Child's Medical Assessments (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 record reviews, the licensee did not comply with the section cited above in 4 out of 5 children, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by August 1, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 101220(a) - 101220(a)
Official code
101220(a)
Medium concern: Health or food records
Report finding
Immunizations (a) Prior to admission to a child care center, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, commencing with Section 6000. This requirement is not met as evidenced by: Based on record reviews, the licensee did not comply with the section cited above in 1 out of 5 children, which poses a potential health, safety or personal rights risk to persons 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 eight staff (S1-S7 & CD) records reviewed at 11:14am which revealed S7 was missing proof of immunity against Measles. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by September 25, 2024
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 eight staff (S1-S7 & CD) records reviewed at 11:14am which revealed S7's Tuberculosis (TB) clearance was more than one year of the hire date. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by September 25, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 101216(g)(1) - 101216(g)(1)
Official code
101216(g)(1)
Low concern: Recordkeeping
Report finding
Child's Records (b) Each record shall contain information including, but not limited to, the following: (6) A signed copy of the admission agreement specified in Section 101219. This requirement is not met as evidenced by: Based on five children's (C1-C5) records reviewed at 11:55am which revealed C1 & C4's Admission Agreements were not signed by the children's parents. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by September 25, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 101221(b)(6) - 101221(b)(6)
Official code
101221(b)(6)
Medium concern: Health or food records
Report finding
Child's Records (b) Each record shall contain information including, but not limited to, the following: (8) Medical assessment, including ambulatory status as specified in Section 101220, and the following health information: (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 five children's (C1-C5) records reviewed at 11:55am which revealed C1 was missing LIC 627. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by September 25, 2024
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)
Medium concern: Recordkeeping
Report finding
Modifications to Infant Needs and Services Plan (a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. This requirement is not met as evidenced by: Based on LPA's observations of several children's including C2-C5's Infant Needs and Services Plan had not been updated quarterly. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by September 25, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 101419.3(a) - 101419.3(a)
Official code
101419.3(a)
Medium concern: Health or food records
Report finding
Child's Medical Assessments (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 five children's (C1-C5) records reviewed at 11:55am which revealed C1 was missing LIC 701. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by September 25, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 101220(a) - 101220(a)
Official code
101220(a)
Higher concern: Attendance accountability
Report finding
Sign In and Sign Out (a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. This requirement is not met as evidenced by: Based on LPA's review of the children's sign in/out procedure which revealed that several children had not been signed in and out. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to 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: This requirement is not met as evidenced by: Based on the Director not furnishing evidence to prove 15 minute checks were conducted for C1, C3-C5, as well as for all infants in the toddler classroom. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 29, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 101429(a)(2)(B) - 101429(a)(2)(B)
Official code
101429(a)(2)(B)
Higher concern: Sleep safety
Report finding
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 five children's (C1-C5) records reviewed at 10:24am which revealed C1 & C5 were missing LIC 9227. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 29, 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 four staff (S1-S4) records reviewed at 9:29am which revealed S4 was missing proof of immunity against Measles. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 29, 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 four staff (S1-S4) records reviewed at 9:29am which revealed S1 was missing Health Screening (LIC 503). The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 29, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 101216(g)(1) - 101216(g)(1)
Official code
101216(g)(1)
Low concern: Recordkeeping
Report finding
Child's Records (b) Each record shall contain information including, but not limited to, the following: (4) Date of Admission. This requirement is not met as evidenced by: Based on five children's (C1-C5) at 10:24am which revealed some children's records were missing date of admission. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 29, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 101221(b)(4) - 101221(b)(4)
Official code
101221(b)(4)
Low concern: Recordkeeping
Report finding
Child's Records (b) Each record shall contain information including, but not limited to, the following: (6) A signed copy of the admission agreement specified in Section 101219. This requirement is not met as evidenced by: Based on five children's (C1-C5) records reviewed at 10:24am which revealed C2 & C5's enrollment agreements were not signed by the parent. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 29, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 101221(b)(6) - 101221(b)(6)
Official code
101221(b)(6)
Medium concern: Recordkeeping
Report finding
Modifications to Infant Needs and Services Plan (a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. This requirement is not met as evidenced by: Based on a review of the children's Infant Needs and Service Plans which reflected the plans had not been updated quarterly. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 29, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 101419.3(a) - 101419.3(a)
Official code
101419.3(a)
Medium concern: Health or food records
Report finding
Child's Medical Assessments (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 five children's (C1-C5) records reviewed at 10:24am which revealed C1-C3's Physician's Report were either incomplete or missing. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 29, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 101220(a) - 101220(a)
Official code
101220(a)
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 five children's (C1-C5) records reviewed at 10:24am which revealed C1-C5's Immunization were either not up to date or was missing. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 29, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 101220.1(g) - 101220.1(g)
Official code
101220.1(g)
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. (1) This requirement includes updating each child's immunization record when the child is due to receive required immunizations after enrollment in the child care center. This requirement is not met as evidenced by: Based on five children's (C1-C5) records reviewed at 10:24am which revealed C1-C5's Immunization records were not transcribed onto the blue CDPH 286. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 13, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 101220.1(g)(1) - 101220.1(g)(1)
Official code
101220.1(g)(1)
Higher concern: Attendance accountability
Report finding
Sign In and Sign Out (a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. This requirement is not met as evidenced by: Based on LPA's review of the children's sign in/out procedure which appered to be incomplete. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 29, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 101229.1(a)(1) - 101229.1(a)(1)
Official code
101229.1(a)(1)
Higher concern: Sleep safety
Report finding
A crib or portable-crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib This requirement is not met as evidenced by: Based on the Director's statement confirming some infants that did not have the ability to climb out of a crib took a nap on a cot. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
101416.2 (b)...infant care teacher shall have completed, with passing grades, at least three postsecondary semesters or equivalent quarter units in early childhood education or child development... units related to the care of infants...approved college or university. Based on facility record review, Staff did not have the required units and no verification of staff ECE units were present at the faculity. This poses a potential Health and Safety risk to children in care.
Report comments
Based on facility record review, Staff did not have the required units and no verification of staff ECE units were present at the faculity. This poses a potential Health and Safety risk to children in care.
Child’s Records. The child’s record shall contain their medical assessment including physicians report. This requirement was not met as evidenced by: based on records review, children 7-9 were without physicians reports. This could pose a potential risk to children in care.
Personal Rights. Each child shall be free from corporal or unusual punishment, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature. This requirement was not met as evidenced by: based on photo evidence and interviews, staff 1 physically restrained Child 1 by pulling child’s shirt over the back of a chair while the child was seated at the chair. This is a potential health, safety, and/or personal risk to children in care.