Personnel Requirements (2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following: This requirement is not met as evidenced by: Based on observation (interviews, record review, the licensee did not comply with the section cited above in 1 out of 3 staff did not haveHealthScreening report which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 28, 2026
More details
Official CA class
Type B deficiency
Report section
CCR 101216(g)(2) - 101216(g)(2)
Official code
101216(g)(2)
Medium concern: Incident records
Report finding
Child's Records (C) A signed consent form for emergency medical treatment unless the child's authorized representative has signed the statement specified in Section 101220(f). This requirement is not met as evidenced by: Based on observations, interview, record review, the licensee did not comply with the section cited above in 3 out of 3 children did not have LIC 627 form on file which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 28, 2026
More details
Official CA class
Type B deficiency
Report section
CCR 101221(b)(8)(C) - 101221(b)(8)(C)
Official code
101221(b)(8)(C)
Higher concern: Medication
Report finding
Health-Related Services (3) Prescription medications may be administered if all of the following conditions are met: (B) For each prescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child. This requirement is not met as evidenced by: Based on observations, interview, record review the licensee did not comply with the section cited above in 3 out of 3 children files did not have IMS plans on file for medication which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 28, 2026
More details
Official CA class
Type B deficiency
Report section
CCR 101226(e)(3)(B) - 101226(e)(3)(B)
Official code
101226(e)(3)(B)
Higher concern: Medication
Report finding
Health-Related Services (5) The licensee shall develop and implement a written plan to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given. This requirement is not met as evidenced by: Based on observation, interview, record review, the licensee did not comply with the section cited above in 3 out of 3 children who take medication and C#1 that was given medication in February 2026 did not have a written plan to record the administration which poses/posed a potential health, safety or personal rights risk to persons in care.
§1596.7995 Employees or volunteers at day care center; immunization requirements; records; exemptions (c) The day care center shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person’s personnel record that is maintained by the day care center. This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in 3 of 4 Staff Files, Staff #1, 2, & 4, did not have records of their immunizations for Pertussis, Measles, and Influenza, which poses a potential health, safety or personal rights risk to persons in care.
Report comments
Based on record review and interview, the licensee did not comply with the section cited above in 3 of 4 Staff Files, Staff #1, 2, & 4, did not have records of their immunizations for Pertussis, Measles, and Influenza, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 15, 2025
More details
Official CA class
Type B deficiency
Report section
HSC 1596.7995 - 1596.7995
Official code
1596.7995
Low concern: Recordkeeping
Report finding
Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in 1 of 4 staff files, Staff #4, was not available for review, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by April 25, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 101217(a) - 101217(a)
Official code
101217(a)
Higher concern: Medication
Report finding
Health-Related Services (2) All prescription and nonprescription medications shall be maintained with the child's name and shall be dated. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above as Child #1's Epinephrine Pen had an expiration date of 08/2024, which poses a potential health, safety or personal rights risk to persons in care.