101430(a)(3)(C) · 101430(a)(3)(C) Infant Care Activities An infant shall not be swaddled while in care. This was not met evidenced by Per Director, will conduct meeting to review regulation and have staff sign a statement indicating they are aware that swaddling an infant is not allowed while in care.

Based on interviews conducted, declarations obtained, records reviewed, pictures taken, and other pertinent information and documentation obtained, it was determined that child #1 was swaddled while in care A copy of the agenda and copies of signed agreement will be submitted by POC date.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101216(e) · 101216(e) Personnel Requirements - All personnel shall be given on-the-job training ...and shall be evidenced by safe and effective job performance.

interviews Per Director, meeting will be conducted with staff and agenda with staff signature will be submitted to LPA by POC date. conducted and disclosures made indicating that Staff were provided with only emails regarding infant safe sleep practices which poses a potential health, safety, and personal rights to children in care. SUPERVISOR'S NAME: Rita Ramos

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101226.1(a) · 101226.1(a) Daily Inspection for Illness The licensee shall be responsible for ensuring that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted. Per Director, meeting will be conducted with staff and agenda with staff signature will be submitted to LPA by POC date.

interviews conducted, disclosures made, and documentation obtained indicating that staff were aware that Child #1 had symptoms of illness for days and the facility continued to accept Child #1 for care which poses a potential health and safety risk to children in care. SUPERVISOR'S NAME: Rita Ramos

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101223(a)(2) · 101223(a)(2) Personal Rights To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

A meeting was already conducted and director provided LPA an agenda with a copy of staff in attendance. by interviews conducted and disclosures made indicating that Child #1 was crying, swaddled, placed in a swing, and a blanket was placed over the swing prior to Child #1 falling asleep. When Child #1 woke up crying, Child #1 was placed in the crib to “cry it out” which poses an immediate health, safety, and personal rights risk to children in care. SUPERVISOR'S NAME: Rita Ramos

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101430(a)(3)(E) · 101430(a)(3)(E) Infant Care Activities - If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible. Per Director, meeting will be conducted with staff and agenda with staff signature will be submitted to LPA by POC date.

interviews conducted and disclosures made that Child #1 was left on a swing to sleep for an hour which 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) · 101170(e)(2) -Criminal Record Clearance: (e) 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: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f). On 01/18/2023 Director stated that facility has access to guardian. On 01/24/2023 Director agreed that they will transfer Staff #3, #5, #6 #7#8, #9 and #10.

LPA observing that Staff #3, #5,#6,#7#8, #9 and #10 were present on 01/18/2023 and caring for children. Staff #3, #5,#6,#7#8, #9 and #10 do not have a criminal record transfer which poses an immediate health, safety, and personal rights of children in care imediately to Child's World School facility (197409702), and will submit proof the criminal record transfer for staff #3, #5, #6 #7,#8,#9 and #10 to LPA Miranda via email no later than today 01/24/2023. SUPERVISOR'S NAME: Rita Ramos

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101429(D) · 101429 Responsibility for Providing Care and Supervision for Infants. (D) In the event a separately walled room is used as a designated sleeping area, staff must adhere to the staff-infant ratio requirements, as On 01/24/2023, LPAs observed that facility removed the black curtain (photos was obtained) from classsroom Toddler C. Director agreed provided a declaration that She understands that if the classroom specified in Section 101416.5(d), unless there is a half-wall or transparent wall that allows for constant audial and visual supervision.

as evidenced. On 01/18/23 LPA observed that 3 infants were awake in room Toddler C and 4 infants were napping in the nap area. There is a half wall in Room Toddler C, however, the second half of the wall is covered with a black curtain which prevents not just physical but also visual supervision (pictures were taken). which poses an potential health, safety or personal rights risk to children in care has a separated walled room is used as a designated sleeping area, staff must adhere to the staff-physical but also visual supervision. Per Director, facility will altered the wall, adding transparent acrylic surface, order to provide visual supervision all times. Facility will email photos of the correction to LPA Miranda no later than 02/06/2023.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101239(d) · 101239 Fixtures, Furniture, Equipment and Supplies. (d) The licensee shall provide lamps or lights as necessary in all rooms and other areas to ensure the comfort and safety of all persons in the child care center.

LPA observing that Infant Room A (Child #1s classroom) on 01/18/23, did not have a working light switch. The Director agreed to fix the light bulb in the nap area in classroom infant “A” . On 01/24/2023 inspection Staff#1 confirmed that the light bulb was removed from the napping area. lights in the nap area were not coming on when flicking the light switch. LPA was informed that the light switch indeed does not work which poses a potential health, safety or personal rights risk to children in care. Director agreed to submit proof of correction (photos) via email no later than 01/27/2023. SUPERVISOR'S NAME: Rita Ramos

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101429(B) · 101429(B) Responsibility for Providing Care and Supervision for Infants: Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: 1. Labored breathing, 2. Signs of distress, which includes but is not limited to flushed skin color, increase in body temperature and restlessness. 3. Infants up to 12 months of age who are sleeping in a position other than on their back. This requirement is not Director provided a declaration that she understand Staff shall physically check on sleeping infant(s) every 15 minutes and Director will submit copy of Safe Sleep Log met as evidenced by LPAs record review and observation on 01/18/23 that the infant sleep log for Child #1 was not updated. Staff #1 and Staff #2 confirmed that the log was not up to date on safe sleep log 01/18/23. Also, LPA observed that Classrooms Toddler A, B and C were not documenting the napping time on safe sleep log. This poses a potential health and safety risk to children in care. Director will submit a copy via email to LPA Miranda of safe sleep log for the days 01/24/2023 and 01/25/2022 along with sign in and out for the infants in care and a copy of the training provided to Infant Staff. SUPERVISOR'S NAME Rita Ramos

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.