101215.1(m) · Child Care Center Director Qualifications and Duties (m) A child care center director shall complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866.

Deficient Practice Statement Based on records review of Director's file and Director's disclosure of not having any completion of the EMSA Health, Safety, Nutrition, & Lead Poising training course. This poses a potential health and safety risk to children in care POC Due Date: 02/21/2023

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 records review LPA observed Staff #1, #3 and #6 were missing health screening LIC503 not on file. This poses a potential health and safety risk to children in care. POC Due Date: 02/21/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101221(b)(10) · Child's Records (b) Each record shall contain information including, but not limited to, the following: (10) Record of current medications, including the name of the prescribing physician, and instructions, if any, regarding control and custody of medications.

Deficient Practice Statement Based on records review of child #1, #2 and #3 were missing physician's documentation for current medications, including instructions for the school on administrating medication. This poses a potential health and safety risk to children in care. POC Due Date: 02/21/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226(e)(3)(B) · Health-Related Services (3) Prescription medications may be administered if all of the following conditions are met: (B) For each prescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child.

Deficient Practice Statement Based on records review of child #1, #2 and #3 were missing parent's documentation in writting for the approval, instructions and administration of medication. This poses a potential health and safety risk to children in care. POC Due Date: 02/21/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101226(e)(3)(A) · (e) In centers where the licensee chooses to handle medications: (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 records review of Child #1's medication and staff disclosures the Epinephrine Injection was observed to have an expiration date of 12/2021. This poses an immediate risk to children in care. POC Due Date: 02/21/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.