• Type A

  101223(a)(3) · 101223 (a)(3) Personal Rights violation. To be free from corporal or unusual punishment...but not limited to: interference with functions of daily living including eating, sleeping or toileting. Facility states that they will conduct a safe sleep meeting with all staff members and submit proof to the department by the date of 10/31/2025 to ensure the personal rights of children in care.

  Based on interviews three (3) out of five (5) staff members stated that they have heard or witnessed C1 being sprayed with water on C1 face to keep C1 awake. This poses an immediate health, safety or personal rights risk to persons in care Under Appeal

  Open Not marked corrected in the state record

  Category: health medication. Open / not marked corrected.

• Type A

  101430(a)(3)(E) · 101430(a)(3)(E) Infant Care Activities violation. If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible. Facility states that they will conduct an infant care activities regulation meeting with all staff members and submit proof to the department by the date of 10/31/2025 to ensure the personal rights of children in care. Four (4) out of five (5) staff interviewed stated that they observed a child asleep in a chair. LPA obtained camera footage of C1 asleep in chair for more than 10 minutes and documentation of warning for S3 & S4. This poses an immediate 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.

• Type B

  101427(c) · 101427 Infant Care Food Service (c) The infant shall be fed in accordance with the individual plan.

  evidenced by Director states facility will have staff sign policy and procedures reminders, including needs and services plan for infants to ensure scheduled feeding times. Director will submit proof of the signed master copy with all staff signatures to LPA by due date 9/26/25. Based on record reviews, C1’s 05/09/2025 Daily Report showed no record of bottle being provided to C1, facility did not follow Needs and Services Plan’s bottle-feeding schedule: “6am and every three hours. Keep offering every 30 minutes until bottle empties”, which 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.

• Type A

  101161(a) · 101161 Limitations on Capacity (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

  Director will conduct an all-staff training addressing comingling waiver and conditions. Training agenda and staff declarations will be submitted to LPA via email sarah.garcia@dss.ca.gov by 5pm on 06/19/2025. Based on interviews and record review, staff co-mingle infants with toddlers outside the conditions set forth in the facility waiver which poses an immediate health risk of the children in care. Under Appeal

  Open Not marked corrected in the state record

  Category: ratio. Open / not marked corrected.

• Type A

  101223(a)(2) · 101223 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.

  Director will conduct an all-staff training, watch CDSS personal rights video, and addressing personal rights. Training agenda and staff declarations will be submitted to LPA via email sarah.garcia@dss.ca.gov by 5pm on 06/19/2025. Based on interviews, Staff 4 (S4) confirmed an incident where they held Child 1 (C1) in an rough manner. S4 was written up. Authorized representatives of C1 observed the incident via video footage and reported to facility which poses an immediate personal rights risk to children in care.

  Open Not marked corrected in the state record

  Category: ratio. Open / not marked corrected.

• Type B

  101212(d)(1)(C) · 101212 (d) Upon the occurrence... of any of the events... shall be made to the Department by telephone... next working day.... a written report...shall be submitted to the Department within seven days....(C) Any unusual incident... health or safety of any child.

  Management will watch CDSS reporting requirements video. Management declarations will be submitted to LPA via email sarah.garcia@dss.ca.gov by 5pm on 06/19/2025. Based on interviews, Staff 4 (S4) confirmed an incident where they held Child 1 (C1) in an rough manner. The incident was not reported to the Department which poses a potential health and safety risk of children in care. Under Appeal

  Open Not marked corrected in the state record

  Category: ratio. Open / not marked corrected.

• Type B

  101430(a)(3)(E) · (a) Notwithstanding...(3) All infants shall be given the opportunity to sleep without distraction or disturbance ... (E) If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible.

  LPA discussed safe sleep regulations with management. Director will conduct an all-staff training addressing safe sleep regualtions Training agenda and staff declarations will be submitted to LPA via email sarah.garcia@dss.ca.gov by 5pm on 06/19/2025. Based on interviews, Staff 2 (S2) stated there is an infant that sleeps on the floor and staff do not go in the crib area because of ratios which poses a potential health and safety risk of children in care.

  Open Not marked corrected in the state record

  Category: ratio. Open / not marked corrected.

• Type A

  101416.5(b) · 101416.5(b) Staff-Infant Ratio (b)There shall be a ratio of one teacher for every four infants in attendance. This evidence has not been met by On 2/3/25 S2 arrived for support at 9:30AM and Director stated they will go over Infant-Staff Ratio and email a copy of agenda to LPA by 2/4/25 with staff signatures.

  Based on observation and interview: At 9:25AM, LPA Navar observed 1 staff member (S1) providing care for 5 infants in the Infant classroom. S1 stated they need to call for back up SUPERVISOR'S NAME: Thuy Ho

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Type B

  101238.2(d)(2) · Outdoor Activity Space (d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

  Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that the play yard grass was not kept free of holes, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/12/2024

  Open Not marked corrected in the state record

  Category: health medication. Open / not marked corrected.

• Type B

  101415.1(a) · Assistant Infant Care Center Director Qualifications and Duties (a) In addition to the director, an assistant director shall be present and on duty if the center has 25 or more infants in attendance.

  Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in that assistant director was not present when 25 or more infants were in care, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/12/2024

  Open Not marked corrected in the state record

  Category: health medication. Open / not marked corrected.

• Type A

  101429(a)(1) · 101429 Responsibility for Providing Care and Supervision for Infants(a) In addition to Section 101229, the following shall apply:(1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times.

  Director stated children lunch schedule and nap time were changed effective 04/29/2024. Staff break times were also revised and all staff return before nap time is over. Director will conduct an all staff meeting regarding classroom supervision and submit signed topics to LPA by 05/16/2024. Based on LPA’s staff interviews, two (2) staff members in Infant Room #3 did not observe an incident on 02/20/2024 involving C1 sustaining a bite on the right cheek by C2. The bite did not break skin but left a quarter size mark on C1. This poses an immediate health, safety or personal rights risks to persons in care.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Type A

  101223(a)(2) · 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.

  Director stated they would follow the facility biting policy and conduct parent meetings for future biting behavior. Director stated they will document any parent interactions with famililies regarding behavioral issues. Based on LPA's interviews and record review, C1 had 10 incidents of biting total and facility did not follow biting policy to prevent injuries to other infants. This poses an immediate health, safety or personal rights to persons in care. SUPERVISOR'S NAME: Patricia Magana

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Type B

  101226(b) · 101226 Health-Related Services (b) The licensee shall make prompt arrangements for obtaining medical treatment for any child if necessary.

  Director stated they will add first aid procedures topics to all staff meeting and email LPA signed attendance sheet by POC date. Based on intervirew with staff, a child was bitten on the face and staff did not call front desk for assistance and instead waited 15 minutes to apply an ice pack to the child. This poses a potential health, safety or personal rights risks to persons in care. SUPERVISOR'S NAME: Patricia Magana

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Type A

  101428(b)(2) · 101428(b)(2) Infant Care Personal Services(b)The infant shall be kept clean and dry at all times. (2) Each infant's clothing and diapers shall be changed as often as necessary to ensure that the infant is clean and dry at all times. This was not met as evidenced by Director stated a policy change will be implemented on 02/28/2023 to check and/or change daipers on a tailored schedule for each child. Each account on Tadpoles application will alert staff every hour to check child's diaper. Director will email LPA a random sample of daily reports for review on 03/03/2023. LPA interviews with Reporting Party, Director, 4 staff members and 1 parent, it was discovered that subject child and other children who attend the facility are receiving a diaper change over 2.5 hours after their last diaper change, causing a rash on the child. Children need to be changed as needed. This poses an immediate risk to the personal rights of children in care.

  Open Not marked corrected in the state record

  Category: recordkeeping. Open / not marked corrected.

Disposition: Unsubstantiated

Disposition: Unsubstantiated

Disposition: Unsubstantiated