Responsibility for Providing Care and Supervision for Infants (C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: (4) Initials of person who conducted each check This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above in that 5 out of 5 infant 15-minute sleep logs reviewed did not contain initials of the person who carried out each check and there was no electronic indication of who carried out each check. This poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by June 15, 2026
More details
Official CA class
Type B deficiency
Report section
CCR 101429(a)(2)(C)(4) - 101429(a)(2)(C)(4)
Official code
101429(a)(2)(C)(4)
Medium concern: Health or food records
Report finding
a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child. This requirement is not met as evidenced by: Based on interview & record review, the licensee did not comply with the section cited above in that 1 out of 5 children's records (Child 1 [C1]) did not contain a written medical assessment within 30 calendar days following the enrollment of C1. This poses/posed a potential health, safety or personal rights risk to persons in care.
101416.5(b)There shall be a ratio of one teacher for every four infants in attendance. This requirement is not met as evidenced by: Based on record reviews and interviews, the licensee did not comply with the section cited above in that there were at least 2 out of 3 randomly selected dates that showed multiple rooms where the facility was operating outside of the 1:4 teacher to infant ratio for 5 minutes or more.
Report comments
Based on record reviews and interviews, the licensee did not comply with the section cited above in that there were at least 2 out of 3 randomly selected dates that showed multiple rooms where the facility was operating outside of the 1:4 teacher to infant ratio for 5 minutes or more.
Correction status
Plan of correction due by February 6, 2026
More details
Official CA class
Type A deficiency
Report section
CCR 101416.5(b) - 101416.5(b)
Official code
101416.5(b)
Medium concern: Health or food records
Report finding
101212(g)(1) The licensee shall report to the local health officer all outbreaks or suspected outbreaks involving two or more children of any communicable disease This requirement was not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in that there were several suspected cases of Hand Foot and Mouth Disease (HFDM), but these were not reported to the local health officer until HFMD cases were confirmed.
Report comments
Based on record review and interview, the licensee did not comply with the section cited above in that there were several suspected cases of Hand Foot and Mouth Disease (HFDM), but these were not reported to the local health officer until HFMD cases were confirmed.
Personal Rights:The licensee shall ensure the following personal rights: To be free from...unusualpunishment...punitive nature including but not limited to: interference with functions of daily living including...medication... This requirement was not met as evidenced by: Staff acknowledged they were made aware of the child’s need to have ointment applied however, it was disclosed by staff the ointment was never applied. This is a potential risk to the health and safety and personal rights of children in care.
General Provisions and Definitions (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above in 1 out of 5 staff files reviewed. Staff #2 did not have immunizations on file, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by July 26, 2023
More details
Official CA class
Type B deficiency
Report section
HSC 1596.7995(a)(1) - 1596.7995(a)(1)
Official code
1596.7995(a)(1)
Higher concern: Supervision
Report finding
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 observation, interview and record review, the licensee did not comply with the section cited above in 3 out of 5 staff files reviewed. Staff #1, #2, and #4 did not have health screening for review, which poses a potential health, safety or personal rights risk to persons in care.
Responsibility for Providing Care and Supervision for Infants (a) In addition to Section 101229, the following shall apply: (2)Sleeping infant(s) shall be directly observed by sight and sound at all times. 3.Infants up to 12 months of age who are sleeping in a position other than on their back. a. If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping. This requirement was not met as evidenced by: During inspection LPAs observed C1 sleeping face down and did not have Section C on the LIC 9227 completed and signed.