence of availability of staffing to address deep cleaning and sanitation of toys, materials and classrooms during times of known cases of illness or on a routine basis to ensure cleanliness, health and safety. Corroborated staff concerns also revealed that this specific location was given the option of classroom staffing needs to meet enrollment numbers or cleaning staff, and classroom staff have been tasked with the duty of both supervision and housekeeping and have admitted to falling short in order to ensure supervision of children over a sanitary environment.
Based on interviews, document review and observation, the preponderance of evidence has been met and the allegations that the facility did not notify parents of a Pinworm outbreak and that staff did not take adequate measures to prevent an outbreak in the facility are SUBSTANTIATED. The facility is being cited under California Code of Regulations, Title 22, Section 101212(f) and 101438.1. See details on the attached LIC 9099D. |