101229(a)(1) · (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, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. left alone in the hallway for about two minutes. Licensee understands no child(ren) shall be left without the supervision of a teacher at any time. Licensee agrees to submit a plan to the Department that describes how they plan to ensure the facility is in compliance at all Based on the interview and record review, the Licensee did not meet the above regulation which poses an immediate safety risk to the children in care. The facility self-reported the incident. Additionally, during interviews with Pertinent Parties it was confirmed two children were discovered to be times as it pertains to Absence of Supervision. Statement will be due on or by POC due date of 5-21-2025. $500 civil penalty assessed Aaron Ross NAME OF LICENSING PROGRAM MANAGER Elyse Jones NAME OF LICENSING PROGRAM ANALYST LICENSING PROGRAM ANALYST SIGNATURE DATE 05/20/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101226(a)(2) · In the case of less serious injuries including, but not limited to, minor cuts, scratches and bites from other children requiring assessment and/or administration of first aid by staff, the licensee shall document the injury in the child's record and notify the child's authorized representative of the nature and rendered First Aid by cleaning them. Licensee understands anytime a child renders First Aid the Authorized Representative(s) must be notified. of the injury when the child is picked up from the center.

Based on the records reviewed the facility did not meet the above regulation which poses a potential risk to the children in care. Pertient documentation stating staff observed the child with scratches Aaron Ross NAME OF LICENSING PROGRAM MANAGER: Elyse Jones NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/22/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101221(b)(8)(A) · 101221 Child’s Records (b) Each record shall contain information including, but not limited to, the following: (8) Medical assessment, including ambulatory status as specified in Section 101220, and the following health information: (A) Dietary restrictions and allergies. The facility agrees to submit a written statement to explain how the facility plans to ensure another incident like this does not occur and how the facility plans to remain in compliance with all regulations. The statement is due on or by POC due date of 7-19-2024. Based on the interview and record review, the Licensee did not meet the above regulation which poses an immediate Health, Safety & Personal Rights risk to the children in care. The UIR stated C1 drank out of another which led to C1 having an allergic reaction. SUPERVISOR'S NAME Aaron Ross

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101212(d)(1) · Reporting Requirements (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 by telephone or fax within the Department's next working day and during its normal business hours. In addition,

Based on the record review, the Licensee did not meet the above regulation which poses a potential Safety & Personal Rights risk to the children in care. When there is an incident that alleges a child was injured by staff it should be reported according to Title a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. (1) Events reported shall include the following:... 22 regulations. The incident was not reported until approximately 30 days after the incident occurred. Director understands Reporting Requirements. The Director agrees to submit a written statement of understanding of the regulation. The written statement is due on or by POC due date of 5-15-2024. SUPERVISOR'S NAME: Aaron Ross

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101212(d) · Reporting Requirements: 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 by telephone or fax within the Department's next working day and during its normal business hours. This requirement was not being met as evidenced by the receipt

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101170(e)(2) · Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Request a transfer of a criminal record clearance as specified in Section 101170(f). This requirement was not being met as evidenced by a staff member

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

101227(7)(B) · Food Services (7) Modified diets prescribed by a child's physician as a medical necessity shall be provided. (B) A child shall not be served any food to which the child's record indicates he/she has an allergy.

Licensee has implemented a "Red Band" Program since the incident which alerts staff that the child cannot eat the facility lunch. Licensee agrees to obtain & file an LIC 9224 for each child accroding to the Title 22. Based on the interviews and record review, the Licensee did not meet Food Services regulation which poses an immediate Health, Safety & Personal Rights risk to the children in care. During the interviews it was disclosed that staff were aware of Child 1 food allergy. However, staff provided food to the child.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(a)(3) · 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...

Licensee agrees to provide all staff with Personal Rights & dealing with challenging behaviors training. Licensee agrees to submit sign in/sign out sheets with agenda on or by POC Due date. Based on the interview, the Licensee did not meet the Personal Rights regulation which poses an potential Health, Safety & Personal Rights risk to the children in care. Pertinent parties disclosed that the child was grabbed by the shirt to stop him/her from running out of the classroom while maintaining supervision of the child(ren) in the restroom.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.