101427(n) · (1-3) (n)Bottles…maintained by the infant care center shall be sterilized…after each use: (1)Boiled for a minimum of five minutes and air-dried…(2)Soaked for a minimum of one minute in a sterilizing solution using ½ cup of bleach and five gallons of water and air-dried…(3) Bottles may be washed and sterilized using a Licensee stated facility will create and implement a bottle washing procedure following regulation guidelines, and create a posting that will be placed on the sink in the Infant Room. Licensee will submit a copy of the posting and a picture of the posting in the room to CCL by 12/30/21. dishwasher.

record review and interviews. There were inconsistencies with washing bottles at the facility, along with a picture of a moldy bottle prepared and used by an infant. This posed an immediate risk to the health, safety, and personal rights of that child in care at that time

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(a)(2) · Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: ... (2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

a staff member who returned to Licensee will create a training regarding conduct of employees, what is acceptable and what is not and how their conduct may impact daycare children in care. This training will also include that certain conduct may result in Administrative Action. A copy of the agenda and a roster of signatures of attendees to this training is due by POC due date work intoicatred attempting to conduct her job involving working with daycare children. This does not create a safe and healthful enviornment for children. This posed an immediate risk to the health, safety, and personal rights of children in care Request Denied

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101163(a) · False Claims (a) No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the child care center or any of the services provided by the center.

record review. The Department obtained a legal Licensee will discourage this type of behavior and actions, and implement a training of how this behavior and action can affect daycare children in care. This training is to include that this type of behavior and action may result in Administrative Action. A copy of the agenda and a roster of signatures of attendees to this training is due by POC due date report indicating law enforcement came to the facility and cited an employee during daycare work hours. When questioned, all staff including the employee cited, denied this event occured. This poses an immediate risk to the health, safety, and personal rights of children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101430(c) · (c)An infant shall not be swaddled while in care.

record review. Photographs obtained revealed two infants were swaddled in thick blankets, and placed to sleep on soft cushions next to each other while at the facility. This poses an immediate risk to the Licensee stated she will print out copies of the Safe Sleed regulations and have staff read and sign these copies acknowledging they understand the importance of these regulations. Licensee will submit copies of these acknowledgment forms to CCL by 12/30/21. health, safety, and personal rights of children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101229.1(1) · (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

record review. Sign in and Sign out sheets reviewed showed missing signatures on dates children were present at the facility Licensee stated she will create a letter to parents reminding them of this regulation and provide copies of this letter to CCL by 12/30/21. This poses a potential risk to the health, safety, and personal rights risk of children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101212(d) · Reporting Requirements; Upon the occurrence… 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… In addition, a written report… shall be submitted to the Department within seven days…

Licensee stated they shall review regulation section 101212 and submit a statement of understanding to the Department. Additionally, Directors shall complete and submit form LIC 624 to the Department by 12/30/2021. record review. This incident was not reported to the Fresno Regional Office. This poses a potential risk to the health, safety, and 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.