101229(a) · 101229(a) Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.

Director stated she would hold a training regarding visual supervision on the playground and provide agenda and sign in/out sheets to LPA Lane via e-mail by 11/8/24 Based upon interviews with staff, staff did not see the incident that occurred when a child was hurt and did not remove the hazardous item in time to avoid the injury which poses a potential health, safety and personal rights risk to children in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101239(m)(1) · 101239 Fixtures, Furniture, Equipment and Supplies (m) All play equipment and materials used by children shall be age-appropriate. (1) The licensee shall provide a variety of age-appropriate equipment, toys and materials in good condition...

Director immediately removed and disposed of the metal pie plate and checked the playground for any additional hazards. Director stated she would also hold a staff meeting and provide agenda and signed staff attendance regarding training to identify and remove potential hazards in the classroom and playgrounds before children are present and e-mail it to LPA Lane by by the end of next week. Based upon staff interviews, the metal pie plate was not age-appropriate and had sharp edges and had been an issue previous to the reported incident and posed an immediate health, safety and personal rights risk to children in care. SUPERVISOR'S NAME: Tashima Daniel

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101170(e)(2) · 101170 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 101170(f)...

Director stated she would associate both subs to the facility via Guardian or fax a LIC9182 for and ID for both to the SDNRO by 11/4/24 and double check on Guardian that they are associated to the facility. Director provided a written statement that she would associate all subs at the beginning of their work day going forward in Guardian. Based upon record review and Director statement, two subs were not associated to the facility which is a potential health, safety and personal rights risk to children in care. SUPERVISOR'S NAME: Tashima Daniel

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101226(e)(1)(B) · 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: (B) Each container shall have an unaltered label.

Deficient Practice Statement Based observation the licensee did not comply with the section cited above as inhaler did not have original packaging for child 1, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/09/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226(e)(3)(A) · Health-Related Services (3) Prescription medications may be administered if all of the following conditions are met: (A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician.

Deficient Practice Statement Based on observation the licensee did not comply with the section cited above as the inhaler for child 1 does not have a prescription, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/09/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226(e)(5) · Health-Related Services (5) The licensee shall develop and implement a written plan to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given.

Deficient Practice Statement Based on observation the licensee did not comply with the section cited above as Facility does not have and IMS plan and is administrering medications to children in care, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/09/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.