101216(f) · Personnel Requirements (f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in that no staff member has a current Pediatric CPR/ First Aide readily available upon request which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/09/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216(g)(2) · Personnel Requirements (2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following

Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 3 of 5 staff records did not contain a health screening report readily available upon request which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/09/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101217(a)(12) · Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Tuberculosis test documents as specified in Section 101216(g).

Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 2 of 5 records did not have proof TB clearance readily available upon request which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/09/2024

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

101170(e)(2) · 101170 (e) (2) Criminal Record Clearance (e) All individuals subject to a criminal record review … shall prior to working, residing or volunteering in a licensed facility (2) Request a transfer of a criminal record clearance…

Per Director, Staff #1 and Staff #2 completed a Criminal Record Clearance transfer to the facility on 05/22/2024. LPA reviewed Guardian and found that Staff #1 and Staff #2 are associated to the the facility effective 5/22/2024. Based on interivews and record review, the facility did not request a Criminal Record Clearance transfer for Staff #1 and Staff #2 before their employment start date, which poses an immediate health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Rita Ramos

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229(a)(1) · 101229 (a) (1) Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision ....(1) No child(ren) shall be left without the supervision of a teacher at any time, ... Supervision shall include visual observation.

Per Director, staff retraining on transitions from the classroom to the outdoor play yard, reviewed procedure with staff. Per Director, they will provided LPA with a copy of the procedure and attendace record and a copy of staff coaching form by

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101223(a)(3) · 101223 Personal Rights- (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature... POC- Director will have staff meeting on June 19,2024. Director must send and agenda for meeting with a plan to go over personal rights with staff. This is due on June 6, 2024.

Based on interviews conducted, Staff #3 said their hand was on child's head and child was crying. This poses a potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101212(d)(1)(C) · 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. In addition, written report containing the information Cleared during inspection. Director provided a copy of written report to LPA during inspection. specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.

Based on interviews conducted with director, it was determined that a report for an incident that occurred on 1/31/24 was not reported to the Regional Office within the appropriate time frame. This is a potential risk to the heath and safety of children in care SUPERVISOR'S NAME: Rita Ramos

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101212(a)(d)(1)(B) · 101212 Reporting Requirements (a) Each licensee or applicant shall furnish to the Department reports...(d)Upon the occurrence, during the operation....(1) Events reported shall include the following: (B) Any injury to any child that requires medical treatment.

Director will view the Child Care Reporting Requirements video and provide a document regarding what you learned from the video. Licensee will send information to LPA by POC. Based on record review, Licensee did not observed an injury or ouch report in the child's file. In addition, staff failed to notify the Department by telephone to report an incident involving a child that required medical attention.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101216.3(a) · Teacher-Child Ratio (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.

Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in 1 out 4 preschool classrooms were out of ratio with 25 children to 2 staff which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 04/26/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101215.1(f) · Child Care Center Director Qualifications and Duties (f) 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) to act as substitute. This substitute child care center director shall be aware of center operations, including total enrollment; shall be trained in program operation; and shall be designated as an authorized person to correct operational deficiencies that constitute immediate threats to children's health and safety.

Deficient Practice Statement Based on interview statement from director, the licensee did not comply with the section cited above in 1 out of 1 Directors has not completed preventative health and safety course certificate on file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/08/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101229.1(a)(1) · Sign In and Sign Out (a) In addition to the sign-in procedure requirement of Section 101226.1(b), 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: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

Deficient Practice Statement Based on observations and record review, the licensee did not comply with the section cited above in 19 out of 65 parents fail to sign their child in with their full legal signature which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/05/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.