KINDERCARE LEARNING CENTER

(a) The licensee shall ensure that each child is accorded the following personal rights: (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; or withholding of shelter, clothing, medication or aids to physical functioning.

(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

(a) The licensee shall ensure that each child is accorded the following personal rights: (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; or withholding of shelter, clothing, medication or aids to physical functioning.

Type A citation - immediate risk to health, safety, or personal rights

Type A citation - immediate risk to health, safety, or personal rights

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

(b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).

(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following:

(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following:

(b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).

Type B citation - potential risk if not corrected

NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Page 2 Per Facility representative younger infants bring their own bottles, food and formula and they are stored in their cubbies and older infants are provided table food according to the menu provided by the facility. Menus are posted on the parent board upon entrance of the facility once a month. In the caterpillar classroom (2-3 years old) LPAs observed cleaning supplies stored in a high cabinet out of reach of children. LPAs observed a filtered water container and cups available for children. Children in this classroom are offered breakfast, lunch and a snack by the facility. There is a restroom in the classroom which contained one sink and one toilet. Per Facility Representative, the infant program uses the preschool yard for outdoor play. Per Facility Representative, the infant program has been using this yard for a few years. There is a yard at the front of the facility which was previously used by the infants but per facility representative, is not being used due to it not being approved for use by Community Care Licensing Division (CCLD). LPAs informed Director that a waiver or prior approval from CCLD is required any time there is a change in the physical plant for a facility- A type B citation will be issued. During the inspection LPAs observed preschool children entering the Tiny Tots classroom to access the play yard. Per Director, that is the only way to access play yard. LPAs informed Director that each licensed component shall be physically separate from each other. A type B citation will be issued. LPAs reviewed children's records. Two out of three children's records were missing the physician report and the individual feeding plan. All three files reviewed did not have the 15 minute sleep log. LPAs reviewed staff files. Staff files did not contain the child care provider training certificate. At least one staff

NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Page 2 Per Facility representative younger infants bring their own bottles, food and formula and they are stored in their cubbies and older infants are provided table food according to the menu provided by the facility. Menus are posted on the parent board upon entrance of the facility once a month. In the caterpillar classroom (2-3 years old) LPAs observed cleaning supplies stored in a high cabinet out of reach of children. LPAs observed a filtered water container and cups available for children. Children in this classroom are offered breakfast, lunch and a snack by the facility. There is a restroom in the classroom which contained one sink and one toilet. Per Facility Representative, the infant program uses the preschool yard for outdoor play. Per Facility Representative, the infant program has been using this yard for a few years. There is a yard at the front of the facility which was previously used by the infants but per facility representative, is not being used due to it not being approved for use by Community Care Licensing Division (CCLD). LPAs informed Director that a waiver or prior approval from CCLD is required any time there is a change in the physical plant for a facility- A type B citation will be issued. During the inspection LPAs observed preschool children entering the Tiny Tots classroom to access the play yard. Per Director, that is the only way to access play yard. LPAs informed Director that each licensed component shall be physically separate from each other. A type B citation will be issued. LPAs reviewed children's records. Two out of three children's records were missing the physician report and the individual feeding plan. All three files reviewed did not have the 15 minute sleep log. LPAs reviewed staff files. Staff files did not contain the child care provider training certificate. At least one staff

(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

(1) The center shall give each authorized representative a copy of the Personal Rights form (LIC 613A [9/96]).

(1) The center shall give each authorized representative a copy of the Personal Rights form (LIC 613A [9/96]).

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation from complaint investigation - potential risk if not corrected

Based on multiple statements that corroborated that the Pre-K and other classrooms operating out of ratio on multiple occasions for several weeks. This posed a posed an immediate health and safety risk to the children in care.

(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.

Type B citation - potential risk if not corrected

(b) All licensed Child Care Centers operating in buildings constructed before January 1, 2010, shall test their water for lead pursuant to these written directives.

Type A citation - immediate risk to health, safety, or personal rights

(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. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.

(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. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.

Type B citation - potential risk if not corrected

All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition.

All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition.

(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.

(b) All licensed Child Care Centers operating in buildings constructed before January 1, 2010, shall test their water for lead pursuant to these written directives.

Type A citation - immediate risk to health, safety, or personal rights

Type A citation - immediate risk to health, safety, or personal rights

Type A citation - immediate risk to health, safety, or personal rights

Type A citation - immediate risk to health, safety, or personal rights

Type B citation - potential risk if not corrected

Based on the Aide in the Pre-K class did not meet the Teacher Aide qualifications of Title 22 regulations, 101216.2 which allows 18 children to be in care with a fully qualified Teacher and a Teacher’s Aide. This poses an immediate health and safety risk to the children in care.

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

(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. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.

(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. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.

Type A citation - immediate risk to health, safety, or personal rights

Type B citation from complaint investigation - potential risk if not corrected

Type B citation from complaint investigation - potential risk if not corrected

Type B citation from complaint investigation - potential risk if not corrected

Type B citation from complaint investigation - potential risk if not corrected

Type A citation from complaint investigation - immediate risk

Type B citation from complaint investigation - potential risk if not corrected

(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

Type B citation - potential risk if not corrected

(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

(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. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.

(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.

(1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. Under no circumstances shall ANY infant be left unattended.

(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.

(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following:

(1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. Under no circumstances shall ANY infant be left unattended.

(1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. Under no circumstances shall ANY infant be left unattended.

(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. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.

(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.

(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.

(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following:

(1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. Under no circumstances shall ANY infant be left unattended.

(d) Disaster drills shall be conducted at least every six months.

Type A citation - immediate risk to health, safety, or personal rights

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

(d) Disaster drills shall be conducted at least every six months.

Type A citation from complaint investigation - immediate risk

Type A citation from complaint investigation - immediate risk