101216(g)(1) · Personnel Requirements (1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

Deficient Practice Statement Based on record review, the director did not comply with the section cited above. Staff #2 did not have a health screening record on file. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/13/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101220(a) · Child's Medical Assessments (a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

Deficient Practice Statement Based on record review, the director did not comply with the section cited above. Child #2, #3 and #4 did not have a completed physician report on file. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/13/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101220.1(g) · Immunizations (g) The licensee shall document each child's immunizations and shall maintain such documentation in the center for as long as the child is enrolled.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. Child #2, #3, and #4 did not have immunization records on file. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/06/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101700.3(b)(1) · Division 12, Chapter 1, Subchapter 5 101700.3 California Lead Action Level at Child Care Centers (b) Testing... Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.

Director posted the lead sampling test results. Director shut off the outlets permanently closed outlet B. Director is utilizing other source of water by children bringing their own water bottles and are being refilled by the filtered kitchen faucet that tested negative for Lead. Based on facility Lead sampling tests it was discovered that outlet B had a high level of lead. This poses a potential risk to the health of children in care. SUPERVISOR'S NAME: Judy Hanson

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101216.3(a) · 101216.3(a) Teacher-Child Ratio. There shall be a ratio of one teacher supervising no more than 12 children in attendance except as specified in (b) and (c).

Corrected during visit. Director will submit a written statement with how ratio will be met at all times. Director stated will email LPA statement at giselle.lucero@dss.ca.gov by 03/13/2023 LPA and LPM observed Staff #1 supervising 15 children while Staff #2 went into the kichen behind closed door and was also observed coming from a different classroom upon arrival, leaving Staff #1 out of ratio. This poses an immediate riskto the safety to the children in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.