101429(a)(1) · 101429(a)(1)Responsibility for Providing Care and Supervision for Infants. (a) In addition to Section 101429, the following shall apply: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. F1 is no longer employed with the faclity. Assitant Director states she will conduct a training with all staff regarding the prohibited use of electronics such as cell phones and ear buds. Assitant Director will send a copy of the signed meeting agenda by POC date 5/22/26.

Based on staff interviews, it was disclosed that former staff member F1 would wear electronic ear buds and/or ear plugs on duty to muffle the sound of crying children which poses a potential health and safety risk to children in care

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101238(a)(1) · Buildings and Grounds (a)(1) The facility shall take measures to keep the center free of flies, other insects, and rodents.

by The Director, Jessica Williams, stated that she will create a checklist for the facility's classrooms, that requires teachers to ensure that there are no sightings of rodent droppings throughout the classroom prior to the childrens arrival. Based on observation, the LPA observed rodent droppings throughout the infant classrooms, which poses/posed a potential health, safety, or personal rights risk to children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101231(a) · Smoking Prohibition - Smoking is prohibited on the premises of a child care center as specified in Health and Safety Code Section 1596.795(b).

Center Director states she will conduct a training with staff and submit the agenda with list of attendees to the Dept by 5/23/25. Based on file review and staff interviews conducted by LPA, there was a staff member caring for children under the influence of marijuana. This poses/posed a potential health, safety or personal rights risk to the children in care.

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 observation and interview, the licensee did not comply with the section above, as one infant staff did not have a tuberculosis on file and was unable to provide proof of one conducted. POC Due Date: 05/30/2025

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101238(a)(1) · Buildings and Grounds -(1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.

by The Director stated that she will have an exterminator do an inspection and cleanup and sent proof to the Dept by 4/8/25. Based on observation LPAs observed rat droppings in the crib area which poses/posed an immediate risk of healthand safety of children in care. Joelle Redding NAME OF LICENSING PROGRAM MANAGER: Saraliz Velando NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/25/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(a) · 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.

by The Director stated she would provide proof of repairs already scheduled and a statement describing the plan for the repairs. Based on observation there is broken/rotting baseboards behind a rocking chair in the infant room which poses/posed a potential risk to children in care. Joelle Redding NAME OF LICENSING PROGRAM MANAGER: Saraliz Velando NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/25/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

101427(n) · 101427(n) Bottles and nipples maintained by the infant care center shall be sterilized,

Director stated she will issue a letter by 7/31/24, to all parents requesting they replaced infants bottles daily and submit a copy to the department by POC date. Based on investigation interviews, staff are washing infant bottles in classroom sink with dishwashing detergent but not sterilizing as required which poses/posed a potential health, safety or personal rights risk to children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101439(g) · 101439(g) Furniture shall be maintained in good repair and safe condition.

Director stated she will replace the diaper changing pads and provide proof to Department by 7/15/24. Based on observation, LPA observed both diaper changing table vinyl cushions were torn with foam filling exposed which poses/posed a potential health, safety or personal rights risk to children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101227(a)(19) · **THIS IS AN AMENDED REPORT DELIVERED ON 10/8/24** 101227(a) (19) All food shall be protected against contamination. Contaminated food shall be discarded immediately.

Director stated all prepared formula and breast milk will be refrigerated if not in use starting 7/4/24. Based on investigation interviews, partially used prepared infant formula bottles have periodically been saved and refed/offered later in the day. Per CDC, "Throw out any infant formula that is left in the bottle after feeding your baby. The combination of infant formula and your baby’s saliva can cause bacteria to grow." By feeding left over prepared formula this poses/posed a potential health, safety or personal rights risk to children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101427(i) · 101427(i) High chairs or other appropriate seating equipment shall be used to seat infants during feeding. Infants who are unable to sit unassisted in a high chair or other seating equipment shall be held by a staff person or other adult for feeding.

Director stated she will provided a sign-in sheet to the Department by 7/15/24 of all infant staff indicating they have been trained and informed that all infants must feed in a high chair or in the arms of a staff if they are not yet eating at a children's tables. Based on investigation interviews, infant who can hold their own bottles should be placed in appropriate seating equipment to feed but are often placed on their backs and provided a bottle if they can support it on their own which, poses/posed a potential health, safety or personal rights risk to children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101239(e) · 101239(e) Faucets used by children for personal care shall deliver hot water.

Director stated she will have maintenance adjust faucets to offer hot water in the infant class by 7/15/24. Based on observation and interviews, infant room sinks does not deliver hot which poses/posed a potential health, safety or personal rights risk to children in care.

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 LPA's record review, the licensee did not comply with the section cited above in 2:5 infant files did not include the Individual Infant Sleeping Plan which poses a potential health & safety risk to persons in care. POC Due Date: 06/29/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226.3(b) · Observation of the Child. Any unusual behavior, any injury or signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and recorded in the child's record.

Director states that she visited the issue of supervision with all the staff regarding reporting all incidents on Bright Wheel immediately so she also has record of the incident occurring. She will be conducting a staff meeting tomorrow and will provide the agenda and the roster for the meeting as proof of correction. Based on interview and review of relevant documentation, Staff #1 observed that Child #1 had an injury that needed assessment. This injury was not reported to the child's parent or recorded in the child's record. This is a potential risk to the health and safety of children in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101416.3(b) · Infant Care Aide Qualifications and Duties... An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher...

Director states that she is not aware of Aides being left in the Butterflies room without a qualified teacher present. She states that she will submit an LIC 500 showing current shift for all staff and will address the importance of ensuring a fully qualified staff is contacted prior to a lead teacher leaving the room for lunch breaks or at the end of the day. This will Based on interviews, unqualified staff have been left alone without direct supervision of a fully qualified teacher, assistant director or director, on one or more occasions, during the lead teachers' lunch break while children were awake and at closing, after the lead teachers have gone home. This is a potential risk to the health and safety of children in care. be done during tomorrow's staff meeting and documentation will be provided by the

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101212(d)(1)(E) · REPORTING REQUIREMENTS: Upon the occurrence... during the operation of the child care center... a report shall be made to the Department by telephone or fax next working day...in addition, a written report...shall be submitted...seven days...to include... epidemic outbreaks.

LIcensee states will provide LIC624 Incident Report and will notify staff and parents in writing and provide LIC624 and written notification to LPA no later than close of business 6/6/22. Licensee also states that in future will report all required incidents within mandated timeframes.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101438.2(d) · Outdoor Activity Space for Infants. The outdoor activity space shall be equipped with a variety of age-appropriate toys and equipment.

Director immediately moved the climbler out of the infant play space and understands that the manufacturer information should be reviewed to ensure all play equipment is age appropriate for the age group using it. No further correction is required. Based on observation, interview and review of relevant documentation, the facility was using a play climber that was not age appropriate for children under 18 months. Child #1 was 17 months at the time of the incident. This is a potential hazard to the health and safety of children in care. SUPERVISOR'S NAME: Renesha Pack

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101427(c) · Infant Care Food Services 101427(c) - The infant shall be fed in accordance with the individual plan.

The child is no longer enrolled. The director states going froward the needs and services plan will be followed. Based on record review and interviews, a 4 month old infant was offered water which was not included on the infants needs and services plan. This posses a potential health and safety risk for children in care. SUPERVISOR'S NAME: Monica Cuddy

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101216(i)(2) · 101216 (i)(2)Personnel Requirements: Request a transfer of a criminal record clearance as specified in Section 101170(f). This requirmetn was not met as evidence by Director will associate staff to infant program and submit proof by POC date of 2/3/22. Proof will be maintained in staff file.

Based on observation and record review. Staff #4 is clear but not associated the the infant program SUPERVISOR'S NAME: Monica Cuddy

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101427(h) · Infant Care Food Service. 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...

Director addressed all the infant staff immediately to ensure they understand that if a child cannot hold his/her own bottle, the staff member must hold a child and the bottle to feed him/her. Based on interviews, Child #1 and possibily other infants in the room, was often fed a bottle in a boppy pillow, with the bottle propped by a blanket or other cloth to hold it in place. This is a potential hazard to children in care.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.