101223(a)(1) · Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons.

Director conducted a training with S1 regarding policies and personal rights of children and provided written proof to LPA. Based on interviews revealing S1 forced C1 to lay down, which poses a potential health, safety or personal rights risk to children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101239(e)(4) · 101239( e)(4) Fixtures, Furniture, Equipment and Supplies ( e) Faucets used by children for personal care shall deliver hot water. (4) All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition...conveniences shall be provided...in centers that serve children with physical disabilities.

Per Assistant Director and Director of Child Development CCC is awaiting delivery of new toilet and once toilet arrives it will be installed and video sent to LPA via email on or before the POC due date. CCC will also provide LPA written plan for Rooms 2 &4 bathroom usage no later than COB 5/19/23. Based on observation and confidential interview with director it was confirmed that toilet closest to the wall in the bathroom between Rooms #4 & #2 does not flush. Request Denied

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

101238(a) · 101238(a) Building and Grounds (a) The childcare center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This deficiency was cited and cleared during this inspection Based on records review and confidential interviews, the CCC’s roof had a leak causing the tile(s)in Room #2 to bulge, leak and be discolored. The CCC continued to utilize the room and have children and visitors present. .

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

101223(a)(1) · 101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons.

Facility will provide a written plan on how facility will ensure the subject child does not injure children while in care and also updated plan. Based on information gathered, children were injured by C1 while in care which poses a potential health, safety risk and/or personal rights risk to children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(a)(2) · 101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

Director will generate a letter to staff and parents (current and future enrolled) informing them of the facility's approach to face coverings in accordance with the CDPH guidance. Director will conduct a staff meeting and submit agenda and proof to the department by POC due date. On 09/1/21, Director Natalie did not completely ensure the personal rights of persons in care to safe and healthful accommodations and engaged in conduct inimical to the health, welfare, and safety of persons in care, in that children did not wear face coverings while in the facility, as required by the CDPH Guidance on the use of face coverings issued July 28th 2021 and an individual masks exception does not apply. Additionally, an appropriate COVID-19 symptom screening of staff reporting to work and children upon arrival, to prevent entry of possible infected persons, was not conducted prior to entry at the facility.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.