101229(a)(1) · 101229(a)(1): Responsibility for Providing Care and Supervision: 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. This requirement was not being met as evidenced by Administrator agrees to rearrange staffing to meet infant's needs and provide a new staffing plan to include staff schedule (posted in the classroom) responsible for actively supervising to meet their needs and to prevent/mitigate injuries. In addition, administrator agrees to provide in-service training memo on Supervision and Personal Rights (Agenda with a description of training topics needs to be included) and to submit a written statement of understanding from staff with their signatures, verifying their attendance with the date and time by the POC deadline. On 09/06/23, an infant suffered a head injury that resulted in significant bruising and swelling of the forehead in which medical attention was sought, per staff’s own admission, the incident occurred while staff was changing a diaper for another child who was really dirty, no direct visual supervision was provided to the subject infant while the diaper change was in progress. This posed an immediate health, safety, or personal rights risk to the subject child and children in care. A Civil Penalty of $1,000.00 is assessed for the Repeat violation of the same violation within 12 months.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101223(a)(2) · 101223(a)(2): The licensee shall ensure that each child is accorded the following personal rights (2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not being met as evidenced by Administrator agrees to rearrange staffing to meet infant's needs and provide a new staffing plan to include staff schedule (posted in the classroom) responsible for actively supervising infants to meet their needs and to prevent/mitigate injuries. accidents. In addition, administrator agrees to provide in-service training memo on Supervision and Personal Rights (Agenda with a description of training topics needs to be included) and to submit a written statement of understanding from staff with their signatures, verifying their attendance with the date and time by the POC deadline Per staff’s own admission and facility records obtained during the investigation, an infant was hitting the classroom door with their hands and head for approximately 3-5 minutes, “so hard that the infant bumped their forehead in borders of the edge of the classroom door” which resulted significant bruising and swelling; an additional injury occurred a few hours later causing a second injury in the same area on the forehead. At pick up point, child was taken to the doctor immediately due to parent concerns of internal head bleeding and behavioral changes due to the child's allegedly “lethargic” state. This posed an immediate health, safety, or personal rights risk to the subject child and children in care. A Civil Penalty of $500.00 is being assessed for the 09/06/23 injury.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101212(d)(1)(C) · 101212(d)(1)(C) Reporting Requirements. Any unusual incident or child absence that threatens the physical or emotional health or safety of a child shall be reported to the Department within 24 hours of the occurrence. Director agrees to provide copy of UIR/LIC 624 pertaining to incident in question. Director also agree to provide training to staff regarding reporting requirements. Staff acknowledgment /signing sheet must be provided to CCL by deadline.

as: facility failed to report the second incident to Community Care Licensing within the allowed time. This posed an potential risk to the health, safety, or personal rights to the subject child and children in care SUPERVISOR'S NAME: Aaron Ross

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101419.2(b)(2) · Infant Needs and Services Plan (b) The needs and services plan shall be in writing and shall include the following: (2) Infants up to 12 months of age shall have a completed Individual Infant Sleeping Plan [LIC 9227 (3/20)], which is incorporated by reference.

Deficient Practice Statement Based on record review, facility did not comply with the section cited above C2's file did not have Lic 9227 available for review which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/11/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101229(a)(1) · Responsibility for Providing Care and Supervision: 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. This requirement was not being met as Prior to conducting this inspection, the Director Megan Peveler submitted a copy of an agenda and sign in sheet regarding Sight and Sound training that was provided to all staff. evidenced by the information obtained that a child suffered numerous scratches that required medical attention, and out of three staff members present in the room, no one saw the incident develop and/or out how it occurred. This poses an immediate health, safety, or personal rights risk to children in care. This citation carries a Civil Penalty of $500.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101221(a) · Child's Records: A separate, complete and current record for each child is maintained in the child care center.

Acting assistant director agrees to have both, director or any lead teachers left in charge to have access to come up with a plan of a centralized location of children's files. In the plan, assistnat director agreed for center to come up with a sign in/out log to check files and send plan to licensing. Due to facility staff being unable to provide a child's file to licensing. All children's records and files must be available to the Department to inspect during normal business hours. This poses 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.

101427(c)(1) · Food Service The infant shall be fed in accordance with the individual plan. (1) Bottle-fed infants shall be fed at least once every four hours.

Acting assistant Director stated she will have a staff meeting to retrain staff on bottle feeding. Director will send in proof of training and a list of participants. Director will also implement a plan going forward to better assess feeding to ensure children are fed at least once every four hours. Director agreed to send plan to CCL by COB on POC date. Based on staff admission, bottle feeding logs showing child was not fed for more than four hours at a time, and incidnet report. This poses an immediate 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.