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 eight staff (S1-S7 & CD) records reviewed at 11:14am which revealed S7's Tuberculosis (TB) clearance was more than one year of the hire 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: 09/25/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101221(b)(6) · Child's Records (b) Each record shall contain information including, but not limited to, the following: (6) A signed copy of the admission agreement specified in Section 101219.

Deficient Practice Statement Based on five children's (C1-C5) records reviewed at 11:55am which revealed C1 & C4's Admission Agreements were not signed by the children's parents. 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: 09/25/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101221(b)(8)(C) · Child's Records (b) Each record shall contain information including, but not limited to, the following: (8) Medical assessment, including ambulatory status as specified in Section 101220, and the following health information: (C) A signed consent form for emergency medical treatment unless the child's authorized representative has signed the statement specified in Section 101220(f).

Deficient Practice Statement Based on five children's (C1-C5) records reviewed at 11:55am which revealed C1 was missing LIC 627. 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: 09/25/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101419.3(a) · Modifications to Infant Needs and Services Plan (a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy.

Deficient Practice Statement Based on LPA's observations of several children's including C2-C5's Infant Needs and Services Plan had not been updated quarterly. 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: 09/25/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101220(a) · Child's Medical Assessments (a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

Deficient Practice Statement Based on five children's (C1-C5) records reviewed at 11:55am which revealed C1 was missing LIC 701. 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: 09/25/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101229.1(a)(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's review of the children's sign in/out procedure which revealed that several children had not been signed in and out. 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: 09/25/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101429(a)(2)(B) · Responsibility for Providing Care and Supervision for Infants (B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following

Deficient Practice Statement Based on the Director not furnishing evidence to prove 15 minute checks were conducted for C1, C3-C5, as well as for all infants in the toddler classroom. 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: 12/29/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101429(a)(2)(B)(3)(a) · Responsibility for Providing Care and Supervision for Infants (B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: (3) Infants up to 12 months of age who are sleeping in a position other than on their back. (a) If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping.

Deficient Practice Statement Based on five children's (C1-C5) records reviewed at 10:24am which revealed C1 & C5 were missing LIC 9227. 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: 12/29/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 four staff (S1-S4) records reviewed at 9:29am which revealed S1 was missing Health Screening (LIC 503). 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: 12/29/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101221(b)(4) · Child's Records (b) Each record shall contain information including, but not limited to, the following: (4) Date of Admission.

Deficient Practice Statement Based on five children's (C1-C5) at 10:24am which revealed some children's records were missing date of admission. 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: 12/29/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101221(b)(6) · Child's Records (b) Each record shall contain information including, but not limited to, the following: (6) A signed copy of the admission agreement specified in Section 101219.

Deficient Practice Statement Based on five children's (C1-C5) records reviewed at 10:24am which revealed C2 & C5's enrollment agreements were not signed by the parent. 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: 12/29/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101419.3(a) · Modifications to Infant Needs and Services Plan (a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy.

Deficient Practice Statement Based on a review of the children's Infant Needs and Service Plans which reflected the plans had not been updated quarterly. 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: 12/29/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101220(a) · Child's Medical Assessments (a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

Deficient Practice Statement Based on five children's (C1-C5) records reviewed at 10:24am which revealed C1-C3's Physician's Report were either incomplete or missing. 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: 12/29/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101220.1(g) · 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.

Deficient Practice Statement Based on five children's (C1-C5) records reviewed at 10:24am which revealed C1-C5's Immunization were either not up to date or was missing. 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: 12/29/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 five children's (C1-C5) records reviewed at 10:24am which revealed C1-C5's Immunization records were not transcribed onto the blue CDPH 286. 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: 12/13/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101229.1(a)(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's review of the children's sign in/out procedure which appered to be incomplete. 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: 12/29/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101439.1(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 the Director's statement confirming some infants that did not have the ability to climb out of a crib took a nap on a cot. 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: 12/29/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101416.2(b) · 101416.2 (b)...infant care teacher shall have completed, with passing grades, at least three postsecondary semesters or equivalent quarter units in early childhood education or child development... units related to the care of infants...approved college or university. Director stated she will provide verification of ECE units when completed to LPA, Sebastian Phouthavong by 07/26/2023 at sebastian.phouthavong@dss.ca.gov Based on facility record review, Staff did not have the required units and no verification of staff ECE units were present at the faculity. This poses a potential Health and Safety risk to children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(a)(3) · Personal Rights. Each child shall be free from corporal or unusual punishment, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature. The Director provided training for all staff regarding definition of child restraining and positive creative supports and creating a positive classroom.

based on photo evidence and interviews, staff 1 physically restrained Child 1 by pulling child’s shirt over the back of a chair while the child was seated at the chair. This is a potential health, safety, and/or personal risk to children in care Documentation of training was received by LPA during inspecion, clearing the

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101221(b)(8) · Child’s Records. The child’s record shall contain their medical assessment including physicians report. The facility director agrees to provide proof of receipt of physicians reports for the children's missing files by 8/16/2021.

based on records review, children 7-9 were without physicians reports. This could pose a potential risk to children in care SUPERVISOR'S NAME: Megan Aviles

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.