101212(d) · 101212(d) Reporting requirements…the child care center of any of the events specified in (d)(1)…a report shall be made to the Department by telephone or fax within the Department's next working day & during its normal business hours… as specified in (d)(2)…following the occurrence of such event. The licensee agrees to ensure compliance with all Title 22 Regulations to include Section 101212 Reporting requirements, 101212(d)(1) and 101212(d)(2) and submit a written statement of understanding to the department by fax, mail or e-mail. This regulation was not met as evidenced by Based upon LPA record review and interview, by admission the facility director did not report an unusual incident occurring on 05/07/25, which is a potential health and safety risk to children in care. Ana Noble NAME OF LICENSING PROGRAM MANAGER Susan Brewer NAME OF LICENSING PROGRAM ANALYST LICENSING PROGRAM ANALYST SIGNATURE DATE 06/26/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: health medication. 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 records reviewed, the director did not comply with the section cited above as director did not ensure Health Screening Report (LIC 503) forms, including a tuberculosis clearance, were completed and maintained for two out of seven staff present which poses a potential health risk to children in care. POC Due Date: 04/03/2025

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229.1(b) · Sign In and Sign Out (b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.

Deficient Practice Statement Based on record review, the director did not comply with the section cited above as director did not ensure 32 out of 53 children present were signed in which poses a potential safety risk to children in care. POC Due Date: 04/03/2025

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

101238.2(e) · Outdoor Activity Space (e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in the LPA observed the blacktop surface to be raised and cracked by the growth of large tree roots, which is a potential tripping hazard. In addition, although the artificial rubber turf installed was observed to have some padding underneath that provided a bounce, the material was hard as a rock and rough to the touch due to the wear and tear, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/23/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216(f) · Personnel Requirements (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, the licensee did not comply in the licensee failed to ensure that an opening and closing staff member participated in an EMSA approved CPR/1st Aid training for duties assigned to include the transportation of children to and from the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/23/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216(g)(2) · Personnel Requirements (2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following

Deficient Practice Statement Based on (record review)], the licensee did not comply with the section cited above in [2] out of 3 (persons)] S1, S2 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/28/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101229(a)(1) · Responsibility for Providing Care and Supervision - The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation. Staff #1 was terminated. During a staff meeting on 06/25/2021, responsibility for providing care and supervision was discussed. In addition, all staff will be re-trained on responsibility for providing care and supervision. Proof will be submitted to CCL by POC due date. This requirement has not been met as evidenced by: On 06/14/2021, C1 ran out of the classroom into the breezeway, but still behind the gate, unsupervised. Child was intercepted by staff in the front office. This poses an immediate risk to the health and safety of children in care. SUPERVISOR'S NAME Kimberly Williams

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.