A GOOD TIME OUT

101221(b)(8) · CHILD RECORDS (b) Each record shall contain information including, but not limited to, the following: (8) Medical assessment, including ambulatory status as specified in Section 101220, and the following health information

This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. The facility does not obtain medical assessments for "drop in" day care children. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/01/2023

101216.1(c)(1)(A) · (c) To be a fully qualified teacher, a teacher shall have… (1)Twelve post-secondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university …(A) The units specified … above shall include… Licensee understands that Staff #1 is not a fully qualified teacher; therefore, she cannot be left alone with children in care, or act in the capacity of teacher as it pertains to care and supervision of children. Licensee stated that going forward, a fully qualified teacher will be appointed as lead teacher in the infant child, family and community, or child and family.

record review and staff interview. Staff #1 does not have the units specified above to be considered a fully qualified infant teacher. This poses a potential risk to the health, safety, or personal rights of children in care classroom so that compliance is maintained. Licensee stated she will submit a plan to the Fresno Community Care Licensing office, by 1/15/22, specifying how staff will be reorganized to ensure there is a qualified teacher in the infant classroom at all times.

101223(a)(1) · Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights (1) To be accorded dignity in his/her personal relationships with staff ...

staff interview. Staff #1 caused a head injury to child #1 Director stated Staff #1 has already been terminated from the company effective 10/20/21. Director stated she will have a staff meeting discussing Personal Rights for children and will submit documentation of agenda, roster, and notes presented by POC due date. This poses an immediate risk to the health, safety or personal rights of children in care. SUPERVISOR'S NAME: Diana deLeon

101216.5(b) · There shall be a ratio of one teacher for every four infants in attendance.

LPAs observations. Today, LPAs observed two staff members providing direct care and supervision to ten infants Licensee indicated she will provide staff with training regarding Title 22 Regulation 101216.5(b). This training to include the viewing of Community Care Licensing (CCL) video titled "Teacher to Child Ratios in Child Care Centers". This poses a potential risk to the health, safety, or personal rights of children in care. This video can be viewed by accessing the Department's website: childcarevideos.org. Licensee to submit a copy of training outline, and list of attendees to the Fresno CCL office by 8/20/21. SUPERVISOR'S NAME: Diana deLeon