101229(a)(1) · Responsibility for Providing Care and Supervision (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.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPAs observed one child walk out of the lunch room, down the hall to the bathroom without supervision. which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/06/2022

Open Not marked corrected in the state record

Category: supervision. 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. LPAs staff 3 who is an aide in the two's nap room with eight children. Three children were awake which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/06/2022

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101174(d)(2) · Disaster and Mass Casualty Plan (d) Disaster drills shall be conducted at least every six months. (2) The drills shall be documented. This documentation shall be kept in the child care center for at least one year.

Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above. LPAs did not observe a fire and disaster drill log which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/19/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101239(o)(1) · Fixtures, Furniture, Equipment and Supplies (o) Playground equipment shall be securely anchored to the ground unless it is portable by design. (1) Equipment shall be maintained in a safe condition, free of sharp, loose or pointed parts.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPAs observed a play structure that was broken and needs to be discarded which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/19/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 record review, the licensee did not comply with the section cited above. All staff have completed CPR and First Aid certifications online that does not meet EMSA certification which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/19/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216(g)(1) · Personnel Requirements (1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. Staff 1 and 4 are missing LIC503 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/19/2022

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101216.1(c)(1) · Teacher Qualifications and Duties (c) To be a fully qualified teacher, a teacher shall have one of the following: (1) Twelve postsecondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center or comparable group child care program.

Deficient Practice Statement Based on observation record review, the licensee did not comply with the section cited above. Staff do not have all required classes to be qualified which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/19/2022

Open Not marked corrected in the state record

Category: health medication. 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 [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date:

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101212(d) · Violation

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, 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 Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above. LPAs learned during visit that four staff tested positive in 2022 and department was not notified which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/19/2022

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101238.2(e) · As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls. Director Rene will submit photos of playground with additional resilient material placed around the play structures especially around the slides.

LPA observed that the Facility needs to add 3-4 inches of additional resilient materials (wood chips) in the playground area. This poses a potential risk Health, Safety Personal Rights risk to children in care SUPERVISOR'S NAME: Mary Segura

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.