101229(a)(1) · 101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.

Director reports C2 is no longer at facility and has no other children reported to be biter , Director will provide a plan with steps to be taken so issue does not arise again. Copy can be sent to LPA Rivas via email by plan correction date. (patricia.rivas@dss.ca.gov) Based on interviews from staff, parents, records review, and picture observation it has been determined Child (C2) caused injuries to C1. This is an immediate risk to the health and safety of children in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101419.2(b)(2) · Infant Needs and Services Plan (b) The needs and services plan shall be in writing and shall include the following: (2) Infants up to 12 months of age shall have a completed Individual Infant Sleeping Plan [LIC 9227 (3/20)], which is incorporated by reference.

Deficient Practice Statement Based on record review, the director did not comply with the section cited above. 5 out of 5 children's files were missing a individual infant sleeping plan. Which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/03/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101419.3(a) · Modifications to Infant Needs and Services Plan (a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy.

Deficient Practice Statement Based on record review, the director did not comply with the section cited above. 5 out of 5 children's files that were reviewed did not have a date. Which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/03/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101419.2(a) · Infant Needs and Services Plan (a) Prior to the infant's first day at the center, the infant care center director or assistant director shall complete a needs and services plan for the infant.

Deficient Practice Statement Based on record review, the director did not comply with the section cited above. 4 out of 5 children's file reviewed did not have a needs and services plan in their file. Which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/03/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101438.3(c)(1) · The sleeping area for infants shall be physically separate from the indoor activity space.

Deficient Practice Statement Based on interview the director did not comply with the section cited above. 4 out of 4 staff interviewed advised LPAs on 3/20/2023 at approximately 11 a.m. there were 2 staff present with 8 infants and 1 of the infants was asleep, staff reported that they were advised from management to pull crib out in between the nap area and activity area, blocking the nap area doorway to maintain ratio. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/27/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.