101223(a)(1) · 101223 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 and other persons.

D1 stated that S1's employment was terminated on 02/14/23. D1 stated she will complete a training and train staff on the following: Self-Care using the following materials provided in an email from LPA Strother: Based on interviews conducted and records reviewed S1 has yelled at day care child(ren) in care on more than one occasion, which poses a potential personal rights risk to the children in care. View Video: “Self Care: What It Really Is”, Review & Do: Early Childhood Mental Health Consultation – Taking Care of Ourselves, and Review & Practice: “Tell Me What to Do Instead!” Communication is Key Handout (copy provided) Once training has been completed by 05/31/23, submit a signed and dated statement including the names of the staff that have been trained on Self-Care and Communication concepts. amy.strother@dss.ca.gov.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(a)(3) · 101223 Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.

D1 stated that S1's employment was terminated on 02/14/23. D1 stated that she and all staff will watch the Children's Personal Rights in Care video on the ccld.ca.gov website and will submit a written procedure for holding staff “strategy meetings” if D1 or other staff report that a staff engages in behavior that is concerning, for the purpose of developing a plan for staff training and follow. Based on interviews conducted S1 has handled day care child in care in a rough manner on more than one occasion, which poses an immediate health, safety and personal rights risk to the children in care. Written procedures to be submitted by 05/11/23. amy.strother@dss.ca.gov

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101215.1(b) · Child Care Center Director Qualifications and Duties (b) All child care centers shall have a director.

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above and in the last 30 days has not hired a qualified Director after the former Directors last day on 07/19/22 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/01/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226(e)(4)(B) · (4)Nonprescription medications may be administered without approval or instructions from the child's physician if all of the following conditions are met: (B)For each nonprescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child.

Licensee stated that she is going to write up a written plan on how medication will be handled at the facility, including specific forms to be used, how to use them and will train staff on the written plan and how to use the forms when administering medication to children. Licensee will send written plan and sign in sheet for staff trained to LPA Strother by 09/01/22. On 08/16/22 nonprescription medication was given to C1 without written approval from the child's authorized representative, which poses a potenial health and safety risk to the children in care. This requirement was not met as evidenced by:

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101226(e)(5) · (e)In centers where the licensee chooses to handle medications:(5)The licensee shall develop and implement a written plan to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given. Licensee stated that she is going to write up a written plan on how medication will be handled at the facility, including specific forms to be used, how to use them and will train staff on the written plan and how to use the forms and how to inform child's authorized representative when administering medication to children. Licensee will send written plan and sign in sheet for staff trained to LPA Strother by 09/01/22. A review of C1's records indicates that the administration of medication given to C1 on 08/16/22 was not recorded. Staff interviewed had no knowledge of a written plan to do so, which poses a potential risk to the children in care. SUPERVISOR'S NAME Alexis Hollon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101212(d)(1)(C) · d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department...(1)Events reported shall include the following: (C)Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.

Licensee stated that she will submit a written Unusual Incident Report to the Department regarding the incident that occurred on 08/16/22 were a child was given medication and had side effects observed by staff. The facility was made aware that C1 was given a additional dose of a 12 hour medication that C1 had received prior to arrival and side effects of the overdose of medication were observed by Staff and C1's parent. A review of records indicated that this incident was not reported to the Department as required, which poses a potential health, safety and personal rights risk to the children in care. SUPERVISOR'S NAME: Alexis Hollon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101223(a)(3) · (a)The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature…

L1 stated that she has taken action by terminating S1, hosted a training on the topic of Personal Rights for all currently employed staff and has given each current staff a copy of the Title 22 Personal Rights regulations. By 08/16/22 L1 will create and submit to LPA Strother a written plan (to include date, time On 07/19/22 S1 picked up C1 and carried her to the hand washing line, scratching C1’s underarm, leaving a mark. It was reported by L1 that while C1 was crying, S1 told C1, “Waa, Waa, Waa, stop your crying”, which poses an immediate Health and Safety risk to children in care. and persons who will attend) a staff training to discuss techniques to use for smooth transitions with children. L1 will have staff sign in as documentation that they have completed the training, submitting the sign-in sheet to LPA Strother by 08/29/22. SUPERVISOR'S NAME: Alexis Hollon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101223(a)(1) · 101223 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 and other persons.

L1 stated that D1 was fired 04/16/21 and will not allow D1 to return to the facility. L1 stated that they conducted a staff training on personal rights with staff on 04/25/21. L1 stated that she will hold a staff training to include newly hired staff and current staff on 08/29/21 and submit training notes and materials covered to LPA by 08/30/21. amy.strother@dss.ca.gov Based on staff interviews D1 on more than one occasion, yelled at children in care. This poses an immediate health and safety risk to the children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226(a)(2) · (a)The licensee shall immediately notify the child's authorized representative…(2)In the case of less serious injuries including, but not limited to, minor cuts, scratches…the licensee shall document the injury in the child's record and notify the child's authorized representative of the nature of the injury when the child is picked up from the center.

L1 stated that she has used text messages to communicate to parents or spoken to parents after staff are not present and staff are not aware of the communication. L1 stated that beginning 08/04/21 L1 will use the Brightwheel program to record "boo-boo reports" so that teachers can observed reports and also record any incidents that they observe. Based on staff interview, L1 has instructed staff that they may not communicate with children’s authorized representative’s, injuries have occurred, and L1 was not present at the facility to report the incident or chose not to report an incident to a child’s authorized representative. This poses a potential health and safety risk to the children in care. L1 stated that each child's authorized representative has access to their child's profile on Brightwheel.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101239.1(d) · 101239.1 Napping Equipment (d) Napping equipment shall be arranged so that each child has access to a walkway without having to walk on or over the cots or mats of other children.

L1 stated that on 04/29/21 L1 spoke to staff and explained that mats need to be arranged with walking space between them, mats should never block an entrance or exit from the room and children should be on their mats head to toe. Based on staff interviews staff corroborate that on more than one occasion the nap mats in the toddler room did not have enough space to walk between them and were sometimes touching. This poses a potential health and safety risk to the children in care. During LPA's inspection visit on 08/03/21 and 08/04/21 nap mats were observed to have the required walking space between them and children were placed head to toe.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(a)(1) · 101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.

L1 stated that to her knowledge the invoice that stated the facility is serviced for ants/carpenter bees, also includes service for prevention of spiders and a monthly check for possible rodent entry locations around the perimeter of the facility. Based on staff interviews rodent droppings and spiders have been observed in the facility in March 2020. Based on record review the facility is serviced for ants/carpenter bees only. This poses a potential health and safety risk to the children in care. L1 stated that she doesn't have documentation available at this time but will submit proof of additional services by 09/03/21, to: amy.strother@dss.ca.gov

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101227(a)(6) · 101227(a)...the following shall apply: (6) Menus shall be in writing and shall be posted...in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept...for least 30 days. Menus shall be made available for review...upon request.

L1 stated that she has a menu that rotates every week, and will start to write the date on the menu each week and hand write in any changes made to the menu as needed then file weekly. L1 stated that she will post the menu in the kitchen and add a copy to the hallway postings. Based on staff interviews menus were not posted prior to April 2020. This poses a potential health and safety risk to the children in care. L1 will submit a copy of the menu for the week of 08/09/21 to LPA Strother by 08/09/21. amy.strother@dss.ca.gov

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101227(a)(1) · 101227 (a)...(1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. Each meal shall include, at a minimum, the amount of food components as specified...for the age group served...

L1 stated she will remind staff on 08/05/21 that milk needs to be served to all children, not just the children that request it, and cover this topic during the staff meeting on 08/29/21. L1 stated that she will purchase a milk alternative such as almond milk for children with milk allergies, beginning 08/09/21. Based on staff interviews milk is only served to the children if they request it and a milk alternative is not served to children with milk allergies.This does not meet the requirement for each meal to include milk. This poses a potential health and safety risk to the children in care. L1 will submit staff meeting notes to LPA by 08/30/21. amy.strother@dss.ca.gov

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101170(e)(2) · Criminal Record Clearance(e) ...prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 101170(f).

L1 stated that A1 was associated to the facility on 05/04/21 and S6 although not currently working at the facility will be associated prior to returning to work for the facility. Based on staff interviews and record review A1 and S6 were working and not associated to the facility and a transfer request was not completed which poses a potential safety risk to the children in care.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

101216.3(b)(1) · (b)The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance. (1)A ratio of one fully qualified teacher (as specified in Section 101216.1(c) and one aide for every 18 children in attendance in a preschool program is allowed when the aide meets the qualifications specified in Section 101216.2(d).

L1 stated that she is hiring new staff and will have two teachers in each classroom and one aide, providing incentives to the aides to obtain 6 units in ECE, by utilizing the R&R and paying for any remaining costs. Based on staff interviews the preschool has had more than 15 children, and up to 20 children in care on more than one occasion with one qualified teacher and 1 or two aides that do not hold units in Early Childhood Education. This poses a potential health and safety risk to the children in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101239(e)(4) · 101239 Fixtures, Furniture, Equipment and Supplies (e) Faucets used by children for personal care shall deliver hot water. (4)All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition…

L1 stated that on 04/21/21 the hot water was disconnected and the water no longer smells of rotten eggs. During the inspection LPA confirmed that the water had no odor. Based on interviews with L1 and S1-S3 and S5-S6, the hot water heater in the school age room has an issue that causes the sink water to smell like rotten eggs, and the preschool children use the school age bathroom sink when playing outside to wash their hands. This poses a potential health and safety risk to the children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(a)(3) · Personal Rights. To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.

L1 stated that D1 was fired 04/16/21 and will not allow D1 to return to the facility. L1 stated that they conducted a staff training on personal rights with staff on 04/25/21. L1 stated that she will hold a staff training to include newly hired staff and current staff on 08/29/21 and submit training notes and materials covered to LPA by 08/30/21. amy.strother@dss.ca.gov Based on staff interviews D1 pull on the arms of multiple children on more than one occasion, handling the children in care roughly. This poses an immediate health and safety risk to the children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(a) · 101238 Buildings and Grounds (a)The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

L1 stated that on 04/22/21 L1 had her husband bring in a large magnetic roller to pick up any metal objects from the play yards. L1 stated that no nails or screws have been found since. L1 stated the yard is scanned daily for safety. Based on staff interviews, on more than one occasion rusty nails and screws were found by children on the playground after it was brought to L1’s attention. This poses an immediate health and safety risk to the children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.