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

based on record review and staff disclosure, the facility operated out of ratio on at least two dates in the month of June 2023 Director stated two staff have been hired to work in the infant program. LPA observed the two staff during the visit. Per Director, an additional staff is in the process of being hired. Director provided staff schedule identifying 7 staff available that work in the infant program. Director confirmed that the facility has operated out of ratio. This is an immediate risk to children in care. Two staff are scheduled per classrooom, and one addtional staff is available to assist where needed. Director provided a written statement confirming that there will be 25 children enrolled in the infant program on differing schedules.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

LPA observed 4/13/2023 video indicating that the infant room was out of ratio on at Director Fragoso indicated that she will stop enrollment and hire staff. One staff is already in the process of being hired. Director will provide evidence of hiring to LPA Birks. least two occasions: One staff to eight infants and Two staff to 10 infants. LPA also received staff disclosure that the infant room was out of ratio in the month of April. This is an immediate risk to children in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101416.5(e) · Staff Infant Ratio: 101416.5 (e) There shall be provision for overlap of staff for different shifts, so that “continuity” of care is assured.

Based on 26 interviews with staff and parents and record reviews. On 11/03/22 between 7:15am to 9:30am, one staff with 7 infants. On 11/03/22 between 12:00pm – 2:30pm, one staff taking care of two classrooms with children not napping. Due to the divider between the infant and toddler classroom, 8 children on infant side and 8 children on toddler side with children not napping. On 11/08/22 at 11:32 am, the infant classroom had two staff and 11 infants; 4 months to 12 months years of age documented on the attendance log. On 12/05/22 at 6:52am to 8:15am, between 8:00am to 8:06am with Staff#1. At 8:15am there were 16 children ages 2,3, and 4 years old with Staff#1 until 8:15am when children were moved to another location-documented on the Face-To-Name Transition Sheet. CCLD Videos for Child Care Center Operators: https://ccld.childcarevideos.org/child-care-center-operators/ 1. Teacher-To-Child Ratios in CCC, Supervising Children in CCC, Children’s Personal Rights in CCC, Child Care Reporting Requirements, What is a Civil On 12/06/22 at 6:30am until 8:00am, there were 14 children mixed, ages 2, 3 and 4 years old with Staff #3 until 8:00am and then left with staff #1 documented on the Face-To-Name Transition Sheet. On 12/19/22 at 8:30am, there were 15 children ages 2 and 3 years old with Staff #4. At 10:03am, Child #1, #2, and #3 were moved to the office to maintain ratio documented on the Face-To-Name Transition Sheet. On 12/19/22 at 8:30am to 8:35am, Staff#4 was with 6 children ages 2 and 3 years old. At 8:36am, 8 more children for a total of 14 children arrived until 9:54am documented on the Face-To-Name Transition Sheet. On 12/29/22 at 8:30am to 12:30pm, Staff #4 was with 15 children ages 2,3, and 6 years old. On 01/11/2023 between 7:41am to 7:55am, Staff#1 was with 19 children. Children departed at 8:00am with Staff #5 documented on the Face-to-Name Transition Sheet. On 01/31/2023 from 8:30am to 9:21am, Staff #4 was with 16 children documented on Face-to-Name Transition Sheet. On 1/31/2023 from 6:30am to after 8:30am, Staff #3 and Staff # unknown was with 11 children. On 1/31/2023 after 8:30am, Staff # 5 was with 16 children. Which poses an immediate Health, Safety, or Personal Rights Risk to children in care. Penalty; Director and Assistant-watch videos, questions, document provide LPA with the log. 2. LPA provided regulations to read: Staff Infant/ Ratio: 101416.5, Teacher/Child Ratio: 101216.3, Responsibility providing Care for Infants 101429, Activities: 101230 3. Read Early Education and Child Care Regulation Quick Reference Guide 4. Read PIN 20-24-CCP- dated 09/15/20 – Safe Sleep Regulations 5. Read Safe Sleep in CC: Website: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep 6. Proof there is enough staff to cover hours of operation: 6:30am to 6:00pm – Mon. thru Fri following ratio/capacity for both licenses and overlapping times in AM & PM. 7. Provide LPA with a complete – up to date “Child Time – Child Directory” & Proof of Staff to Child Ratios are met 8. Implement Increased Required Visits

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101430(a)(3)(E) · 101430(a)(3)(E If the infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible as required by 101430(a)(3)(E

Based on LPA Interviews and Photos: During October and November 2022Child #1 and Child #2 were allowed to , Director and Staff will not allow children to sleep on the floor and remove the donut shaped pillow. LPA to obtain signed declaration that children will not sleep on the floor and be moved to equipment for napping. Infant Safe Sleep training for staff - sign log with name, date of attendance and type of topics covered for safe sleep. sleep on the floor in an unsafe position on a donut shaped pillow on the floor in the infant room. Photo #1 depicts Child #1 an infant sleeping on the donut pillow with the head tilted forward. Photo #2 depicts child #2 asleep on donut pillow on the floor, sleeping on their face. The children were not transferred to the crib in a timely manner after falling asleep thus not following infant safe sleep regulations. Which poses an immediate Health, Safety, or Personal Rights Risk to children in care. SUPERVISOR'S NAME: Valarie Cook

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101416.5(b) · Staff-infant ratio 101416.5(b) There shall be a ratio of one teacher for every four infants in attendance. Per Director staff have been retrained on how to properly fill out the face to name sheets to account for proper ratios.12 out of 12 teachers were re-trained on 12/8/21. Director provided LPA proof of attendance to training on 1/18/22.

based on staff interviews and record review the licensee did not ensure that the infant classroom was within ratio on 3 out of 3 days which poses a potential risk to health and safety of children in care

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.