101229.1(a)(1) · 101229.1 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..... LPA advised Donna to complete the requirement below, have the parent to complete the sign in by the end of the day, and submit a copy to the Regional Office. LPA will endorse the facility for a Non-Compliance Conference (NCC). 04/17/2024 1st violation and 5/1/2024 2nd violation.

, 3rd violation, LPA's observation at 9:50 am, 1 of 4 infants was not signed in, the licensee did not comply with the section cited above in which poses an immediate risk to the health, safety or personal rights to children in care LPA shall endorse the facility for the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R).

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101416.5(b)(1)(A) · 101416.5 Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance. (1) An aide may be substituted for a teacher when all of the following conditions are met: (A) There is a fully qualified teacher directly supervising no more than 12 infants; and...... At 10 am, Staff GAYLE TOMSBURNS, came in to supervise in the Teddy Bear Room with Staff Rgbe. LPA will endorse the facility for a Non Compliance Conference (NCC). 04/17/2024 1st violation and 5/1/2024 2nd violation.

, 3rd violation, LPA's observation at 9:50 am, Staff Rgbe was by herself supervising 4 infants at the Infant Room, the licensee did not comply with the section cited above in which poses an immediate risk to the health, safety or personal rights to children in care LPA shall endorse the facility for the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R). SUPERVISOR'S NAME: Jason Jang

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101427(j) · 101427 Infant Care Food Service (j) Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date..... The Licensee shall again develop a plan, in writing, how to manage the Infant Care Food Service in the Facility. LPA will endorse the facility for a Non Compliance Conference (NCC). 04/17/2024 1st violation and 5/1/2024 2nd violation.

, 3rd violation, LPA's observation at 10:30 am, Child 3 infant milk bottle in the refrigerator was not labeled with the infant’s name and current date, the licensee did not comply with the section cited above in which poses an immediate risk to the health, safety or personal rights of children in care LPA shall endorse the facility for the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R).

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101217(a)(11) · 101217 Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 101216(g)..... LPA advised Donna to have Gayle to complete the requirement below and submit a copy to the Regional Office. LPA will endorse the facility for a Non-Compliance Conference (NCC).

, LPA's record review at 11am, Staff Gayle did not the LIC 503 in her file, the licensee did not comply with the section cited above in which poses an potential risk to the health, safety or personal rights of children in care LPA shall endorse the facility for the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R). SUPERVISOR'S NAME: Jason Jang

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) LPA advised Donna to complete the LIC 9182 as the requirement below and submit a copy to the Regional Office. LPA provided the information for Guardian. LPA will endorse the facility for a Non-Compliance Conference (NCC).

LPA's record review at noon, Staff Donna has an existing criminal record clearance and was not transferred to this facility, the licensee did not comply with the section cited above in which poses an immediate risk to the health, safety or personal rights of children in care LPA shall endorse the facility for the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R).

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

101439.1(a)(f) · 101439.1 Infant Care Center Sleeping Equipment (a) In addition to Section 101239.1, the following shall apply....... The Licensee shall develop a plan, in writing, how to manage the Infant Care Center Sleeping Equipment in the Facility. The Licensee shall conduct a Staff meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date. 04/17/2024 1st violation.

, 2nd violation, on LPA's observation at 10 am, 1 crib at the infant room had a "jacket", 2 cribs had stains on the sheet and 1 crib mattress was smaller and not fitted in the crib, the licensee did not comply with the section cited above in which poses an immediate risk to the health, safety or personal rights to children in care LPA shall endrorse the facility for a Non Compliance Conference (NCC), to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R).

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101416(b)(1)(A) · 101416.5 Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance. (1) An aide may be substituted for a teacher when all of the following conditions are met: (A) There is a fully qualified teacher directly supervising no more than 12 infants; and...... The Licensee shall develop a plan, in writing, how to manage the Staff-Infant Ratio in the Facility. The Licensee shall conduct a meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date. 04/17/2024 1st violation.

, 2nd violation, on LPA's observation at 9:50 am, Staff Rgbe was by herself supervising 3 infants at the Infant Room, Staff Faye was cleaning in the Preschool Classroom, andthe licensee did not comply with the section cited above in which poses an immediate risk to the health, safety or personal rights to children in care LPA shall endrorse the facility for a Non Compliance Conference (NCC) to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R). SUPERVISOR'S NAME: Jason Jang

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229.1(a)(1) · 101229.1 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..... The Licensee shall develop a plan, in writing, how to manage the Sign In and Sign Out procedure in the Facility. The Licensee shall conduct a meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date. 04/17/2024 1st violation.

, 2nd violation, on LPA's observation at 9:50 am, 3 of 5 infants Sign In for the day did not have a full legal signature of the parents and 1 out of 5 infant was not signed in, the licensee did not comply with the section cited above in which poses an immediate risk to the health, safety or personal rights to children in care LPA shall endrorse the facility for a Non Compliance Conference (NCC) to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R).

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101427(j) · 101427 Infant Care Food Service (j) Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date..... The Licensee shall develop a plan, in writing, how to manage the Infant Care Food Service in the Facility. The Licensee shall conduct a meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date. 04/17/2024 1st violation.

, 2nd violation, on LPA's observation at 10 am, on LPA's observation, infant milk bottle in the refridgerator and infant milk bottle on the counter where the posters were not labeled with the infants name and current date, the licensee did not comply with the section cited above in which poses an immediate risk to the health, safety or personal rights risk to persons in care LPA shall endrorse the facility for a Non Compliance Conference (NCC) to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R). SUPERVISOR'S NAME: Jason Jang

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101239(f) · 101239 Fixtures, Furniture, Equipment and Supplies (f) Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents..... The Licensee shall develop a plan, in writing, how to manage the Fixture, Equipment and Supplies in the Facility. The Licensee shall conduct a meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date. 04/17/2024 1st violation.

, 2nd violation, on LPA's observation at 10 am, on LPA's observation, waste container at the Staff bathroom and at the hallway did not have tightfitting cover that was kept on, the licensee did not comply with the section cited above in which poses an immediate risks to the health, safety or personal rights to chldren in care LPA shall endrorse the facility for a Non Compliance Conference (NCC) to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R).

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101215.1(g) · 101215.1 Child Care Center Directors Qualifications and Duties (g) A licensee who is responsible for two or more centers may serve as the child care center director of one of the centers provided that he/she meets the qualifications specified in (h) below, or may serve as the executive director of all of the centers provided that a qualified child care center director is employed for each individual center..... The Licensee serves as an executive director of all of her centers, she shall develop a plan, in writing, how to employ a qualified child care center director for her each individual center. The Licensee shall conduct a meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date.

, on LPA's interview, the Licensee claimed that she has assigned a qualified director on her other centers and record says that her name showed a a director on the other site and on LPA's arrival, on multiple visits, the Licensee was not present, the licensee did not comply with the section cited above in which poses a potential risk to the health, safety or personal rights risk to children in care. LPA shall endrorse the facility for a Non Compliance Conference (NCC) to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R). SUPERVISOR'S NAME: Jason Jang

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101429(a)(B) · 101429 Responsibility for Providing Care and Supervision for Infants (a) In addition to Section 101229, the following shall apply. (B)Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:...... The Licensee shall develop a plan, in writing, how to manage the Infant Safe Sleep in the Facility. The Licensee shall conduct a meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date. 04/17/2024 1st violation.

, 2nd violation, on LPA's observation at 10 am, the Licensee have "Baby's Daily Report Sheet" but the Staff did not document their condition to check for signs of distress, which includes, but is not limited to labored breathing, flushed skin color, increase in body temperature, and restlessness. The licensee did not comply with the section cited above in which poses an immediate risk to the health, safety or personal rights to children in care LPA shall endrorse the facility for a Non Compliance Conference (NCC) to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R).

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101430(a)(3)(E) · Violation

101430 Infant Care Activities (a) Notwithstanding Section 101230, the following shall apply: 3) All infants shall be given the opportunity to sleep without distraction or disturbance from other activities at the center whenever the infant desires. (E)If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible Deficient Practice Statement Based on the above LPA's observation, at 9:46 am, LPA Estoesta and LPA Jackson oberserved 2 infants (C1 and C2) were sleeping in their respective car seats at the Infant Room floor, next to the cribs. LPA asked Staff Rgbe Haile, "How long they have been sleeping?" Staff stated since they "got here." LPA Estoesta verified today's sign in for C1, no record time but signed by a parent, and C2 sign in was at 6:40 am but no parent signature., the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 04/18/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101439.1(a)(f) · Violation

101439.1 Infant Care Center Sleeping Equipment (a) In addition to Section 101239.1, the following shall apply. (f) cribs shall be free from all loose articles and objects, including blankets and pillows Deficient Practice Statement Based on LPA Jackson observation, at 11:37 am, 3 infants were napping in their respective cribs with blankets and pillows on the infants, the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 04/18/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101416.5(b)(1)(A) · Violation

101416.5 Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance. (1) An aide may be substituted for a teacher when all of the following conditions are met: (A) There is a fully qualified teacher directly supervising no more than 12 infants; and Deficient Practice Statement Based on LPA Estoesta and LPA Jackson observations, at 9:46 am, Staff Rgbe was by herself in the Infant Room with 3 infants. LPA Estoesta verfied her records and she did not have transcript on her file, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229.1(a)(1) · Violation

101229.1 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 LPA Estoesta record review, LPA Estoesta verified today's sign in for C1, no record time but signed by a parent, and C2 sign in was at 6:40 am but no parent signature, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 04/18/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101427(j) · Violation

101427 Infant Care Food Service (j) Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date Deficient Practice Statement Based on LPA Estoesta and LPA Jackson observation, at 9:49 am, infants milk bottles in the refrigerator were not labeled wth infant's name and date, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101239(f) · Violation

101239 Fixtures, Furniture, Equipment and Supplies (f) Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents Deficient Practice Statement Based on LPA Estoesta observation, at 9:52 am, there was a garbage white bag in the infants room that was not stored and closed properly right below the sink, and the garbage bins did not have lids, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101239(n) · Violation

101239 Fixtures, Furniture, Equipment and Supplies (n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts Deficient Practice Statement Based on LPA Estoesta and LPA Jackson observations, at 10 am, one of the cabinet door right below the Teddy Bear Room sink and the Infant Room bathroom were detached, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101439.1(b)(1) · Violation

101439.1 Infant Care Center Sleeping Equipment (b) A crib or portable-crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib Deficient Practice Statement Based on LPA Jackson observation, at 11:50 am, one of the cribs mattress did not have fitted sheet, the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101429(a)(B) · Violation

101429 Responsibility for Providing Care and Supervision for Infants (a) In addition to Section 101229, the following shall apply. (B)Staff shall physically check on sleeping infant(s) every 15 minutes and document the following Deficient Practice Statement Based on LPA Estoesta's record review, at 10:30 am, the Licensee did not have sleep logs for the infants, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101170(e)(2) · Violation

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) Deficient Practice Statement Based on LPA Estoesta record review, at 1 pm, Staff Rgbe, Faye, Hiwot and Lakea have active crimilnal record clearance but not associated to the either one of the Licensee's License, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2024

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

101700.3(b)(2) · Lead Testing Written Directive- Licensees shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care. Facility will make sink inaccessible to children in care. The Director will replace the fixture and have it retested. Results must be sent to LPA by POC date by email.

Based on record review, facility has outlets of water test 5.5 ppb or greater, which is a potential health and safety risk to persons in care. SUPERVISOR'S NAME: Jason Jang

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.