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 1 out of 6 staff did not have a health screen report available for LPAs to review, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/29/2025

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226(e)(3)(A) · Health-Related Services (3) Prescription medications may be administered if all of the following conditions are met: (A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician.

Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 7 children had expired albuterol medication at the facility, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/29/2025

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101212(d)(1)(C) · 101212 Reporting Requirements d)Upon...occurrence... any... events specified..below, report shall be made ... by telephone...fax within the.. next working day and during... business hours...(1)Events reported...(C)Any unusual incident.

evidenced by LIcensee will complete unussual incident report and will send it to the Department. Licensee will review Reporting Requirements with office staff and Declaration will be submited to LPA by POC date . Last summer child was left unattended inside of the van .This event was not reported to the Department. SUPERVISOR'S NAME: Brandi VanOosten

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229(a)(1) · 101229 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.

evidenced by Per Director she will conduct a meeting with the satff members regarding supervision and will submit agenda to the LPA by POC date . Child was left unattended inside of the vehicle(van) after the field trip. CCR

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101700.3(b)(1) · 101700.3(b)(1)Testing results with fractional ppb readings of 5.5 ppb or greater shall be rounded up to the nearest whole number...(1) A result with values of 5.5 or greater shall be deemed and Action Level Exceedance

Per Director , church will permanatly remove water outlets or buid a box around it . Director will email to LPA work orders and pictures when it is complete by POC date . Based on interview, record review, and observation, the licensee did not ensure that water outlets with lead exceedances, were in accessible to children in care. This poses a potential risk to the health, safety, and personal rights of children in care. SUPERVISOR'S NAME: Claudia Guangorena

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.