Coles Cottage Academy

101174(d) · Disaster and Mass Casualty Plan (d) Disaster drills shall be conducted at least every six months.

Deficient Practice Statement Based on interview & record review, the licensee did not comply with the section cited above in distaster drills have not been completed this year which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/16/2024

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101439.1(b)(1) · Infant Care Center Sleeping Equipment (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. (1) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in sheets are not fitted on crib mattresses which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/30/2024

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101238.2(d)(1) · Outdoor Activity Space (d) The surface of the outdoor activity space shall be maintained: (1) In a safe condition for the activities planned.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in LPA observed a lot of un-maintained spider webs on all fencing and materials and a shelving thats weather damaged with chipping paint which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/16/2024

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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 record review, the licensee did not comply with the section cited above in staff are not completing sleep logs according to regulation which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/16/2024

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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 in 1 out of 4 persons missing TB clearnace in file which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/30/2024

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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 record review, the licensee did not comply with the section cited above in 10 out of 11 persons with an expired plan on file which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/23/2024

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101161(a) · (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

Office Manager stated that C1 will be be moved to the Two year old class on the preschool license and will provide LPA with an updated class roster. Based on child (C1) being over the age of 24 months and still being enrolled and present in the Toddler classroom which poses a potential health, safety or personal rights risk to children in care. SUPERVISOR'S NAME: Pauline Beschorner

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101238(g) · Buildings and Grounds (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as there were accessible hazardous items which posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/19/2023

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101215.1(d) · Child Care Center Directors Qualifications and Duties: The child care center director, or the substitute director as specified in (f) below, shall be on the premises during the hours the center is in operation:The child care center director shall not accept outside employment that Director agrees to ensure she is on site Monday through Friday from 8:30am to 5:30pm. If she has a doctors appointment or vacation time, she will make sure it's on a day her Operations Manager is on site to avoid having no one in the front desk to assist with Center Operations. interferes with the duties specified in this chapter.

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

LPA observed infant classroom with 2 teachers and 9 children. This poses an immediate risk to the health and safety of the children Director, Weeratunga Costa agrees to submit a written statement on how the facility will remain in compliance with ratio as required by Title 22 Regulations. SUPERVISOR'S NAME: Carlos Martinez

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