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 on obseravations , interviews and records review, the licensee did not comply with the section cited above . LPA observed EPI pen without original box or any labels , staff was not able to open medication box due to other staff changing the code , which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/29/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(b)(1) · Buildings and Grounds (1) Protective devices including but not limited to nonslip material on rugs.

Deficient Practice Statement Based on obseravtions and interviews ,the licensee did not comply with the section cited above. Two preschool classrooms had emergency exits accessible to the children in care , which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/11/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238.2(d)(1) · Outdoor Activity Space (d) The surface of the outdoor activity space shall be maintained: (1) In a safe condition for the activities planned.

Deficient Practice Statement Based on observations, interview and records review the licensee did not comply with the section cited above. Licensing Staff observed cracks and holes on the surface of the play area , which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/11/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101212(d)(1)(B) · REPORTING REQUIREMENTS Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1)(B) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information Director will ensure that an Unusal Incident Report will be submitted within 24 hours. specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. Events reported shall include the following: Any injury to any child that requires medical treatment.

staff disclosure and FAS review. The injury/incident involving the sno cone machine was not reported to licensing as required. This is a potential risk to the health and safety of children in care SUPERVISOR'S NAME: Ana Chico

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101212(d)(1)(B) · REPORTING REQUIREMENTS Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1)(B) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information Director will ensure that an Unusal Incident Report will be submitted within 24 hours. Director will submit a UIR immediately. specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. Events reported shall include the following: Any injury to any child that requires medical treatment.

staff disclosure and FAS review. The injury/incident involving the sno cone machine was not reported to licensing as required. This is a potential risk to the health and safety of children in care CCR

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101223(a)(2) · Personal Rights. The licensee shall ensure that each child is accorded the following personal rights To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. The sno-cone machine was immediately removed from classroom and made inaccesible to children.

Director's own admission that the sno-cone machine was not stored adequately and was accesible to the child causing injury. This is a potential risk to the health and safety of children in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.