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

26 infants in the infant and toddler classroom being supervised 3 fully qualified staff and 5 aides Designated staff, Lucia Vargas, states she will hire fully qualified staff and review schedule to determine fully qualified staff are in assigned classrooms. Lucia Vargas will discuss registering for classes to become fully qualified with staff. which poses an immediate health and safety risk to children in care. SUPERVISOR'S NAME: Keven Peters

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101416.2(c)(1)(A) · Infant care teachers qualifications 101416.2(c)(1)(A) To be a fully qualified infant care teacher, a teacher shall have the following: (1) Completion, with passing grades, of 12 postsecondary semester or equivalent quarter units in early childhood or child development education at an accredited or approved college or university. Assistant director hired a fully qualified infant teacher and states she will review scheduling to determine that fully qualified staff are in the rooms with aides. (A)At least three of the units required in (c)(1) above shall be related to the care of infants or shall contain instruction specific to infants.

2 aides were in the infant classes with no transcripts or units in ECE & in infant units which posses an immediate risk to the health & safety of children in care if not corrected

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101430(a)(3)(C) · Infant Care Activities (C) An infant shall not be swaddled while in care.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that one infant, 4 months old, was napping in a swaddle which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/15/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that there was 2 aides in an infant room supervising 8 infants which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/15/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 record review, the licensee did not comply with the section cited above in that one staff had an expired CPR dated 2/2022 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/14/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 licensee did not comply with the section cited above in that multiple employee's had blank health screening reports with no proof of tuberculosis which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/14/2023

Open Not marked corrected in the state record

Category: supervision. 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 licensee did not comply with the section cited above in that multiple infant files did not have needs and services plan which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/14/2023

Open Not marked corrected in the state record

Category: health medication. 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 licensee did not comply with the section cited above in that infant files are missing LIC 9227 for infants under 12 months which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/14/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101429(a)(2)(B) · Responsibility for Providing Care and Supervision for Infants (B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following

Deficient Practice Statement Based on record review, the director did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/04/2022

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101439.1(f)(1)(A) · Infant Care Center Sleeping Equipment (f) Cribs shall be free from all loose articles and objects, including blankets and pillows. (1) Pacifiers shall be allowed in the crib if the following provisions are in place: (A) There shall not be anything attached to the pacifier.

Deficient Practice Statement Based on observation one infant had a bib around his neck and a pacifier holder clipped to the bib. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/04/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 record review, LPA L. Habtom did not verify that the individual sleep plan (LIC 9227) is being used for infants under 12 months. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/04/2022

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 in that more than half of the staff did not have the physician report (LIC 503) and proof of tubercelosis which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/04/2022

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.