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.

evidenced by Director agrees to provide a training completed with signed agenda of all staff for reporting duty on incidents that occur at child care centers and reporting responsibilities to CCLD

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101212(d)(C) · 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. The director agrees to watch the "Child Care Reporting Requirements" video on the CCL website and write a statement of what those requirements are. The statement will be submitted with the unusual incident report by the due date of 10/3/22. In addition, 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. Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. SUPERVISOR'S NAME Juvenal Moctezuma

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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) or

Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in Staff #3 did not have criminial background clearance according to guardian roster. LPA confirm with Fresno Regional office the staff had been disassociated on 07/12/22. LPA observed this staff working and caring for children which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/15/2022

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

101429(a)(2)(C) · Responsibility for Providing Care and Supervision for Infants (C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following

Deficient Practice Statement Based on record review the licensee did not comply with the section cited above Infant Teaccher stated she has not been documentating sleeping every 15 minutes with time or initial for staff observing infants sleeping. The toddler component classroom had 3 infants in care with no documentation.which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/29/2022

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101212(d) · (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1)...a report shall be made to the Department ... In addition, a written report containing the information specified in (d)(2) ... be submitted to the Department within seven days following the occurrence of such event. Licensee stated that a new COVID protocol will be implemented and followed per reporting requirements to Community Care Licensing, public health department and child's represenative. Licensee states that she will have plan sent to LPA by the POC date. This was not met as evidenced by record review and interviews that indicate positive COVID cases were not reported to CCLD, public health or parents This poses a potential risk to the health, safety or personal rights of children in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101226.1(a) · (a) 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. Licensee states that facility will continue to health screen at entry and monitor children throughout day for symptoms. Children presenting symptoms of COVID will not be admitted until child is clear of symptoms or a doctor's note has been provided. This was not met as evidenced by record review and interviews that indicate children were admmitted and had symptoms of COVID. This poses a potential risk to the health, safety or personal rights of children in care. Facility will document children who are showing signs/symptoms and monitor any changes. Facility will isolate child and communicate with child's representative to pick up child if symtpoms worsen. Documentation will be available at facility and presented upon request.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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: (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) or

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above staff #1 is finger print cleared but not associated to the facility which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 09/17/2021

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.