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

Deficient Practice Statement Based on records review and interview with the director, the licensee did not comply with the section cited above in 1 out of 1 disaster drills that must be conducted every six months, which poses/posed a potential health, safety or personal rights risk to persons in care. The director did not have a disaster drill log and stated someone took it out of the file and did not put it back. POC Due Date: 04/05/2024

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 records review, the licensee did not comply with the section cited above in 2 out of 7 staff present, which poses/posed a potential health, safety or personal rights risk to persons in care. S2, S3 and S4 did not have proof of health screening in file. POC Due Date: 04/05/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101216.1(b)(1) · Teacher Qualifications and Duties (b) Prior to employment, a teacher shall meet the requirements of (b)(1) or (b)(2) below: (1) A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1) below; or shall have obtained a Child Development Assistant Permit issued by the California Commission on Teacher Credentialing.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 1 out of 7 staff present, which poses/posed a potential health, safety or personal rights risk to persons in care. S6 did not have a copy of transcripts or qualififcations in file at the time of the visit. The LPAs observed S6 provide care and supervision on her own to children in care at the time of the visit. S6 was operating as a lead teacher. POC Due Date: 04/05/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101217(a)(12) · Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Tuberculosis test documents as specified in Section 101216(g).

Deficient Practice Statement Based on recrods review, the licensee did not comply with the section cited above in 2 out of 5 files reviewed reviewed during the inspection, which poses/posed a potential health, safety or personal rights risk to persons in care. The personnel files for staff S3, S4, and S5 did not have a proof of TB testing during the inspection. S5 reproduced proof of testing while the LPAs were in the facility. POC Due Date: 04/05/2024

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 records review, the licensee did not comply with the section cited above in 2 out of 5 children files reviewed during the inspection, which poses/posed a potential health, safety or personal rights risk to persons in care. C4 and C5 did not have a medical assessment/physicians report in file when the LPAs reviewed the files with the director. POC Due Date: 04/05/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216(f) · (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 records review, the licensee did not comply with the section cited above in 7 out of 7 staff present at the facility, which poses an immediate health, safety or personal rights risk to persons in care. None of the staff present were able to demonstrate current Pediatric First Aid-CPR certification. The director said all staff took it together and need to renew it. POC Due Date: 03/06/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101215.1(d) · Child Care Center Director Qualifications and Duties 101215.1(d) (d) The child care center director, or the substitute director as specified in (f) below, shall be on the premises during the hours the center is in operation.

Deficient Practice Statement Based on observation and interviews with staff, the licensee did not comply with the section cited above in 1 out of 1 staff with designated reponsibility, which poses/posed a potential health, safety or personal rights risk to persons in care. LPAs observed director not present and did not have a person with designated responsibility at around 9am when the LPA arrived for the inspection. Staff said the director would arriv in 25 minutes. LPAs waited about 25 min. POC Due Date: 04/05/2024

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.