101229(a) Responsibility for Providing Care and Supervision. (a) The licensee shall provide care and supervision as necessary to meet the children's needs. This requirement was not met as evidence by: Based on staff interviews. S3 disclosed he/she observed C1 scratching and applied ointment and left work before noon leaving the child under the supervision of staff who did not meet C1’s needs. The child incurred injuries. This poses an immediate risk to the health, safety, or personal rights of children in care.
Inspector notes
Based on staff interviews. S3 disclosed he/she observed C1 scratching and applied ointment and left work before noon leaving the child under the supervision of staff who did not meet C1’s needs. The child incurred injuries. This poses an immediate risk to the health, safety, or personal rights of children in care.
Correction status
Plan of correction due by November 20, 2024
More details
Official CA class
Type A deficiency
Report section
CCR 101229(a) - 101229(a)
Official code
101229(a)
Medium concern: Incident records
Report finding
101212(f) Reporting Requirements. Each licensee or applicant shall … reports as required by the Department … (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. This requirement is not met as evidence by: Based on records and interviews, the staff did not report C1’s condition. Staff admitted they did not report as required. This poses a potential risk to the health, safety, or personal rights of children in care.
Report comments
Based on records and interviews, the staff did not report C1’s condition. Staff admitted they did not report as required. This poses a potential risk to the health, safety, or personal rights of children in care.
Correction status
Plan of correction due by November 15, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 101212(f) - 101212(f)
Official code
101212(f)
Medium concern: Parent rights
Report finding
HSC 1596.8595(c)(1) … reports to be provided to parents or guardian … facility shall provide to the parents … copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children … This regulation was not met as evidenced by: Based on interview statements and records review, the facility administration failed to give parents copies of one or more licensing reports that document a Type A citation. Upon records review, the LIC9224 forms were missing or unsigned. Staff admitted they did not provide the required reports to parents. This represents a potential risk to the health, safety, or personal rights of children in care.
101170(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… The licensee did not meet this requirement as evidenced by: Based on records reviewed and interviews conducted, the regulation was not met. Lina Watban did not have clearance and was observed providing care and supervision, which poses an immediate risk to the health and safety risk to children in care.
Inspector notes
Based on records reviewed and interviews conducted, the regulation was not met. Lina Watban did not have clearance and was observed providing care and supervision, which poses an immediate risk to the health and safety risk to children in care.
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. This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above in two of two infants under twelve months old who did not have an LIC9227, which poses/posed a potential health, safety or personal rights risk to persons in care. The two infant files did not have an LIC9227; both infants were under 12 months old.
Correction / follow-up note
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. This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above in two of two infants under twelve months old who did...
101427(b)(4) Infant Care Food Service (b) There shall be an individual feeding plan for each infant. (4) The plan shall be updated … as necessary to reflect changes. This requirement is not met as evidenced by: Based on records and interview statements, the individual infant feeding plan was not updated to reflect the changes in the C1’s dietary plan, which poses/posed an immediate risk to the health of the children in care.
Report comments
Based on records and interview statements, the individual infant feeding plan was not updated to reflect the changes in the C1’s dietary plan, which poses/posed an immediate risk to the health of the children in care.
Correction status
Plan of correction due by June 12, 2024
More details
Official CA class
Type A deficiency
Report section
CCR 101427(b)(4) - 101427(b)(4)
Official code
101427(b)(4)
Higher concern: Child guidance
Report finding
101223(a)(2) Personal Rights. The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations. This requirement is not met as evidenced by: Based on records and interview statements, staff stated that C1 got a hold of restricted food that caused C1 diarrhea on two or more occasions. The staff did not prevent the child from eating restricted food. This poses an immediate risk to the health of the children in care.
Inspector notes
Based on records and interview statements, staff stated that C1 got a hold of restricted food that caused C1 diarrhea on two or more occasions. The staff did not prevent the child from eating restricted food. This poses an immediate risk to the health of the children in care.
101223(c) Personal Rights: The licensee shall ensure that each child is accorded the personal rights specified in this section. The licensee did not comply with the above regulation as evidenced by: Based on interviews and records review, the licensee did not comply with the above regulation, which posed/posses an immediate risk to the health, safety, and personal rights of clients in care. A witness disclosed they observed a staff force force-feeding an infant in care.
Inspector notes
Based on interviews and records review, the licensee did not comply with the above regulation, which posed/posses an immediate risk to the health, safety, and personal rights of clients in care. A witness disclosed they observed a staff force force-feeding an infant in care.
101439.1(f) Infant Care Center Sleeping Equipment. Cribs shall be free from all loose articles and objects, including blankets and pillows. The licensee did not meet the regulation above as evidenced by: Based on observation, the licensee did not meet the regulation above in 6 out of 6 cribs. The LPA observeed 5 infants sleeping in cribs that contained loose articles.
Report comments
Based on observation, the licensee did not meet the regulation above in 6 out of 6 cribs. The LPA observeed 5 infants sleeping in cribs that contained loose articles.