101429(a)(2)(B) · Responsibility for Providing Care and Supervision for Infants (B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 6 out of 6 infants which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/10/2023

Open Not marked corrected in the state record

Category: supervision. 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 observation, the licensee did not comply with the section cited above in 15 out of 15 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/10/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

LPAs observed a five month old infant, propped on a boppy, with a bottle propped by a blanket. LPAs Per director, Sylvia Wingfield, she will provide training to all infant staff that infants are to be held while feeding and there will be no propping of bottles. Director will provide copy of detailed training agenda with attendance to the Fresno Community Care Licensing office no later than 3/17/23. reviewed with director, who stated that training as been provided to staff. Training included that bottles are not to be propped. This is a potential personal rights, health and safety risk to infants in care. SUPERVISOR'S NAME: Cynthia Brannon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

Director's admission statement made on 10/27/21. Director stated that on 10/15/21, there were 13 infants in care under her supervision and Director will submit a staff plan that has been put in place to ensure facility does not operate out of ratio and will submit to CCLD by the POC due date of 01/14/22. one teacher. A second teacher began her shift at 12 noon, however they were still operating out of ratio. This poses a potential risk to the health, safety, or personal rights of children in care. SUPERVISOR'S NAME: Diana deLeon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101195(d) · Penalties. When a child care center is cited for a deficiency and violates the same regulation subsection within a 12-month period, the child care center shall be cited and an immediate penalty of $250 per cited violation shall be assessed for one day only. Thereafter, a penalty of $100 per day, per cited violation, shall be assessed until the deficiency is corrected. Director will submit a staff plan that has been put in place to ensure facility does not operate out of ratio again and avoid a repeat violation. Facility will submit to CCLD by the POC due date of 01/14/22. Facility is being cited and civil penaltied for a repeat violation on this inspection. SUPERVISOR'S NAME Diana deLeon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

this inspection and LPAs observation. Upon ariving LPA counted 14 infants in a classroom with the Director and Director stated facility is in the process of hiring more teachers. They are also contacting former staff to see if they are available to return to work. Facility was back in ratio before LPA left facility. Director to update CCLD on progress of plan by the POC due date of 11/01/21. one teacher present. An assistant arrived witnin 10 minutes to help supervise the 14 children, however, the facility was still out of ratio. This poses a potential risk to the health, safety, or personal rights of children in care. LPA also provided to Director a list of CCLD videos and requested the video on Teacher to Child Ratios be watched. SUPERVISOR'S NAME: Diana deLeon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229.1(a)(1)(b) · Sign In and Sign Out. 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: The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. Director stated she will monitor sign in/sign out sheets when children are being dropped off and picked up at the facility to ensure parents are following sign in/out procedures. Director to submit a written statement to CCLD by the end of the POC due date on 11/01/21. The person who brings the child to, and removes the child from, the center shall sign the child in/out.

review of child sign in/out sheets. There were 21 infants present and only 18 signed in. This is a possible risk to the health, safety or personal rights of children in care SUPERVISOR'S NAME: Diana deLeon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.