Kce Champions Llc @ Brook Knoll Elementary

101216(g)(1) · Personnel Requirements (1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. One staff's (S2) TB test result was unavailable during today's inspection. POC Due Date: 03/04/2026

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101516.5(b)(1) · (b) There shall be a staffing ratio of one teacher and one aide present to every 28 children in attendance. (1) A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children.

Director to submit a written

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101229.1(b) · (b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.

Director to submit a written

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101170(e)(2) · 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) or

Director to submit

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101229(a)(1) · 01229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation.

Director agreed to submit a written

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101516.5(b)(1) · Teacher-Child Ratio: A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children.

the Facility was operating out of ratio when one partially qualified teacher opened the Facility on the Jordan Armstrong, Director, agreed to submit a written

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101170(e)(2) · Criminal Record Clearance: 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: request a transfer of a criminal record clearance as specified in Section 101170(f) Anjelica Del Toro, area manager, agreed to submit a written Plan of Correction (POC) listing what step(s) are going to be implemented to ensure that all staff have clearances

Staff 2 (S2) & Staff 7 (S7) began working at the Facility on Monday June 10, 2024, but were not associated to the Facility until 06/11/2024 (S2) and June 12, 2024 (S7) transferred/associated to a licensed site(s) prior to allowing staff to start working. $300 immediate civil penalties issued today.

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101238(b)(1) · (b) All children shall be protected against hazards within the center through provision of the following:(1)Protective devices including but not limited to nonslip material on rugs.

Director will have a cover placed on the outlet by the

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101221(a)(b) · (a) A separate, complete and current record for each child is maintained in the child care center.(b)Each record shall contain information including, but not limited to, the following:(1)Name of child. (2) Birthdate.(3)Sex.(4)Date of Admission.(5)Name, address Director will have C2's parents fill out all necessary enrollment paperwork and scan copies to the department by the plan of correction date.

C2's file had no admission paperwork in it. SUPERVISOR'S NAME: Belinda Devall

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101229(a)(1) · (a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1)No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.

Training of staff is to be completed and a outline of the training and a sign in sheet will be submitted to the department before the

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101218.1(b) · (b) At the time of acceptance of each child in care, the licensee shall inform each child's parent or authorized representative of his/her rights that include, but are not limited to, the following: (1)To enter and inspect the child care center in accordance with Health and Safety Code Section 1596.857. (2)To file a complaint against the licensee with the local licensing office in accordance with Health and Safety Code Section 1596.853.(3) To review the child care center’s public file kept by the local licensing office in accordance with Health and Safety Code Section 1596.859.(4)To review at the child care center, reports of licensing visits and substantiated complaints against the licensee made during the last three years in accordance with Health and Safety Code Section 1596.859.(5) To complain to the local licensing office and inspect the child care center without discrimination or retaliation in accordance with Health and Safety Code Section 1596.857. (6)To request in writing that a parent not be allowed to visit a child or take a child from the child care center provided the custodial parent has shown a certified copy of a court order pursuant to Health and Safety Code Section 1596.857.(7) To receive from the licensee upon request the name, address and telephone number of the local licensing office in accordance with Health and Safety Code Section 1596.874. (8) To be informed by the licensee, upon request, of the name and type of association to the child care center for any adult who has been granted a criminal record exemption, and that the name of the person may also be obtained by contacting the local licensing office. Director will have parents sign the Parents Rights form and scan the signed document to the department by the plan of correction date.

There was not a signed parents rights in C2's file. SUPERVISOR'S NAME: Belinda Devall

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101216(g)(1) · 101216 Personnel Requirements (g) All personnel... shall be in good health.. and mentally capable of performing assigned tasks. (1) ...good physical health shall be verified by a health screening, including a test for tuberculosis, performed by... a physician not more than one year prior to or seven days after employment. The Licensee will submit copies of completed physicians report or appointment confirmation for six staff missing physicians reports. The screening must include test for tuberculosis.

The Licensee did not obtain physicians report for six out of eleven staff files reviewed, which poses a potential risk to the health, safety, and personal rights of children in care.

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101229.1(b) · 101229.1 Sign In and Out (b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.

The Licensee will submit plan for ensuring that children arriving after school are signed in upon arrival. The plan will outline who will sign children in and how ratio will be maintained during the staggered arrival time. The Licensee did not sign children into the facility upon arrival after school, which poses a potential risk to the health, safety, and personal rights of children in care. Letter outlining how sign-in/out will be completed should be submitted to the Department by 4/14/2023. SUPERVISOR'S NAME: Joel Segura

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101516.5(b) · 101516.5 Teacher-Child Ratio (b) There shall be staffing ratio of one teacher and one aide present to every 28 children in attendance.

The Licensee will submit all qualifications for staff and ensure that these documents are obtained prior to hiring staff. All qualifications should be submitted to the department by 4/12/2023. The Licensee did not provide qualifications necessary to confirm if staff are teacher or aide qualified, which poses an immediate risk to the health, safety, and personal rights of children in care. A letter indicating how all required staff paperwork will be obtained prior to hire will be submitted to the Department by 4/12/2023. Letter should indicate all documents to be obtained.

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101212(b)(1)(A) · 101212 Reporting Requirements (b) The name of the child care director.. shall be reported to the department within 10 days.. (1) ...in addition to his/her name, the report shall include the following: (A) Verification of the completion of course work required in Section 101215.1(h)...

Area Manager will submit proof of Site Director qualifications and be sure to include education requirements, proof of experience from previous employers, MMR vaccination by 2/3/2023 Area Manager indicated Sarah Hinkle on LIC200A, however did not submit qualifications for review which poses a potential threat to the health, safety, and personal rights of children in care. All required qualifications paperwork should be submitted for review.

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101217(a) · 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

Area Manager, Anjelica Del Toro, will submit proof of education/transcripts, Mandated Reporter training, immunizations (MMR, Tdap, flu), and required experience for review to determine qualifications of staff. The licensee failed to maintain personnel records as many required documents were missing which poses a potential threat to the health, safety, and personal rights of children in care. Staff are additionally missing proof of physicians report and negative TB test, which should also be submitted. All documents should be submitted by 2/3/2023 for all staff present during 2022-2023 school year. SUPERVISOR'S NAME: Joel Segura

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