Wild Roots Holistic Learning Center

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 record review, the licensee did not comply with the section cited above as two staff (Ref#2 & 3) did not have health screenings on file, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/06/2023

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 interview and record review, the licensee did not comply with the section cited above as two children (Ref#1 & 2) did not have LIC 9227 on file, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/14/2023

101429(a)(2)(C) · Responsibility for Providing Care and Supervision for Infants (C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above as five children did not have documentation of 15 minute sleep checks, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/14/2023

101170(e)(1) · 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: (1) Obtain a California clearance or a criminal record exemption as required by the Department .

as evidenced Program Director, Maragarita Juarez agrees to have Staff #1 (S1) go to livescan for a fingerprint clearance by 06/24/22 and ensure that S1 does not work in the facility prior to the clearance. by: Staff #1 (S1) does not have a criminal record clearance or a criminal record exemption and has been working in the classroom for over five months. This poses an immediate risk to the health and safety of the children. SUPERVISOR'S NAME: Carlos Martinez