101237(a) · a) Prior to construction or alterations, the licensee shall notify the Department of the proposed change(s).

During today's visit, preschool playground was inspected and found to be in substantial compliance. Director agrees to submit updated facility sketch to reflect all new playground changes and statement of estimate renovation completion. Update progress via LIC 624 to CCL. Per Director, Alisa Holtegarrd, center playground renovation/construction began 09/07/23; this will continue throughout the other playgrounds at the center one at a time until all play areas are completed. CCL was not informed of construction changes being done. "This poses an potential Health and Safety risk for the children in care". SUPERVISOR'S NAME: Aaron Ross

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229(a) · (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time... This was not met as evidenced by Director will ensure that children are visually supervised at all times. In-service training on bathroom supervision will be provided to staff. Content of training and staff signatures will be submitted to CCL by 9/15/23.

Based on observation and interviews, LPA's observed two children using the bathrooms unattended. The door to the bathrooms were closed when the children were inside the bathrooms, each child entering the bathroom by themselves, while the teacher stayed outside in the classroom. which posed a potential Health, Safety, and Personal Rights risk to the subject child and potential children in care Director stated a work order was submitted to remove the full doors in the preschool bathroom and install half doors. In the meantime, Director stated they will be making alterations to the existing door to make them into half doors. Director agrees to submit pictures to CCL once completed. SUPERVISOR'S NAME: Kimberly Williams

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101238.3(b) · Indoor Activity Space (b) The floors of all rooms shall have a surface that is safe and clean.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 6 restrooms floors and 6 toilets observed were unclean, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/08/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216(g)(2) · Personnel Requirements (2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1of 3 staff did not have proof of a health screening prior to employement, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/06/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216.1(c)(1) · Teacher Qualifications and Duties (c) To be a fully qualified teacher, a teacher shall have one of the following: (1) Twelve postsecondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center or comparable group child care program.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 2 teachers in the preschool program did not have proof of 12 units each, required which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/06/2023

Open Not marked corrected in the state record

Category: health medication. 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 licensee did not comply with the section cited above in 1 child's file was missing the LIC701 Physician's report, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/06/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101221(a)(1) · Supervision (a) No child(ren) shall be left without the supervision of a teacher at any time... (1) Supervision shall include visual observation. This requirement has not been met as evidenced by IMMEDIATE CIVIL PENALTY OF $500 WILL BE ASSESSED Facility Director understands the importance of providing care and supervision for children in care at all time. Facility director will conduct a training session with staff and submit the outline of topics discussed regarding maintaining

Based on Interviews and records reviewed, on 08/04/22 Staff were transitioning between scheduled breaks, in this timeframe a child was struck multiple times and kicked by another child and as a result, sustained a fractured ankle before staff intervention. This poses an immediate health and safety risk to the children in care visual supervision and transitioning between scheduled breaks. Documentation of training/proof of correction will need to be submitted to LPA on or before the date of correction, 09/13/2022. Office meeting with CCL Management will be scheduled at a later date.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101212(d)(1)(b) · Reporting Requirements – (d)Upon the occurrence… a report shall be made to the Department… within the Department's next working day… (1) Events reported shall include… (b) Any injury to any child that requires medical treatment. This requirement has not been met as evidenced by Facility Director understands the importance of reporting requirements and documentation of unusual incidents that occur in the facility. Facility Director will conduct training with staff and members of management on proper procedures for self-reporting and documenting unusual incidents that occur at the facility and the

Based on interviews conducted with staff on 08/05/2022, LPA discovered the facility had knowledge of an unusual incident which occurred on 08/04/22 regarding a child sustaining an injury while in care and did not report it to licensing. This poses a potential risk to the health and safety of children in care proper time frame they must be reported to licensing. Documentation of training/proof of correction will need to be submitted to LPA on or before the date of correction, 09/26/2022 SUPERVISOR'S NAME: Gilbert Sena

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229(a)(1) · Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time ...

In or about June 2021, there had been at least two different occasions that children were left unsupervised while staying in the front office area waiting for additional Current facility director Alisa Holtegarrd agreed to ensure children be provided with proper supervision at all times. Director will ensure sufficient teaching staff be scheduled to work in the morning. Written statement of understanding and staff schedules will be submitted to Community Care Licensing by 8/12/2021. teaching staff to arrive to work in the morning. The children were in the hallway around the corner of the front counter and in the staff room without any staff member physically present with them in the same area. That presented immediate risks to the children's health and safety.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101223(a)(2) · Personal Rights. The licensee shall ensure that each child is accorded...accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

In or about June 2021, due to insufficient teaching staff to maintain proper Current facility director Alisa Holtegarrd agreed to schedule sufficient teaching staff to main proper teacher-child ratio at all times. Director agreed not to use the front office areas, staff room and director's office for child care activities. Written statement of understanding with all staff signatures will be submitted to Community Care Licensing teacher-child ratio in the class, some children were made to stay in the front office, staff room and the director's office with office staff for extensive period of time. That was a violation of the children's personal rights as those areas are not licensed as part of the child care activity areas and not age-appropriate for the children. by 8/12/2021. SUPERVISOR'S NAME: Aaron Ross

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.