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

Director agrees to write a statement of understanding regarding limitations on capacity, develop a plan to prevent exceeding capacity limitations and provide a current LIC500 to LPA by COB 12/07/2023 via email. Based on LPA observation, the Licensee did not comply with the section cited above on 09/05/2023, LPA observed a total of 26 infants in the infant classrooms and the maximum capacity is 24 infants, which poses an immediate Health and Safety, Personal Rights risks to persons in care. SUPERVISOR'S NAME: Kimberly Williams

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101170(e)(1) · (e) 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:(1) Obtain a California clearance or a criminal record exemption as required by the Department...

Immediatley, Director agrees to have S1 fingerprinted and submit proof to CCL by 12/7/23. Based on LPAs observation and record review, S1 was working in the infant classroom without a fingerprint clearance and/or being associated to the facility, which poses an immediate health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Kimberly Williams

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101223(a)(2) · 101223 (a)(2) - Personal Rights Each child shall be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment.

Based on the interview and record review, the Licensee did not meet the Personal Rights Interim Director agrees to read Personal Rights regulation and write a statement of understanding. Director also agrees to write a plan that details what steps the facility will take to prevent further biting. Interim Director agrees to provide Authorized Representative with supplemental Behavior Policy. regulation which poses an immediate Personal Rights risk to the children in care. There were at least 13 incidents documented involving a child being bitten, scratched and/or hit. The Interim Director confirmed the incidents reported did occur while in care. The written statement and plan are due on 12/06/2023. Behavior Policy will be due within 24 hours of having a discussion with Authorized Representative. Interim Director agrees to submit

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101221(a) · Child's Records (a) The licensee shall ensure that a separate, complete and current record for each child is maintained in the child care center.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as LIC 9224 is missing from Type A citation received on 01/06/2023 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/03/2023

Open Not marked corrected in the state record

Category: health medication. 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 record review, the licensee did not comply with the section cited above as the infant sleep log does not follow documentation regulation, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/16/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101430(a)(3)(A)(4)(a) · Infant Care Activities (A) Staff shall place infants up to 12-months of age on their backs for sleeping. (4) Infants with an Individual Infant Sleeping Plan [LIC 9227 (3/20)] that have Section C of the form completed and signed by an authorized representative shall be placed on their back when first laid down to sleep. In the event the infant changes position, the infant may remain in the alternative position. (a) Upon staff observation that the infant is capable of rolling from their back to their stomach and stomach to their back, the provider shall fill out Section D of the Individual Infant Sleeping Plan [LIC 9227 (3/20)], notify the authorized representative, and obtain the authorized representative's signature on the individual sleeping plan no later than the next business day following observation.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as the rolling section of the infant sleeping plan is not throughly completed, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/16/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 as S1 is missing LIC 503, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/16/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101216(l)(1)(B) · Personnel Requirements (B) A copy of the signed LIC 9052 (11/94) shall be kept in the employee's personnel record.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as S5 is missing LIC 9052, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/16/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101429(a)(1) · Responsibility for Providing Care and Supervision for Infants: In addition to Section 101229, the following shall apply: Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times.

Asssitant Director indicated that both S1 and S2 received a final coaching/written for leaving the child unattended. The documents were signed by S1 and S2. The director will be having a staff meeting to discuss lack of supervision on 01/13/2023. LPAs obtained a copy of the coaching/write up which will suffice for the POC date of 01/09/2023.Director will submit a copy of the roster from the all staff by 01/14/2023 to LPA Zeron. Based on interviews conducted and documentation obtained, C1 was left in the classroom unattended while the rest of the children transitioned to the playground. This is an immediate risk to the health and safety of children in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101219(f) · 101219 Admission Agreement (f) The licensee shall comply with all terms and conditions set forth in the admission agreement. This regulation was not met as evidenced by Based on records gathered and admission of the agency representative Ruth DeAnda, the the agency Assistant Director Ruth DeAnda agrees to write a written understanding of the regulation regarding admission agreement set forth between the agency, to their clients and staff at the facility on or before 01/16/2022. Proof of the written understanding can be submitted by fax, mail or e-mail. agency acknowledged that they did not follow admission agreement for the authorized representative/parent for a daycare child, and failed to provide an incident report regarding incident on 12/22/2022, which is a potential risk to the health & safety of children in care. SUPERVISOR'S NAME Kimberly Williams

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101428(b)(1) · INFANT CARE PERSONAL SERVICES. (b) The infant shall be kept clean and dry at all times. (1) The infant care center shall ensure that the infant has sufficient changes of clothing and diapers so that his/her clothing and diapers can be clean and dry at all times.

Per Director, the subject staff member(s), no longer works at the facility effective 09/26/2022. Director stated, staff will begin to document children's napping time on diaper log. DIrector stated staff will begin to utilize timer on KinderCare tablet in order to keep track of diaper checks and changes. Based on records review and interview disclosures, staff member(s) did not change a child(ren)'s diaper within a two hour timeframe which left a child(ren) in a wet or soiled diaper for more than two hours which poses a potential health, safety, and personal rights risk to children in care. Director agrees to re-train staff on Infant/Toddler diapering policy and discuss the importance of documenting the diaper log consistently. Director stated training will take place on 11/02/2022. Director agrees to submit training agenda and training sign in sheet on or by 11/04/2022.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.