101238.2(d)(2) · 101238.2(d)(2) Outdoor Activity Space (d) The surface of the outdoor activity space shall be maintained (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

Facility will submit a plan in writing to LPA Chancellor by COB 12/16/2023 that describes how the facility will ensure daily the health and safety of the children in care while the renovations of the playground are taking place. Director agrees to fill the holes that cause tripping hazards on the playground by COB 12/1/23 and send pictures to LPA Chancellor by 12/4/23. Based on interviews, observation and record review LPA Chancellor counted approximately nine holes and uneven terrain caused from eroded ground and loose gravel 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.

101212(c) · 101212(c) Reporting Requirements (c) The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor activity space. Such structural changes shall include, but not be limited to, room additions. This requirement was not me as evidenced by By COB 12/1/2023, CCC will provide a statement stating that they have read and understood regulation 101212 Reporting Requirements and any new renovations taking place at the facility will be reported to CCL within regulated timeframes. Facility will submit a detailed plan in writing to LPA Chancellor by COB 12/15/2023 that describes how the facility will ensure daily the health and safety of the children in care while the renovations of the playground are taking place.

Based on record review an incident report was not provided to CCL when renovations began on the outdoor playground SUPERVISOR'S NAME: Pauline Beschorner

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101238.2(c) · Outdoor Activity Space. (c) Equipment and activity areas shall be arranged so that there is no hazard from conflicting activities. C1 fell and broke arm, requring medical attention due to the uneven surfaces abruptly transitioning on the playground. which poses a potential health, safety or personal rigths risk to children in care. Director will email LPA Chancellor photos of a permanent fence seperating the sand area from the grass field. SUPERVISOR'S NAME Pauline Beschorner

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101226(c) · Health Related Services. The licensee shall obtain emergency medical treatment...if the...child's illness or injury is such that there should be no delay in getting medical treatment for the child.

Director of Program & Operations Sara Salazar stated a Health Related Emergency Procedure Training will be conducted for all staff and proof will be provided to LPA. A written statement of the training plan will be submitted by

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101229(a) · 101229(a) Responsibility for Providing Care and Supervision the licensee shall provide care and supervision as necessary to meet the children’s needs. This was not met as evidenced by… Courtney Gay informed LPA Flores that the school is working with the parents of C1 and how to best meet his needs. The school is closely monitoring C1 with his surroundings in the classroom, offerering positive reinforcements (PDA's). The education coordinator is observing C1 with and trying to see if the behavior plan needs to be updated. The facility had trauma informed care training for the staff on 02/18/22 to assist the teachers in knowing how better to meett the needs of the chidlren in their care.

Based on interviews and record review, staff were unable to meet the child’s needs due to failing to prevent the child from running in the class resulting in injury. This poses an immediate health and safety risk to children in care

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101223(a)(3) · Personal Rights. (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication Program Director agrees to conduct training on Personal Rights with all currently staff submit agenda with signatures of all staff acknowledging understanding of this regulation by 12/10/2021. or aids to physical functioning.

by evidence by: Staff #1,2 and 3 have been observed inappropriately handle the children-grabbing, pulling, pushing or nudging forcefully, yelling, forcing children to sleep and not providing more food when children ask for more. This is an immediate health and safety risk to>>> >>>>children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.