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 five staff (S1-S5) records reviewed at 2:27pm which revealed S2 was missing evidence of negative TB clearance. 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: 06/05/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101217(a)(8) · 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: (8) Duties of the employee.

Deficient Practice Statement Based on five staff (S1-S5) revords reviewed at 2:27pm which revealed the records did not contain duties of employee. 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: 06/05/2023

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 five children's (C1-C5) records reviewed at 1:43pm, which revealed several infants Needs and Services plan had not been updated within the last three months. 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: 06/05/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101212(f) · The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.

Based on statements provided by LS and staff which provided enough evidence to support claims about the facility not reporting C1’s The Center Director submitted documentation which indicated she individually met with staff to discuss the contents of CCR 101212. The Center Director stated she planned to continue to individually meet with staff to discuss the regulations and facility management now completed the Incident/Accident report(s), were responsible for notify parents of incidents, as well as injuries to the child’s authorized representative. This poses/posed a potential health, safety and/or personal rights risk(s) to children in care. provided parents with a copy of the reports. Center Director stated she would submit a written plan to the Department by 06/22/22 via mail, email or fax. Email: melchisedeck.augustin@dss.ca.gov Fax: 70-588-5099

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101416.5(b) · There shall be a ratio of one teacher for every four infants in attendance.

Based on statements provided staff, adults, and parent which provided enough evidence to corroborate claim about the facility operating Center Director stated the Toddler A & B could only have 8 children maximum and facility is not currently enrolling children until additional staff are hired. Center Director she would submit a written plan detailing the steps the facility has taken thus far to avoid the classroom from operating out of ratio, and the statement would be submitted to the out of ratio. This poses/posed a potential health, safety and/or personal rights risk to the children in care. Department by 06/10/22 via mail, email or fax. Email: melchisedeck.augustin@dss.ca.gov Fax: 70-588-5099

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101212(f) · The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.

Based on statements provided staff, adults, and parent which provided enough evidence to corroborate claim about the facility not informing parents of positive COVID-19 cases. This poses/posed a potential health, safety and/or personal rights risk(s) to children in care Center Director stated she and the Licensee would read on CCR 101212 and would report all unusual incidents and the Director intends to hold an all staff meeting to review the content of CCR 101212 and would submit the attendance sheet with the siganture of staff that attended to the Department by 06/03/22 via mail, email or fax. Email: melchisedeck.augustin@dss.ca.gov Fax: 707-588-5099

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101429(a)(1) · Responsibility for Providing Care and Supervision for Infants 101429(a)(1) (a)(1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. The director wrote up and terminated S2 for the incident on 12/1/21. The director provided training on the importance of face to name checks between each threshold on 12/8/21. The director also send out a detailed email on 12/5/21. No Further Actions required.

Based on interview C1 was found in the hallway near classroom unsupervised for 1-2 minutes after a transition time and was taken to the classroom This poses a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Megan Aviles

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.