101415(d)(3) · (d) When the director of an infant care center or the director of a combination center is temporarily away from the center, the director has the authority to delegate his/her responsibilities as specified below: (3) If the absence is more that 30 days consecutive calendar days, the substitute director shall Administration & Management class that was supposed to be taken in August or November. The Department was never notified of any changes or a new Director and the Interim Director does not qualify. Interim Director will forward report to Licensee. meet the qualifications of a director. Based on the interview, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. It was disclosed S1 did not complete the Preschool Licensee must submit a statement of understanding and a plan that will keep the facility in compliance. The statement is due on or by close of business 12-30-2024. $250 Civil Penalty assessed SUPERVISOR'S NAME Aaron Ross

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101415(d)(3) · (d) When the director of an infant care center or the director of a combination center is temporarily away from the center, the director has the authority to delegate his/her responsibilities as specified below: (3) If the absence is more that 30 days consecutive calendar days, the substitute director shall Administration & Management class that was supposed to be taken from 8/31/24-9-1-2024. The Department was never notified of any changes or a new Director and the Interim Director does not qualify. Area Coordinator will forward report to Licensee. meet the qualifications of a director. Based on the interview, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. It was disclosed S1 did not complete the Preschool Licensee must submit a statement of understanding and a plan that will keep the facility in compliance. The statement is due on or by close of business 11-5-2024. $250 Civil Penalty assessed SUPERVISOR'S NAME Aaron Ross

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101416.2(c)(1)(A) · (c) 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. poses an immediate Safety risk to the children in care. During the facility tour LPA observed S1 providing Supervision and Care to nine infants with an Aide. After file review it was determined that S1 is not a fully qualified teacher per Title 22 regulations. (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. Based on the record review, the Licensee did not meet the above regulation which Licensee understands all teachers must meet the Teacher Qualifications prior to being employed as a Teacher. Licensee understands S1 does not meet the qualifications. Licensee shall submit a letter of understanding and a plan to remain in compliance by COB 7-31-24. SUPERVISOR'S NAME Aaron Ross

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101415(d)(3) · (d) When the director of an infant care center or the director of a combination center is temporarily away from the center, the director has the authority to delegate his/her responsibilities as specified below: (3) If the absence is more that 30 days consecutive calendar days, the substitute director shall stated she has been in training to be Director for a month. On May 28, 2024 the facility was cited due to not having a Director. As of today, the Department has not been notified of having a Director and based on file review the Interim Director does not qualify. meet the qualifications of a director. Based on the observation and interview, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. Upon arrival the LPA was greets by S1 who Area Coordinator will forward report to Licensee. Licensee must submit a statement of understanding and a plan that will keep the facility in compliance. The statement is due on or by close of business 8-15-2024. $250 Civil Penalty assessed

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101212(c) · The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor activity space. Such structural changes shall include, but not be limited to, room additions. The facility did not notify the Department of plans to change or modify the outdoor space. Additionally, the infants do not have any other areas to utilize for play and there is not a waiver on file to share playgrounds with any other program. Based on the observation, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. Upon arrival to the facility LPA observed three male staff demoing the infant playground. The Area Coordinator and Licensee understands that all changes or modifications made at the facility must be reported to the Department prior to the construction starting. An Unusual Incident Report due on or by 8-1-24. SUPERVISOR'S NAME Aaron Ross

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101416.5(a)(1)(A) · (a)... notwithstanding Sections 101216.3, (a), (b), (d) and (f), the following shall apply:(1) An aide may be substituted for a teacher when all of the following conditions are met: (A) There is a fully qualified teacher directly supervising no more than 12 infants.

ratio on more than one occasion. Area Coordinator understands one full qualified teacher cannot supervisor more than 12 infants even with an aide present. Area Coordinator will forward report to Licensee. Licensee must submit a statement of understanding and a plan to ensure the Based on the observation and interview, the Licensee did not meet the above regulation which poses an immediate safety risk to the children in care. During facility tour LPA observed 14 infants with one teacher and three aides. During interviews it was disclosed that staff have been out of >>>> facility will remian in compliance. The statement is due on or by close of business 5/29/24.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101427(h) · 101427 Infant Care Food Service (h) Infants who are unable to hold a bottle shall be held by a staff person or other adult for bottle feeding. At no time shall a bottle be propped for an infant...

Area Coordinator understands at no time shall a bottle be propped for an infant. Area Coordinator will forward report to Licensee. Licensee must submit a statement of understanding and a plan that will keep the facility in compliance. The statement is due on or by close of business 5/29/24. Based on the interview, the Licensee did not meet the above regulation which poses an immediate risk to the safety risk to the children in care. During interviews it was disclosed that on several occasions babies bottles are propped up while other tasks are being completed.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

101430(a)(3)(E) · (a) Notwithstanding Section 101230, the following shall apply: (3) All infants shall be given the opportunity to sleep without distraction or disturbance from other activities at the center whenever the infant desires. it was disclosed babies are left sleeping in the Boppy pillows for at least five minutes until the child falls into a deep sleep. (E) If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible.

Based on the interviews, the Licensee did not meet the above regulation which an immediate safety risk to the children in care. During interviews Area Coordinator understands babies shall be placed in their crib. Area Coordinator will forward report to Licensee. Licensee must submit a statement of understanding and a plan that will keep the facility in compliance. The statement is due on or by close of business 5/29/24.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

101415(d)(3) · (d) When the director of an infant care center or the director of a combination center is temporarily away from the center, the director has the authority to delegate his/her responsibilities as specified below: (3) If the absence is for more than 30 consecutive calendar days, the substitute director shall Director. S1 and S2 have been covering the roles, however, due to the Director being away from the facility for more than 30 days S1 and S2 no longer qualify. meet the qualifications of a director. This requirement was not as evidenced by: Based on the interview and record review, the Licensee did not meet the above regulation which poses a potential safety risk to the children in care. During interviews it was disclosed that the facility does not have a Area Coordinator understands a facility must have a full time Director on site. Area Coordinator will forward report to Licensee. Licensee must submit a statement of understanding and a plan that will keep the facility in compliance. The statement is due on or by close of business 6/15/2024.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

101174(d) · Disaster and Mass Casualty Plan (d) Disaster drills shall be conducted at least every six months.

Deficient Practice Statement Based on the record review, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. During record review LPA reviewed an Emergency Drill Log dated 2022-2023. The last documented fire drill was conducted 6/23. POC Due Date: 01/19/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 the record review, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. During the review of children’s file LPA reviewed Infant Needs and Service Plans that were expired for C2, C3, C4 and C5. POC Due Date: 01/23/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 the record review, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. During the review of children’s file LPA was unable to review immunization records for C5. POC Due Date: 01/23/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.