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 record review, Staff #1 (S1) file did not include immunization records for Measles and Pertussis which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 6, 2026
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 record review, Staff #1 (S1) file did not include Health Screening including a test for tuberculosis performed by or under the supervision of a physician which poses/posed a potential health, safety or personal rights risk to persons in care.
101430 Infant Care Activities (a) Notwithstanding Section 101230, the following shall apply:(3) All infants shall be given ....to sleep...(A) Staff shall place infants up to 12 month of age on their backs for sleeping. 4. Infants with an ...[LIC 9227 ..Section C of the form completed...This requirement was not met as evidenced by: Based on observation, interview, and record review five infants were observed sleeping on cots in the infant room on their stomachs without the LIC 9227 form signed in their files which poses a potential health, safety, or personal rights risk to the persons in care.
Inspector notes
Based on observation, interview, and record review five infants were observed sleeping on cots in the infant room on their stomachs without the LIC 9227 form signed in their files which poses a potential health, safety, or personal rights risk to the persons in care.
101212(d)(1)(B)- Reporting Requirements: ..during the operation of the child care center..report shall be made...(1) Events reported shall include the following: (B)... injury to any child that requires medical treatment. This requirement was not met as evidenced by: Based on interviews and record reviews Child 1 sustained a head injury while in care that required further medical treatment and the incident was not reported to the Licensing Department which poses a potential health, safety, or personal rights risk to the persons in care.
Report comments
Based on interviews and record reviews Child 1 sustained a head injury while in care that required further medical treatment and the incident was not reported to the Licensing Department which poses a potential health, safety, or personal rights risk to the persons in care.
101429 Responsibility for Providing Care and Supervision for Infants(a) In addition to Section 101229, the following...(2)Sleeping infant(s) shall be directly observed...(B)Staff shall physically check ...3)Infants up to 12 months of age...This requirement is not met as evidence by: Based on observation and record review, LPA observed two infant sleeping on their stomach with two staff present and no documentation in their file they were able to roll from their back to stomach which poses an immediate health, safety, or personal rights risk to the persons in care.
Inspector notes
Based on observation and record review, LPA observed two infant sleeping on their stomach with two staff present and no documentation in their file they were able to roll from their back to stomach which poses an immediate health, safety, or personal rights risk to the persons in care.
Responsibility for Providing Care and Supervision for Infants (B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: (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 is not met as evidenced by: Based on observation, Interview, record review, the licensee did not comply with the section cited above in C5 did not have LIC 9227 form in their file which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by November 20, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 101429(a)(2)(B)(3)(a) - 101429(a)(2)(B)(3)(a)
Official code
101429(a)(2)(B)(3)(a)
Medium concern: Health or food records
Report finding
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, record review the licensee did not comply with the section cited above in three out of four staff did not have the TDAP immunization in their staff files which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by November 30, 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)
Medium concern: Health or food records
Report finding
Immunizations (g) The licensee shall document each child's immunizations and shall maintain such documentation in the center for as long as the child is enrolled. 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 three children C6, C7, C8 did not have immunization records in their files which poses a potential health, safety or personal rights risk to persons in care.