101229(a) · RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION: the licensee shall provide care and supervision as necessary to meet the children's needs.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101219(f) · Admission Agreements -The licensee shall comply with all terms and conditions set forth in the admission agreement.

Director stated that in the future the facility will have a parent meeting with the parents and possibly having the parent observe their child. Set up a behavior and prevention plan with the parents and have written documentations prior to termination. On 2/24/2023, licensee terminated a child's service without making every effort as stated in the facility's parent handbook prior to the immediate termination. This poses a potential health and safety risk to clients in care. Director will submit a written

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238.2(e) · Outdoor Activity Space 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.

Director will look into putting rubber mulch or padding for the playground by 04/28/2023. LPA observed the Liitle Tikes play structure is placed on top of green carpet and there is no cushioning around or under the play structure. This poses a potential health and safety risk to chidlren in care. SUPERVISOR'S NAME: Monica Cuddy

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101238(a) · Buildings and Grounds 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.

Director removed the two disrepair window screens during today's inspection. LPA Siao observed two broken window screens in the Big Room. This poses a potential health and safety risk to chidlren in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238.2(d)(2) · Outdoor Activity Space - The surface of the outdoor activity space shall be maintained: Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

Director stated that there is a service order send out to the fence repairman. Director will look into putting rubber mulch or padding for the playground by 04/28/2023. LPA Siao observed the playground covering to be in disrepair as the green covering is torned and the grounds are uneven which is a tripping hazard. The movable mesh fence near room 3 is ripping. This poses a potential health and safety risk to children in care. SUPERVISOR'S NAME: Monica Cuddy

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101226(a)(2) · HEALTH RELATED SERVICES. In the case of less serious injuries including, ...minor cuts, scratches and bites from other children requiring assessment and/or administration of first aid by staff, the licensee shall document the injury in the child's record and notify the child's authorized representative of the nature of the injury when the child is picked up from the center. Ms. Foster stated that she will conduct a training with staff to talk about reporting requirements to parents regarding injuries. She will have the training in writing and have staff sign it. A copy of this training plan will be submitted to the department by 10/30/2021.

Based on the interview conducted by LPA, one staff admitted that she forgot to report to the parent of child when child had minor injury. This poses a potential risk to the health, safety or personal rights of children in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101238(a) · BUILDINGS AND GROUNDS. 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.

The latch to the gate was observed fixed. Ms. Foster stated that she will have a maintenance man fill out the holes in the play yard, repair the fence (patch it) and will anchor the barricades properly. These corrections are due no later than 10/30/2021. Based on the interviews conducted with staff/parents and LPA's observation of the facility's physical plant, it was determined that the facility was not safe due to the latch to the fence was broken, fence had holes that a child can fit through, holes in the play area that poses a tripping hazard and the barricades that were not sturdy and not anchored properly. This poses a potential risk to the health, safety and personal rights of children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(a)(3) · PERSONAL RIGHTS. To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule...

Ms. Foster admitted that it was a poor judgement call and realized that it was something that she should've never done. She stated that she has signed up to complete 2 courses offered by NAEYC. She anticipates completion of these 2 courses by end of this week (9/24/21). Ms. Foster shall submit proof of course completion no later than 9/27/2021. Staff admitted to placing a waffle against a child's face in one incident and smearing cream cheese on a child's face in another incident. She stated that these act were done in a playful manner and was not done to tease them. Child became upset when staff smeared cream cheese on his face and cried.

Open Not marked corrected in the state record

Open / not marked corrected.

101216.3(b) · TEACHER-CHILD RATIO. The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance.

This deficiency was corrected when a teacher arrived at 9:50AM

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101161(a) · LIMITATIONS ON CAPACITY.A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This regulation was not met as evidenced by THIS WAS CORRECTED IMMEDIATELY. Ms. McDole removed the one school-age child and moved the one child to the school-age room. Another school-age child arrived during the inspection. Based on LPA's observation, upon arrival Nancy Diaz observed 7 children with staff Arianne Sanchez (6 preschool and 1 school-age child). Preschool and school-age children we co-mingled in the play area. Ms. McDole stated that school-age children will not be comingled with the preschool children.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101212(b) · REPORTING REQUIREMENTS. The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).

Ms. McDole shall submit a designation of the new site director with required documents (copy of resume/job application; transcript; photo ID; CPR/First Aid certificate; Preventing Lead Poisoning course completion; LIC 500 & LIC 610). Based on LPA's review of records, Ms. McDole failed to notify the department with the change of director. Sherrie Foster was designated as director and this change was not reported to the department. SUPERVISOR'S NAME: Tashima Daniel

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.