101226(e)(1)(A) · 101226(e )(1)(A)-- Health-Related Services (A) Medications shall be kept in a safe place inaccessible to children.

Per staff#1, child#1's parent brought a new Epi-Pen next day on 06/11/24 and all staff were trained about how to store medication. Also, a new medical log and folder was made for each classroom. Based on staff#1 interview on 07/15/24, on 06/10/24 child#1’s parent observed child#1’s Epi-Pen was stored in the infant classroom refrigerator. Epi-Pen can not be stored in the refrigerator. This poses an immediate health, safety, and personal right risk to the children in care. A written declaration will be submitted to LPA by 08/06/24. SUPERVISOR'S NAME: Christina Gabelman

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101429(a)(1) · Responsibility for providing care and supervision for infants— Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times.

… Per director, effective 06/10/24 a new schedule was made to ensure three staff are present in infant classroom all the time in order to have one staff in nap room when an infant is napping. Per director, she will ensure one additional staff to be present in infant Based on staff interviews and LPA’s observation on 05/14/24, from 11:40 AM to 1:00PM, LPA observed two infants were napping in nap room, alone with nap room door closed. Staff did not have auditory supervision to napping infants. This poses an immediate health, safety, and personal right risk to the children in care. classroom to have one staff in nap room when an infant is napping and meet the teacher child ratio requirements. A written plan will be submitted to LPA by 06/12/24. SUPERVISOR'S NAME: Christina Gabelman

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101212(d) · 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...

Per director, she will submit an unusual incident report regarding 03/01/24 fire to the department by 06/14/24 and a copy will be submitted to LPA Eivazian. Based on staff#6 interview on 05/14/24, due to street transformer malfunction and spark on 03/01/24, infant playground shade and some part of turf caught on fire and facility did not report this incident to the department. This poses a potential health, safety and personal right risk to the children in care. SUPERVISOR'S NAME: Christina Gabelman

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101215.1(f) · Child Care Center Directors Qualifications and Duties When the child care center director is absent from the center, arrangements shall be made for a fully qualified teacher as specified in Section 101216.1(c) etc...

Per Pastor Galanis-Price they will have a fully qualified teacher to act as a director effective tomorrow and by 04/22/24 will have an inter director. A written plan will be submitted to LPA by 04/22/24. Per staff#1, facility director, staff#3 has been suspended as of 03/20/24. Parents and staff were informed. Per staff#1, they did not have a designated teacher to act as director since director absence. This poses a potential health, safety and personal right risk to the children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101212(b) · Reporting Requirements The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).

Per Pastor Angela Galanis an unusual incident report will be submitted to the Department by 04/03/24. A written plan will be submitted by 04/12/24 regarding facility director. Per staff#1, facility director has been suspended as of 03/20/24 and it was not reported to the licensing and facility did not have a designated teacher to act as child care director in director's absence. This poses a potential health, safety and personal right risk to the children in care. SUPERVISOR'S NAME: Christina Gabelman

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.

Per director, she will have an additional teacher in infant room effective 07/21/23. A written plan will be submitted to LPA via email. Based on staff#1 and staff#4 interviews, on 07/20/23 from 7:30 AM to 8:30 AM , staff#4, teacher assistant supervised 2 infants alone. Per staff#3, on 07/10/23, she supervised 5 infants alone. This poses an immediate health, safety and personal right risk to the children in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101429(a)(1) · Responsibility for Providing Care and Supervision for Infants Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times.

Per director, a meeting will be held with staff to review safe sleep and napping infants supervision. LPA provided a copy of Infant Nap Chart to director during this inspection. Based on LPA Eivazian observation, on 07/20/23 an infant was napping in the crib room from 9:45 AM to 10:10 AM with door closed, none of the staff check on the napping infant in person in the crib room. This poses a potential health, safety and personal right risk to the children in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101227(a)(1) · Food Services (1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. Each meal shall include, at a minimum, the amount of food components as specified by Title 7, Code of Federal Regulations, Part 226.20, (Revised January 1, 1990) Requirements for Meals, for the age group served. All food shall be selected, stored, prepared and served in a safe and healthful manner.

Deficient Practice Statement Based on LPAs observation and director statement, the licensee did not comply with the section cited above and facility does not provide AM/PM snack to children and menus were not available to review during this inspection which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/30/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101538.3(b) · Indoor Activity Space for School-Age Children. In combination programs, indoor activity space provided for school-age child care center children shall be physically separated from space provided for infant care and child care center children.

Per director, Per director, two infant teacher assistants who had teacher qualifications on file were promoted to teacher effective 12/27/2021 and one fully qualified teacher was hired on 12/27/21. Per director, effective 12/27/21 Infant and preschool children have not commingle together anymore in the mornings. Based on staff interviews on 12/20/2021, infants and toddlers commingle together in the morning from 7:30 a.m. to 8:30 a.m. in infant classrooms. This poses an immediate health and safety risk to the children in care. A written declaration will be submitted to LPA by

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

Per director, Per director, two infant teacher assistants who had teacher qualifications on file were promoted to teacher effective 12/27/2021 and one fully qualified teacher was hired on 12/27/21. Per director, effective 12/27/21 Infant and preschoolers children have not commingle together anymore in the mornings or operate out of ratio. LPA Eivazian sign in/out sheets from 11/01/21 to 12/20/21 and observed in different days there were about 13 to 25 children (infants and preschoolers) present in the facility between 7:30 a.m. and 8:30 a..m.. with one teacher and two teacher assistant. This poses an immediate health and safety risk to the children in care. A written declaration will be submitted to LPA by

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101238(a) · The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

Per director, Per director, a Plummer came and checked the leak mark on the ceiling in the hallway and there is no current leak . Per director, the ceiling tile will be replaced and a picture will be submitted to LPA Eivazian by

Open Not marked corrected in the state record

Open / not marked corrected.