SOUTHEAST FRESNO CHILD DEVELOPMENT CENTER

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

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

(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.

(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.

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

(b) An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher, except as provided for in Section 101416.5(d)(1).

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.

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) An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher, except as provided for in Section 101416.5(d)(1).

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

(j) Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date.

(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) 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.

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.

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

(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.

(o) Playground equipment shall be securely anchored to the ground unless it is portable by design. (1) Equipment shall be maintained in a safe condition, free of sharp, loose or pointed parts.

(o) Playground equipment shall be securely anchored to the ground unless it is portable by design. (1) Equipment shall be maintained in a safe condition, free of sharp, loose or pointed parts.

(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.

(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) 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.

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

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

(j) Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date.

(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.

(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.

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

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