101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair... (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents. This requirement was not met as evidenced by: Based on observation, interview and record review, the facility has an ongoing issue with rodents. There were traps placed in the yard to catch rodents.
Report comments
Based on observation, interview and record review, the facility has an ongoing issue with rodents. There were traps placed in the yard to catch rodents.
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. This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above 3 of 4 staff are missing Health Screening with TB test which poses a potential health, safety or personal rights risk to persons in care.
101427 Infant Care Food Service (c) The infant shall be fed in accordance with the individual plan. This requirement is not met as evidence by: Based on interviews conducted and record review, it is determined that the facility did not input correct amount of milk intake by infants. This poses a potential risk to health and safety of children in care.
Report comments
Based on interviews conducted and record review, it is determined that the facility did not input correct amount of milk intake by infants. This poses a potential risk to health and safety of children in care.
101427 Infant Care Food Service (h) Infants who are unable to hold a bottle shall be held by a staff person or other adult for bottle feeding. At no time shall a bottle be propped for an infant... This requirement is not met as evidenced by Based on 2 staff interviews, staff stated they have witnessed an incident wherein another staff member feeds an infant on the floor and lets the infant hold the bottle even when the infant is not ready to hold the bottle. This poses as a potential risk to health and safety of children in care
Inspector notes
Based on 2 staff interviews, staff stated they have witnessed an incident wherein another staff member feeds an infant on the floor and lets the infant hold the bottle even when the infant is not ready to hold the bottle. This poses as a potential risk to health and safety of children in care
101416.5(a)(b) Staff-Infant Ratio (a) In addition to Sections 101216.3 (c), (e), (g) and (h), and notwithstanding Sections 101216.3, (a), (b), (d) and (f), the following shall apply: (b) There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as evidenced by: Based on LPA's observation, Infant Room #2 had 9 infants and 2 staff. Room #2 was out of ratio for 5 minutes This poses an immediate risk to the health and safety of children in care.
Report comments
Based on LPA's observation, Infant Room #2 had 9 infants and 2 staff. Room #2 was out of ratio for 5 minutes This poses an immediate risk to the health and safety of children in care.
101700.3 (b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met evidenced by record review of the lab report analysis from Outlet R per report . However facility's lab results and lic 999 list outlet as S(ALE 47 outside water fountain) taken on 12/03/2022. Results indicated levels of lead in exceedance at 5.6 This poses a potential risk to the health and safety of children in care.
Inspector notes
This requirement is not met evidenced by record review of the lab report analysis from Outlet R per report . However facility's lab results and lic 999 list outlet as S(ALE 47 outside water fountain) taken on 12/03/2022. Results indicated levels of lead in exceedance at 5.6 This poses a potential risk to the health and safety of children in care.
101223(a)(3) Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain…… This requirement is not met as evidence by: Based on LPAs interviews and records review including reviewing picture and video, S2 was inappropriately handled C1 in a rough manner by yanking C1’s arm and placed C1 down for time out. This poses an immediate risk to the health and safety of the children in care.
Report comments
Based on LPAs interviews and records review including reviewing picture and video, S2 was inappropriately handled C1 in a rough manner by yanking C1’s arm and placed C1 down for time out. This poses an immediate risk to the health and safety of the children in care.
Correction status
Plan of correction due by October 21, 2022
More details
Official CA class
Type A deficiency
Report section
CCR 101223(a)(3) - 101223(a)(3)
Official code
101223(a)(3)
Higher concern: Child guidance
Report finding
101223(a)(3)Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain…… This requirement is not met as evidence by:Based on LPAs interviews and records review including reviewing picture and video, S2 inappropriately disciplined C1 by placing C1 in time out for an inappropriate amount of time without allowing other children to interact with C1. This poses an immediate risk to the health of the children in care.
Report comments
review including reviewing picture and video, S2 inappropriately disciplined C1 by placing C1 in time out for an inappropriate amount of time without allowing other children to interact with C1. This poses an immediate risk to the health of the children in care.
This is an amended document 101429(a)(1) Responsibility for Providing Care and Supervision for Infants. (a) In addition to Section 101229, the following shall apply: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement is not met as evidenced by: Based on LPAs interviews and records review, the facility was not notifying or providing an incident report regarding a child was bitten on 2/10/22 to the parent. This poses a potential safety risk to children in care.
Correction status
Plan of correction due by September 23, 2022
More details
Official CA class
Type B deficiency
Report section
CCR 101429(a)(1) - 101429(a)(1)
Official code
101429(a)(1)
Medium concern: Incident records
Report finding
101212 Reporting Requirements: The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. (C) Any unusual incident that threatens the physical or emotional health or safety of any child. This requirement is not met as evidenced by: Based on LPAs interviews and records review, the facility was not notifying or providing an incident report regarding a child was bitten on 2/10/22 to the parent. This poses a potential safety risk to children in care.
Report comments
This requirement is not met as evidenced by: Based on LPAs interviews and records review, the facility was not notifying or providing an incident report regarding a child was bitten on 2/10/22 to the parent. This poses a potential safety risk to children in care.