101229(a)(1) · 101229 Responsibility for Providing Care and Supervision (a)...(1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.

Director states she will have a meeting with staff regarding a detailed procedure for playground supervision. Director states she will submit to licensing the agenda for the training, signed by all staff, as well as a detailed playground supervision plan for the facility. Based on interview and observation, the facility did not comply with the section cited above as staff are not visually supervising children at all times which poses/posed an potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: supervision. 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 stated she will have a training with staff regarding the facility procedure for diapering. Director states she will submit to licensing the agenda for the training, signed by all staff, as well as a detailed diapering plan for the facility. Based on interview, the facility did not comply with the section cited above in 1 of 41 children in care whose diaper was put on too tight causing abrasions on sides of groin which poses/posed a potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Director signed a declaration which states the facility will no longer combine the Toddler Class with the Infant Class. Based on interview, the facility did not comply with the section cited above as children from the Toddler Classroom are being taken to the Infant Classroom to combine with infants for care, which poses/posed an potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Brandi VanOosten

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229(a)(1) · 101229 Responsibility for Providing Care and Supervision (a)...(1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.

Director stated they will develop and submit to licensing a written plan which will ensure all children are visually supervised at all times, including on the playground. Based on interview and record review, the licensee did not comply with the section cited above in 1 of 45 children in care who were left unsupervised and sustained burns on the feet due to staff neglect which poses/posed an immediate health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101429(a)(1) · Responsibility for Providing Care and Supervision for Infants (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. Under no circumstances shall ANY infant be left unattended.

Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in 2 out of 15 infants present who were not visually supervised while sleeping at all times which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/31/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 observation, interview, and record review, the licensee did not comply with the section cited above in 15 out of 15 Sleep Logs for Infants and for all toddlers under 2 years of age, which were not completed which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/31/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101170(e)(2) · All individuals subject to a criminal record review shall prior to working... in a licensed facility...Request a transfer of a criminal record clearance as specified in Section 101170(f)

Director gave copies of clearance transfer to LPA for processing. Based on observation, interview and record review, 2 of 4 staff were present in the Infant Room with no fingerprint clearance transfered to facility, which poses an immediate health and safety risk to children in care. SUPERVISOR'S NAME: Brandi VanOosten

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

Based on Licensing Program Analyst (LPA) interviews conducted, the Director Director shall submit a detailed staff schedule outlining staff room assignments and coverage. Per Director, they are continuously trying to hire additional staff. Director will also conduct a training on teacher-child ratios and provide a copy of the sign-in sheet and training agenda by the POC due date of 10/13/2022. did not ensure that the facility maintain teacher to infant ratio during transition periods or during pick up/drop off times. This poses an immediate Health, Safety or Personal Rights risk to children in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

the facility confirming that an infant was left in a classroom without a qaulifed staff provding supervision. This is an immediate risk to the health and safety of children in care Director stated that since the incident, she has ensured that two staff members are present in the infant classroom during closing time.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101216.3(a) · 101216.3 Teacher-Child Ratio: (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance. The

Director shall submit a detailed staff schedule outlining staff room assignments and coverage. Per Director, additional staff has been hired. Director will also conduct a training on teacher-child ratios and provide a copy of the sign-in sheet and training agenda by the POC due date of 07/30/2021. Based on Licensing Program Analyst (LPA) interviews conducted, the Director did not ensure that the facility maintain teacher to child ratio during transition periods. This poses an immediate Health, Safety or Personal Rights risk to children in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.