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 functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101416.5(b) · Staff Infant Ratio There shall be a ratio of one teacher for every four infants in attendance.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101223(a)(2) · Personal Rights-Licensee shall ensure that each child is to be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101427(j)(3) · Infant Care Food Service Bottles and dishes provided by the authorized representative shall be rinsed and returned to the authorized representative for sanitizing at the end of each day.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

101226(a)(2) · Health Related Services 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 Director stated that they will provide training with the staff members that any injury to a child, no matter how small including scratch, small bite or mark needs to be documented and notify the parent. nature of the injury when the child is picked up from the center.

Per interviews conducted there have been incidents where a child sustained a bite and injury and the authorized representative is not informed of the nature of the incident during pick up. This poses a potential health and safety risk to children in care

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101427(j)(3) · Infant Care Food Services Bottles and dishes provided by the authorized representative shall be rinsed and returned to the authorized representative for sanitizing at the end of each day. Director stated that the staff members now take the bottles from the child's bag and put the cap back inside the bag right away and after each feeding, staff members would rinse the bottles and place it back inside the bag right away to prevent being placed in the wrong bag.

as there has been several incidents that the parents were given another child's bottles. This poses a potential Health and Safety risk to the clients in care.” Director stated that she will provide a written procedure and have staff members sign the form and submit it to LPA no later than 06/30/2023.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101229.1(b) · Sign In and Sign Out The person who brings the child to, and removes the child from, the center shall sign the child in/out. This requirment is not met as evidence by: There are 21 infants in care and only 15 are signed in. Director stated that she will inform all staff members to remind the parents to sign in and out daily. And remind all the parents to sign in and out daily as well. Director will submit a written plan of correction to LPA no later than 03/27/2023. SUPERVISOR'S NAME Monica Cuddy

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101438.1(b) · Infant Care General Sanitation Each caregiver shall wash his/her hands with soap and water before each feeding and after each diaper change.

Director stated that she will provide the regulation information to all staff members that works with infants. She will submit a copy of the agenda along with the staff members sign in sheet to LPA no later than 2/24/2023. Per interview with staff members, staff does not wash hands with soap and water before each diaper change because they were changing gloves after each diaper changing. This poses a potential health and safety risk to children in care.

Open Not marked corrected in the state record

Category: health medication. 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). Director stated that she will submit the staff's background clearance transfer request to the department before the next business day no later than 2/21/23. Director shall submit a written plan of correction on what

Ssubstitute infant teacher aide Faitan Aboona-Habi has worked at the facility for three days and she is not associated to the facility. This poses a potential safety risk to client's in care she will do to ensure that the facility does not violate this licensing requirement in the future no later than 2/24/2023.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

101416.5(b)(1)(A) · Staff-Infant Ratio There shall be a ratio of one teacher for every four infants in attendance.There is a fully qualified teacher directly supervising no more than 12 infants.

Director stated that she will provide training with staff members on teacher child ratio requirements. A copy of the training information along with staff members sign in sheet shall be submitted to Licensing no later than 2/21/23. LPA observed 13 older infants (room #4) at the playground supervised by three staff members. LPA also obseved 12 older infants that just woke up from nap in the room supervised by two staff as another staff went on a break. This poses a potential health and safety risk to children in care. SUPERVISOR'S NAME: Monica Cuddy

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229.1(b) · Sign In and Sign Out The person who brings the child to, and removes the child from, the center shall sign the child in/out.

Director stated that she send a message to the parents during today's inspection. Facility shall develope a plan on how to ensure that the facility can meet the required regulation. Per review of the facility's sign in sheets, there are 23 infants in care today and only 19 infants are signed in. This poses a potential health and safety risk to children in care. Director shall submit a written

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101439.1(e)(1) · Infant Care Center Sleeping Equipment (e) Each infant's bedding shall be used for him/her only. Such bedding shall be replaced when wet or soiled, or when the crib, mat or cot is to be occupied by another infant. (1) Bedding shall be changed daily, or more often if required by subdivision (e) above.

Deficient Practice Statement Based on interviews with staff members, the licensee did not comply with the section cited above as staff members stated that they change the infant sheets weekly and as needed which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/20/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101239(f)(1) · Fixtures, Furniture, Equipment and Supplies (f) Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents. (1) All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 1 out of 4 trash can to dispose food or diaper does not have a lid which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/20/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101439(d)(2) · Infant Care Center Fixtures, Furniture, Equipment and Supplies (d) Swings, playpens and all such equipment and furniture shall be assembled or installed according to the manufacturer's instructions, and shall be maintained in good repair and safe condition. (2) A baby walker shall not be allowed on the premises of a child care center in accordance with Health and Safety Code Section 1596.846.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as LPA observed two baby rockers in room #3 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/30/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(g) · Buildings and Grounds (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as LPA observed multiple bottles of cleaning items under the sink cabinet in room #4 that are accessible to children as the safety latch is broken which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/30/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216(f) · Personnel Requirements (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 interview record review, the licensee did not comply with the section cited above in as the opening and closing staff members does not have a valid EMSA pediatric CPR and FA card available for review which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/27/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216.1(g) · Teacher Qualifications and Duties (g) A photocopy of the teacher's Child Development Permit as specified in (c)(3) above, or a photocopy of the teacher's transcript(s) documenting successful completion of required course work, shall be maintained at the center.

Deficient Practice Statement Based on record review], the licensee did not comply with the section cited above in 2 out of 6 staff members complete transcript (Z.A) and (ZR) are not available for review which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/03/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226(e)(2) · Health-Related Services (e) In centers where the licensee chooses to handle medications: (2) All prescription and nonprescription medications shall be maintained with the child's name and shall be dated.

Deficient Practice Statement Based on observation and review of medication, the licensee did not comply with the section cited above one child in care that needs IMS (incidental medical services). The child's prescription is not in a box therefore does not have the child's name or date or the physician's information which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/03/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101419.2(a) · Infant Needs and Services Plan (a) Prior to the infant's first day at the center, the infant care center director or assistant director shall complete a needs and services plan for the infant.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 10 out of 10 infants in room #4 does not have a Needs and Service Plan which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/20/2023

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 record review, the licensee did not comply with the section cited above in 3 out of 8 infants in room #3 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/20/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101229.1(a)(1) · Sign In and Sign Out (a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 6 out of 18 infants were not signed in today which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/03/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101416.5(b) · Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as room #4 had 10 intants supervised by two staff members which poses/posed a potential health, safety or personal rights risk to persons in care. The ratio for the room shall 1 teacher with 4 infants. POC Due Date: 01/24/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.