101229(a)(1) · 101229 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.

INTERVIEWS AND RECORD REVIEWS WHICH REVEALED A CHILD WAS LEFT UNATTENDED ON THE STAIRS INSIDE OF THE FACILITY FOR A PERIOD OF TIME Licensee will conduct an all staff training on the facility's new opening operations and classroom transitions to prevent another incident. Licensee will submit a written outline of the training and sign in sheet of all that attended by 8/14/24.

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) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY A TOUR OF THE FACILITY. TODAY THERE IS A STORAGE SHED NEAR THE PLAY AREA THAT HAS A BROKEN DOOR EXPOSING THE EQUIPMENT/MATERIALS AND GIVING ACCESS TO CHILDREN IN CARE. POC Due Date: 05/04/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101217(a)(12) · Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Tuberculosis test documents as specified in Section 101216(g).

Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY A REVIEW OF RECORDS WHICH REVEALED IRENE LOPEZ DOES NOT HAVE HER TB TEST RESULTS IN FILE POC Due Date: 05/04/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101700.3(b)(1) · 101700.3(b)(1) Lead Testing Written Directive A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance This requirement has not been met as evidenced by record review. The licensee did not comply with the section cited above which poses a potential Health and Safety risk to persons in care. THE FACILITY HAD THE BUBBLER HEAD AND HOSE REPLACED ON THE FAUCET . SUPERVISOR'S NAME Loretta Dyson

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101223(a)(3) · Personal Rights. The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a Following the incident director provided training to staff on personal rights of children. Director shall submit proof that all staff have received this training and submit proof to CCL by 7/1/22 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.

Child was handled roughly and was caused to receive an injury which poses an immediate risk to the health and safety of children in care • Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226(a)(2) · Health-Related Services. The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury... In the case of less serious injuries including, but not limited to, minor cuts, scratches and bites from other children requiring assessment and/or administration of first aid by staff, Following the incident director has provided training to staff on reporting requirements. Director shall submit proof that all staff have received this training and submit proof to CCL by 7/8/22 the licensee shall document the injury in the child's record and notify the child's authorized representative of the nature of the injury when the child is picked up from the center.

Parent was not notified of incident where child was handled rough by staff and received an injury which poses a potential risk to the health and safety of children in care Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.