Brighter Tomorrow Montessori Preschool

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

Deficient Practice Statement Based on LPA's observations, the licensee did not comply with the section cited above in due to one hole observed in the outdoor play area, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/17/2025

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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, the licensee did not comply with the section cited above in 6 out of 7 children's files, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/31/2024

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101220.1(g)(1) · 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. (1) This requirement includes updating each child's immunization record when the child is due to receive required immunizations after enrollment in the child care center.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 2 out of 7 children which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/31/2024

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101429(a)(2)(9) · Responsibility for Providing Care and Supervision for Infants (a) In addition to Section 101229, the following shall apply: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. (2) Sleeping infant(s) shall be directly observed by sight and sound at all times. (A) This shall include when the infants are going to sleep, are sleeping, or are in the process of waking up (B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following Director immediately informed staff all infant from birth to twenty four months shall be checked every 15 minutes and have a sleeping log. Corrected during visit.

as evidened by LPA observed infant sleep logs and observed not all infants had sleeping logs which poses a potential risk to the health, safety, and personal rights of infants in care. SUPERVISOR'S NAME: Joel Segura

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

Per child's infant daily report, the child is to be fed every 2-3 hours Director agreed to conduct training with staff and update the infant intake form to improve documentation processes. Director will submit Proof of training to CCL by the POC due date, 9/26/2022. Per review of the child's infant daily report, it stated that the child was not given a bottle between 11:30am-4pm on 4/25/22. On the reoort dated 5/25/22, it appeared the bottle was not given at 3pm and on 5/27/22, it appeared the bottle was not given at 3:30pm. This poses a potential risk to the Health, Safety or Personal Rights to children in care.

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101428(b)(2) · Infant Care Personal Services (b) The infant shall be kept clean and dry at all times. (2) Each infant's clothing and diapers shall be changed as often as necessary to ensure that the infant is clean and dry at all times. Director agreed to conduct training with staff and update the infant intake form to improve documentation processes. Director will submit Proof of training to CCL by the POC due date, 9/26/2022.

Per record review, the daily diaper record was not consistent with the infant daily report. On 5/25/22, it stated on the daily report that the child's diaper was changed at 3:45pm which was not indicated on the daily diaper record. This poses a potential risk to the Health, Safety or Personal Rights to children in care

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101223(a)(2) · Personal Rights (a) 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. Director agreed to conduct training with staff regarding safe sleep guidelines and practices. Director will submit Proof of training to CCL by the POC due date, 9/26/2022.

Per the copy of photo obtained, the child had a non-breathable blanket while sleeping on a boppy pillow which is inconsistent with the safe sleep regulations. This poses a potential risk to the Health, Safety or Personal Rights to children in care

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