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 in 3 out of 3 times that the LPA was present at the facility children were observed to be alone without supervision which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/04/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101238(a) · Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above LPA observed knives, adult scissors and a screwdriver in a drawer located in the kitchen that was accessible to children in care which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/23/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(g) · Buildings and Grounds (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in LPA observed cleaning solutions under the kitchen sink and observed the safety latch to not be in good repair which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/23/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101220(a) · Child's Medical Assessments (a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 2 out of 5 children do not have completed LIC701 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/11/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101220.1(g) · Immunizations (g) The licensee shall document each child's immunizations and shall maintain such documentation in the center for as long as the child is enrolled.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 out of 5 children does not have immunizations on file which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/11/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(b)(1) · Personal Rights (1) The center shall give each authorized representative a copy of the Personal Rights form (LIC 613A [9/96]).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 2 out of 5 children do not have a signed LIC613A which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/27/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101160(a) · Posting of License (a) The license shall be posted in a prominent, publicly accessible location in the center.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in the facility license is not posted for the public which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/10/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101169(d)(18) · Application for License (18) Evidence that the applicant has posted signs at the entrance to the child care center that provide the telephone number of the local health department and information on child passenger restraint systems pursuant to Health and Safety Code section 1596.95(g) and Vehicle Code sections 27360 and 27360.5.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in LPA did not observe the telephone number or the local health department and information on child passenger restraint system which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/10/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101174(a) · Disaster and Mass Casualty Plan (a) Each licensee shall have a disaster and mass casualty plan of action. The plan shall be in writing and shall be readily available.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in LPA did not observe disaster plan and lead teacher did not know where it was located which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/10/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(g) · Buildings and Grounds (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in LPA observed cabinet under the kitchen sink to have broken safety latches leaving the cleanin solution accessible to children which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/01/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 in LPA observed 2 children inside classroom #2 alone which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/10/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101230(c)(1) · Activities/Napping (c) A teacher-child ratio of one teacher supervising 24 napping children is permitted provided that the remaining teachers necessary to meet the overall ratio specified in Section 101216.3(a) are immediately available at the center. (1) An aide who is 18 years of age or older, and who meets the requirements of Sections 101216 and 101216.2, may supervise 24 napping children in place of a teacher if the conditions specified in (c) above are met.

Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above in Staff # 2 and Staff #3 stated that S3 supervises children during nap time alone. S3 is not a qualified aide which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/01/2023

Open Not marked corrected in the state record

Category: supervision. 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 in LPA did not observe TB test for Staff #1 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/17/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101220(a) · Child's Medical Assessments (a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in LPA did not observe Child #1 have a Physican Report in file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/17/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101220.1(g) · Immunizations (g) The licensee shall document each child's immunizations and shall maintain such documentation in the center for as long as the child is enrolled.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in LPA did not observe immunizations for Child #1, Child #3 and Child #4 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/10/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(b)(1) · Personal Rights (1) The center shall give each authorized representative a copy of the Personal Rights form (LIC 613A [9/96]).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in LPA did not observe LIC613A in Child #1, Child #2, Child #3 and Child #4 file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/03/2023

Open Not marked corrected in the state record

Category: health medication. 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 in LPA observed Staff #4 being left alone with 16 children which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/10/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101216.3(h) · Teacher-Child Ratio (h) Persons employed for clerical, housekeeping and maintenance functions shall not be included as teachers in the teacher-child ratio.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in Staff #3 has been providing care and supervison when she is not a qualified aide which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/10/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101223(a)(1) · Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in LPA heard Staff #1 yelling at Child #1 and Child #3 in front of the class and Staff #4 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/10/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(a)(3) · Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in LPA heard Staff #1 tell Staff #4 what Child #1 and Child #3 did and starting asking the rest of the children if that was appropriate. LPA observed Child #1 and Child #2 put their heads down which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/10/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101239(i) · Violation

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in LPA observed 2 children toilets that were added to the staff restroom along with an additional sink for children which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/10/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.