CHINO CHILD DEVELOPMENT CENTER

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

(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

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 staff file which poses an immediate health, safety or personal rights risk to persons in care. The is not a staff that is present until 2:00pm in the afternoon that has a EMSA approved First/Aid CPR certification.

(c) To be a fully qualified infant care teacher, a teacher shall have the following: (1) Completion, with passing grades, of 12 postsecondary semester or equivalent quarter units in early childhood or child development education at an accredited or approved college or university. (A) At least three of the units required in (c)(1) above shall be related to the care of infants or shall contain instruction specific to infants.

(c) To be a fully qualified infant care teacher, a teacher shall have the following: (1) Completion, with passing grades, of 12 postsecondary semester or equivalent quarter units in early childhood or child development education at an accredited or approved college or university. (A) At least three of the units required in (c)(1) above shall be related to the care of infants or shall contain instruction specific to infants.

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

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 32(Continued, Page 2...) Sleeping area for the younger infants includes cribs that do not hinder the entrance or exit to the classroom. Cribs were free of loose articles and materials and included a tight fitting sheet. During visit, LPAs observed an infant in a crib that was placed on their back. Infant staff utilize a sleeping log that documents the 15 minute time check of when a napping infant is checked on. LPAs reviewed sleeping logs utilized by infant staff. Upon review, LPAs did not observe a consistent daily sleeping log for napping infants. LPAs observed sleeping logs to include random days throughout the month. LPAs requested infant staff to provide sleeping log from 10/19/2023. Per staff, sleeping log was not maintained for 10/19/2023. There is a separate room utilized for sleeping for the older infants. Cots are utilized for the older napping infants. LPAs observed cots to be appropriately stored. Sheets are stored in infants' individual cubbies. Per director, staff do not maintain sleeping logs for older infants sleeping in cots. LPAs reminded director a daily sleeping log must be maintained for all infants under 24 months. LPAs observed poisons, cleaning solutions and poisons to be inaccessible in classrooms. Both the infant classroom and infant napping area is equipped with a carbon monoxide detector, smoke alarm system and fully charged fire extinguisher. During visit, LPAs tested both carbon monoxide detectors in classroom and sleeping room, which were observed to be working. Infant program shares indoor atrium with preschool program on rotation schedule. LPAs observed atrium to have sufficient toys and materials that were in good condition. There are portable climbing structures with resilient padding underneath. Poles located in atrium were observed to be padded. Licensing documents were observed to be pro

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 32(Continued, Page 2...) Sleeping area for the younger infants includes cribs that do not hinder the entrance or exit to the classroom. Cribs were free of loose articles and materials and included a tight fitting sheet. During visit, LPAs observed an infant in a crib that was placed on their back. Infant staff utilize a sleeping log that documents the 15 minute time check of when a napping infant is checked on. LPAs reviewed sleeping logs utilized by infant staff. Upon review, LPAs did not observe a consistent daily sleeping log for napping infants. LPAs observed sleeping logs to include random days throughout the month. LPAs requested infant staff to provide sleeping log from 10/19/2023. Per staff, sleeping log was not maintained for 10/19/2023. There is a separate room utilized for sleeping for the older infants. Cots are utilized for the older napping infants. LPAs observed cots to be appropriately stored. Sheets are stored in infants' individual cubbies. Per director, staff do not maintain sleeping logs for older infants sleeping in cots. LPAs reminded director a daily sleeping log must be maintained for all infants under 24 months. LPAs observed poisons, cleaning solutions and poisons to be inaccessible in classrooms. Both the infant classroom and infant napping area is equipped with a carbon monoxide detector, smoke alarm system and fully charged fire extinguisher. During visit, LPAs tested both carbon monoxide detectors in classroom and sleeping room, which were observed to be working. Infant program shares indoor atrium with preschool program on rotation schedule. LPAs observed atrium to have sufficient toys and materials that were in good condition. There are portable climbing structures with resilient padding underneath. Poles located in atrium were observed to be padded. Licensing documents were observed to be pro

Type B citation - potential risk if not corrected

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

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Based on observation, the licensee did not comply with the section cited above, the kitchen and staff bathroom/ storage area were accessible to children in care. LPA observed paint, paint materials, disinfectants and cleaners accessible, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, the classroom rugs and walls need to be cleaned and sanitized, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 1 out of 5 children's files, which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 2 out of 10 which pose a potential health, safety risk to persons in care.

Based on the observation/interview/record review, the Licensee did not meet the above regulation which poses an immediate Health, Safety & Personal Rights risk to the children in care. During the file review the LPA was unable to review transcripts for S2 that included a passing grade for Principle Practices/Curriculum course.

California Lead Action Level at Child Care Centers 101700.3 (b)(1): A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidence by: Based on records review of required lead testing, the facility had lead values of 5.5 or above on water outlets: B (13 ppb); C (8 ppb); and G (7.3 ppb). This is a potential health and safety risk to persons in care.

(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) 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. (1) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

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.

(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

(b) 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. (1) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

Based on observation, the licensee did not comply with the section cited above, the kitchen and staff bathroom/ storage area were accessible to children in care. LPA observed paint, paint materials, disinfectants and cleaners accessible, which poses an immediate health, safety or personal rights risk to persons in care.

Type B citation - potential risk if not corrected

Based on the observation/interview/record review, the Licensee did not meet the above regulation which poses an immediate Health, Safety & Personal Rights risk to the children in care. During the file review the LPA was unable to review transcripts for S2 that included a passing grade for Principle Practices/Curriculum course.

Based on record review, the licensee did not comply with the section cited above in 1 out of 5 children's files, which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 2 out of 10 which pose a potential health, safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 staff file which poses an immediate health, safety or personal rights risk to persons in care. The is not a staff that is present until 2:00pm in the afternoon that has a EMSA approved First/Aid CPR certification.

Based on observation, the licensee did not comply with the section cited above, the classroom rugs and walls need to be cleaned and sanitized, which poses/posed a potential health, safety or personal rights risk to persons in care.

Type B citation - potential risk if not corrected

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

Type A citation from complaint investigation - immediate risk

(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:

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

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) 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.

Type B citation - potential risk if not corrected

(b) The needs and services plan shall be in writing and shall include the following: (2) Infants up to 12 months of age shall have a completed Individual Infant Sleeping Plan [LIC 9227 (3/20)], which is incorporated by reference.

(a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy.

(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:

(a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy.

(19) All food shall be protected against contamination. Contaminated food shall be discarded immediately.

(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.

Type B citation - potential risk if not corrected

(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.

(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]).

(b) The needs and services plan shall be in writing and shall include the following: (2) Infants up to 12 months of age shall have a completed Individual Infant Sleeping Plan [LIC 9227 (3/20)], which is incorporated by reference.

(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.

(19) All food shall be protected against contamination. Contaminated food shall be discarded immediately.

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

Type A citation from complaint investigation - immediate risk

Type A citation from complaint investigation - immediate risk

(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.

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

(C) A signed consent form for emergency medical treatment unless the child's authorized representative has signed the statement specified in Section 101220(f).

(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.

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

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

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.

(C) A signed consent form for emergency medical treatment unless the child's authorized representative has signed the statement specified in Section 101220(f).

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

(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.

(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.

(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.

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.