101226(e)(1)(A) · Health-Related Services (e) In centers where the licensee chooses to handle medications: (1) All prescription and nonprescription medications shall be centrally stored in accordance with the requirements specified below: (A) Medications shall be kept in a safe place inaccessible to children.

Deficient Practice Statement Based on LPA observation, record review, and interview, Licensee did not meet above requirement. LPA observed two cough medicines in high cabinet with no lock and FR's perscription medication in an open drawer in Teacher Desk that was fully visible and accessible to children at time of inspection. This poses an immediate health, safety, and personal rights risk to children in care. POC Due Date: 07/25/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238.5(a)(1) · Wading Pools (a) Notwithstanding the requirements of Section 101238(e), fencing is not required for inflatable or other portable plastic wading pools with sides low enough for children using the pool(s) to step out unassisted. (1)These pools shall be emptied after each use.

Deficient Practice Statement Based on LPA observation and interview, Licensee did not meet above regulation. LPA observed a plastic wading pool right in front Preschool 4-5 entrance that was filled with water at time of inspection and covered with plastic. FR states that this was used in preparation for water play and for water to warm. This poses an immediate health, safety, and personal rights risk to children in care. POC Due Date: 07/25/2024

Open Not marked corrected in the state record

Category: ratio. 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 LPA observation, Licensee did not meet the above regulation. LPA observed Preschool 4-5, that is being used by children, to have clutter through out the room with items stacked and leaning unbalanced at time of inspection. This poses a potential health, safety, and personal rights risk to children in care. POC Due Date: 08/23/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238.2(d)(2) · Outdoor Activity Space (d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

Deficient Practice Statement Based on LPA observation, Licensee did not meet the above regulation. LPA observed a variety of hazards in outdoor play area including a loose screw, dried out plants, and spider webs through out play yard and on outdoor play equipment at time of inspection. This poses a potential health, safety, and personal rights risk to children in care. POC Due Date: 08/23/2024

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, Licensee did not meet above regulation by 2 of 4 children not having a physician's report. LPA observed a Health Examination Waiver in children's file that is not applicable to this program. This poses a potential health, safety, and personal rights risk to children in care. POC Due Date: 08/23/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226(e)(2) · Health-Related Services (2) All prescription and nonprescription medications shall be maintained with the child's name and shall be dated.

Deficient Practice Statement Based on LPA observation and interview, Licensee did not meet above regulation. LPA observed two cough syrups stored in high cabinet in Preschool 2-3 that did not have a child safety and not be labeled or dated at time of inspection. FR states this medicine was for C1 that she no longer takes. This poses a potential health, safety, and personal rights risk to children in care. POC Due Date: 07/24/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226(e)(4)(B) · Health-Related Services (4) Nonprescription medications may be administered without approval or instructions from the child's physician if all of the following conditions are met: (B) For each nonprescription 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 record review, Licensee did not meet above requirement. FR states this medication was for C1, LPA record review did not observe anything written approval for medicine in C1's file or attached to medicine at time of inspection. This poses a potential health, safety, and personal rights risk to children in care. POC Due Date: 07/24/2024

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101227(a)(1) · Food Service (1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. Each meal shall include, at a minimum, the amount of food components as specified by Title 7, Code of Federal Regulations, Part 226.20, (Revised January 1, 1990) Requirements for Meals, for the age group served. All food shall be selected, stored, prepared and served in a safe and healthful manner.

Deficient Practice Statement Based on LPA observation and interview, Licensee did not meet above regulation. LPA did not observe any snacks available for children, FR states that children bring lunches and snacks from home and that they only provide milk and limited snacks. LPA observed children eating their lunch and requesting additional food to which there was only a limited amount. This poses a potential health, safety, and personal rights risk to children in care. POC Due Date: 08/23/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216(f) · (f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

Deficient Practice Statement Based on record review and interview, Licensee did not meet above regulation by 1 of 1 staff not having proof of current Pediatric First Aid/CPR with FR having one that expired on 10/07/2021. This poses a potential health, safety, and personal rights risk to children in care. POC Due Date: 08/23/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.