101439.1(b)(1) · Infant Care Center Sleeping Equipment (b) A crib or portable -crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib. (1) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that all sheets were observed to have loose sheets which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/29/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101429(a)(2)(B) · Responsibility for Providing Care and Supervision for Infants (B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in that sleep logs have not been completed since February 2024 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/15/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101429(a)(2)(B)(3)(a) · Responsibility for Providing Care and Supervision for Infants (B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: (3) Infants up to 12 months of age who are sleeping in a position other than on their back. (a) If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping.

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in 5 out of 12 persons missing or with not up to date Sleeping Plans which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/15/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101174(b)(1) · Disaster and Mass Casualty Plan: (b) The plan shall be subject to review by the Department and shall include: (1) Designation of administrative authority and staff assignments. This was not met as evidenced by, During visit Director printed updated Disaster Plan and posted throughout center.

Based on observation and DIrector interview infant room and front office did not have an updated Disaster Plan with new Directors information. This is a potential risk to the health and safety of children in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(a)(1) · 101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times...(1)The licensee shall take measures to keep the center free of,,,and rodents. hese requirments are not met as evidence by.... Director stated she will find a new pest control company and clean the current droppings throughout the facility.

Based on observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(a) · 8) (a) The licensee shall ensure that each child is accorded the following personal rights:... (8) To receive or reject medical care, or health-related services, except for minors for whom a guardian.... This requirment has not been met as evidence by... Director stated if a child does need medicine she will ensure the child does get their medical need. Director stated she will be hosting a training on the procedures of medicine intake and will provide signatures o employees who attended and will provide proof to LPA

Based on interviews, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101229(a) · 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... Supervision shall include visual observation. This requirment was not met as evidence by... Director stated she will make sure all rooms have the appropriate staff and eyes are on the children at all time.

Based on interviews, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care

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 in explorer room-saw dust as if rodent is digging through the cabinet to the left of the sink where the snacks, cups are held (photo taken) discovery room-rodent trap to the right of the sink and rodent droppings found (photo taken) which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/07/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101221(b)(8)(C) · Child's Records (b) Each record shall contain information including, but not limited to, the following: (8) Medical assessment, including ambulatory status as specified in Section 101220, and the following health information: (C) A signed consent form for emergency medical treatment unless the child's authorized representative has signed the statement specified in Section 101220(f).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in, child #3 does not have LIC627 emergency consent form on file at time of inspection, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/07/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101220.1(a) · Immunizations (a) Prior to admission to a child care center, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, commencing with Section 6000.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in child #2 and child #4 immunizations are not completed which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/11/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101227(a)(18) · Food Services (18) All kitchen, food-preparation and storage areas shall be kept clean and free of litter and rubbish; and measures shall be taken to keep all such areas free of rodents and other vermin.

Deficient Practice Statement Based on observation & interview, the licensee did not comply with the section cited above in the floors under the sink, stove, and cabinet to the right of the stove have rodent &/or vermin droppings, rubbish, and trash, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/07/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.