101173(d) · The child care center shall operate in accordance with the terms specified in the plan of operation.

Based on statements provided by parents and staff, and a review of the Parent Handbook

Open Not marked corrected in the state record

Category: ratio. 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 sign in/out procedure which revealed that multiple child were not signed out by their authorized representative. 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: 11/06/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101170(e)(2) · 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).

Based on a review of Department records LPA provided S1 with required transfer documents to request a transfer. S1 completed the forms and submitted the forms to the Department to request a transfer of her clearance. Director said in the future, she plans to review Gaurdian to ensure all staff ar cleared and associated to the facility license. which revealed S1's criminal record clearance was not associated to the facility license. This posed/poses a potential health, safety and/or personal rights risk to the children in care. Director intends to produce and submit a written statement detailing how the facility would comply with CCR 101170(e)(2). Email: melchisedeck.augustin@dss.ca.gov Fax: 707-588-5099 SUPERVISOR'S NAME: Leslie Lepori

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101216(g)(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 staff (S1-S19 & CD) records reviewed which revealed S1 was missing LIC 503 & 501. 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: 12/14/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101217(a) · The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee.

Deficient Practice Statement Based on staff (S1-S19 & CD) records reviewed which revealed all teachers were missing LIC 9095. 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: 12/14/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226(a) · Health-Related Services. The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken.

Center Director Stephanie Yamato stated that she will provide training to all preschool staff members regarding injury reporting procedures, follow-up actions, and incident/injury report writing. Center Director Yamato stated that she will submit proof of training including attendance sheet and topics covered to CCLD by 01/16/2023. Based on the interviews conducted by the LPA and staff S4's own admission on 11/01/22, it was corroborated that the facility did not notify child C1's authorized representatives of their concerns regading a suspected head injury in a timely manner. Please note: although it was later corroborated that C1 did not in fact sustain a concussion or other injury, staff S4 believed at the time that C1 did sustain a concussion. The facility should have immediately notified C1’s authorized representatives so that a medical professional could be consulted to determine the appropriate care. This posed a potential risk to the health and safety of child(ren) in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.