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. LPAs observed one of the childrens restrooms to be in disrepair. LPAs observed standing water on floor, water damage to walls and ceiling, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/11/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101161(a) · Limitations on Capacity and Ambulatory Status (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

Deficient Practice Statement Based on LPAs observations and interview, While taking Census of children present, LPAs observed a school age child. LPAs identified the child's age to exceed the terms of the Facility's preschool License, ages 2-5 years old. This is an immediate risk to the health and safety of children in care. POC Due Date: 08/11/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101174(d) · Disaster and Mass Casualty Plan (d) Disaster drills shall be conducted at least every six months.

Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above. Facility did not have current disaster drill log to review at time of visit, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/17/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238.2(d) · Outdoor Activity Space (d) The surface of the outdoor activity space shall be maintained

Deficient Practice Statement Based on observation, the Licensee did not comply with the section cited above. Facility did not maintain outdoor play space LPAs observed weeds and sparce arears of wood chips around play structure and was informed children do not currently use outdoor space, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/17/2023

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 observation and record review, the facility did not comply with the section cited above. Facility did not have current written medical assessments in 4 out 5 children records reviewed at time of visit, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/31/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101220.1(g) · Immunizations (g) The licensee shall document each child's immunizations and shall maintain such documentation in the center for as long as the child is enrolled.

Deficient Practice Statement Based on observation and record review, the facility did not comply with the section cited above. Facility did not have current immunization records in 5 out of 5 children's records at time of visit, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/31/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101221(b)(8)(C) · Child's Records (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 observation and record review, the facility did not comply with the section cited above. Facility did not have written consent for medical treatment (LIC627) in 5 out 5 children records reviewed at time of visit, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/17/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101229.1(a)(1) · Sign In and Sign Out (a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

Deficient Practice Statement Based on observation and record review the licensee did not comply with the section cited above. LPAs observed current sing-in/sign-out log without authorized representative signatures, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/17/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.