101230 Activities (c) A teacher-child ratio of one teacher supervising 24 napping children is permitted provided that the remaining teachers necessary to meet the overall ratio specified in Section 101216.3(a) are immediately available at the center. This requirement was not met as evidenced by: Interviews, observation and record review revealed that on multiple occasions, during naptime, there was one teacher supervising up to 24 napping children, however, there were several children walking around the classroom. In addition, there were no remaining teachers immediately available to meet the overall ratio requirements. This poses a potential risk to the health, safety, or personal rights to children in care.
Report comments
Interviews, observation and record review revealed that on multiple occasions, during naptime, there was one teacher supervising up to 24 napping children, however, there were several children walking around the classroom. In addition, there were no remaining teachers immediately available to meet the overall ratio requirements. This poses a potential risk to the health, safety, or personal rights to children in care.
101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement is not met as evidenced by: Based on LPAs observations, the facility did not adequately maintain contastant supervison of children as they were observed running without shoes, muddy clothing and children playing in puddles. Furthermore children were observed climbing furniture and hanging from the play structure due to inadequate supervision, which poses/posed a potential health, safety or personal rights risk to persons in care.
Inspector notes
This requirement is not met as evidenced by: Based on LPAs observations, the facility did not adequately maintain contastant supervison of children as they were observed running without shoes, muddy clothing and children playing in puddles. Furthermore children were observed climbing furniture and hanging from the play structure due to inadequate supervision, which poses/posed a potential health, safety or personal rights risk to persons in care.
(d) The surface of the outdoor activity space shall be maintained: .... This requirement is not met as evidenced by: During LPAs' inspection of the outdoor activity space LPAs observed the concrete... and grass surfaces posed tripping hazards as the surfaces had potholes, cracks and unlevel areas, which poses/posed a potential health, safety or personal rights risk to persons in care.
101238(a) Buildings and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by: Interviews and LPA observations revealed that classroom floors, furniture, restrooms and outdoor play areas were not well maintained. In the “Twos” classroom, the floor areas around tables were stained and sticky. In the restroom, LPA observed dirt and grime on step stool and floor corners. Toilets were unflushed with urine stains on toilet seats. Toilet bases also showed exposed rusty bolts and grime. Toilet paper was scattered throughout the restroom. In the outdoors, children's socks were in the mud and several cleansing wipes were scattered on the ground.
Inspector notes
Interviews and LPA observations revealed that classroom floors, furniture, restrooms and outdoor play areas were not well maintained. In the “Twos” classroom, the floor areas around tables were stained and sticky. In the restroom, LPA observed dirt and grime on step stool and floor corners. Toilets were unflushed with urine stains on toilet seats. Toilet bases also showed exposed rusty bolts and grime. Toilet paper was scattered throughout the restroom. In the outdoors, children's socks were in the mud and several cleansing wipes were scattered on the ground.
101216.3 Teacher-Child Ratio (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement was not met as evidenced by: Interviews and record review revealed that staff have been out of ratio on multiple occasions, typically during early morning, while coverage is being arranged. This poses a potential risk to the health, safety, or personal rights to children in care.
Report comments
Interviews and record review revealed that staff have been out of ratio on multiple occasions, typically during early morning, while coverage is being arranged. This poses a potential risk to the health, safety, or personal rights to children in care.
101223 Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights: .... This requirement was not met as evidenced by: Based on observations and interviews, Staff #1 did not provide child comfortable accomodations during a diaper change. Furthermore, staff #2 yelled at child #2 as a discipline methond to control the child's behavior, which posed an immediate risk to the health, safety, or personal rights to children in care.
Correction / follow-up note
Based on observations and interviews, Staff #1 did not provide child comfortable accomodations during a diaper change. Furthermore, staff #2 yelled at child #2 as a discipline methond to control the child's behavior, which posed an immediate risk to the health, safety, or personal rights to children in care.
Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above. LPA observed the slide on the play structure is not latched correctly into the metel poles, which poses a potential health, safety or personal rights risk to persons in care.
(a) The licensee shall ensure that each child is accorded the following personal right: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting.... This requirement is not met as evidenced by: Based on staff interview and video footage, it was confirmed a child’s personal rights were violated. This is an immediate risk to the health and safety of children in care