Mc Donald Learning Center

101416.5(b) · Staff-Infant Ratio 101416.5(b): There shall be a ratio of one teacher for every four infants in attendance.

Per Licensee, the Center will know how many children will be in care and the facility will be staffed to meet the ratio. A staff training will be completed a copy of the training sign in sheet will be provided to the Department. The Center was within ratio by 08:08am. Based on LPA observation, the Licensee did not ensure a ratio of one teacher to every four infant infants in attendance was being met when at 7:50am, S1 was alone and supervising five awake infants. This poses an immediate risk to the health and safety of persons in care. Lady King NAME OF LICENSING PROGRAM MANAGER: Kendal Zirbes NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/08/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

101416.3(b) · (repeat, civil penalties) Infant Care Aide Qualifications and Duties. September 13, 2023 Case Management - Other

101429(a)(2)(B)(3)(a) · citation Responsibility for Providing Care and Supervision for Infants Three type B citation: 101429(a)(2)(C) Responsibility for Providing Care and Supervision for Infants, 101216(f) Personnel Requirements, 101419.2(b)(2) Infant Needs and Service Plans, One technical violation- 101220(a), Children medical assessment During this meeting, RM discussed and provided copies of the following Title 22 Regulations to licensee 1. Personnel Requirements: Title 22, 101216 1. Reporting Requirements: Title 22, 101212 2. Accountability: Title 22, 101214 3. Administrator Qualifications and Duties: Title 22, 101215 4. Personnel Requirements: Title 22, 101216 5. Teacher Qualifications and Duties: Title 22, 101216.1 6. Teacher Aide Qualifications and Duties: Title 22, 101216.2 7. Teacher-Child Ratio: Title 22, 101216.3 8. Personnel Records: Title 22, 101217 9. Personal Rights: Title 22, 101223 10. Discipline: Title 22, 101223.2 11. Observation of the Child: Title 22, 101226.3 12. Buildings and Grounds: Title 22, 101238 13. Limitations on Capacity: Title 22, 101161 14. Staff-Infant Ratio: Title 22, 101416.5 15. Capacity Determination: Title 22, 101179 Report continued page three

101416.5(b) · 101416.5 (b) Staff-Infant Ratio: There shall be a ratio of one teacher for every four infants in attendance.

101416.3(b) · 101416.3(b) Infant Care Aide Qualifications and Duties: An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher, except as provided for in 101416.5(d)(1).

Per Administrator, a plan will be submitted to the Department by the close of business on 4.12.24. Based on record review, and interviews, the licensee did not ensure, infant care aides (S1 and S2) were working under direct supervision of a fully qualified teacher on 3/21/24. This poses an immediate risk to the health and safety of persons in care. SUPERVISOR'S NAME: Lady King

101416.3(b) · 101416.3(b) Infant Care Aide Qualifications and Duties: An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher, except as provided for in Section 101416.5(d)(1).

Per Licensee, the center will ensure that a fully qualified infant teacher is in the classroom at all times. Based on LPAs observation, record review, interviews, S1 and S2 were working as infant aides in the infant room. S1 and S2 were not being supervised by director, assistant director or fully qualified teacher. This poses a potential risk to the health and safety of persons in care. SUPERVISOR'S NAME: Lady King

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 licensee did not comply with the section cited above in three of out of five infant files review did not have the needs and service plans updated at least quarterly or as often as necessary. Needs and Service plans were being completed every four to six months, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/11/2023

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 in two of five infant files reviewed did not have documentation of their immunizations, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/14/2023

101416.3(b) · 101416.3(b) Infant Care Aide Qualifications and Duties: An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher, except as provided for in Section 101416.5(d)(1).

101429(a)(2)(B)(3)(a) · Responsibility for Providing Care and Supervision for Infants (B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: (3) Infants up to 12 months of age who are sleeping in a position other than on their back. (a) If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping.

Deficient Practice Statement Based on LPA observation, interview and record review, the licensee did not comply with the section cited above in when Child 1 (C1) an infant under 12 months was observed by LPA to be sleeping on their stomach inside a crib for approximately 15 minutes. Staff 1 (S1) did not return C1 to their back for sleeping. C1 did not have a LIC 9227 on file. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 09/02/2022

101216(f) · Personnel Requirements (f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above when at the time of the inspection the Center did not have at least one staff member who had an in-person pediatric CPR and pediatric first aid certification. All staff present had current online CPR/First aid training which did not meet the Health and Safety Code. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/22/2022

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 licensee did not comply with the section cited above in five of five infant files for children under 12 months of age did not contain a completed Infant Safe Sleep Plan (LIC 9227) which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/09/2022

101429(a)(2)(C) · Responsibility for Providing Care and Supervision for Infants (C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 10 of 10 infant files reviewed were missing documentation of the 15 minute checks which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/06/2022