COZY CUBS 3 - INFANTS

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

Type B citation - potential risk if not corrected

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 32A review of 15-minute sleep checks documentation from the Brightwheel App for six daycare children was verified. During the period of January 2024 and February 2024, it was confirmed that 15-minute sleep checks were documented for Child 1 (C1); however, were not documented in 15 minutes intervals. During the month of January 2024 and February 2024, sleep checks documentation was documented in the Brightwheel App from 18 to 32 minutes intervals. Based on documentation from the Brightwheel App, the preponderance of evidence standard has been met and the allegation that staff are not documenting infant sleep log is therefore SUBSTANTIATED. A Type B deficiency under California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 9099-D. Exit interview was conducted, and the report was reviewed with Facility Representative, Annette Kurtenbach and Assistant Director, Maria Morales. A copy of this report, along with Appeal Rights, was provided. Notice of Site Visit was given and must remain posted for 30 days. LPA observed notice of site visit posted on the bulletin board in the lobby. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. SUPERVISORS NAME: Tulam Vu LICENSING EVALUATOR NAME: Vicky Williamson LICENSING EVALUATOR SIGNATURE: DATE: 05/02/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/02/2024 FACILITY NAME: COZY CUBS 3 - INFANTSFACILITY NUMBER: 376701522 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 05/02/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 05/13/2024 Section Cited CCR 101429(a)(2)(C)(3)1 2 3 4 5 6 7a)In addition to Section 101229… (2) Sleeping infant(s) shall be directly observed...(C) Documentation shall be maintained in the infant’s file... Documentation shall include the following: 3. Time of each 15-minute check. This requirement was not met as evidenced by:1 2 3 4 5 6 7Facility Representative stated that she will ensure that staff conduct and document 15-minute sleep checks in 15-minute intervals for all infants under 24 months. Facility Representative stated that she will submit a written plan detailing how she will ensure that staff are documenting 15-minute sleep checks 8 9 10 11 12 13 14Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 6 persons as 15-minute sleep checks were not documented in 15-minute intervals during the month of January & February 2024 which poses a potential health, safety or personal rights risk to persons in care.8 9 10 11 12 13 14accurately and submit to the SDRO, no later than 5/13/24. 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISORS NAME: Tulam Vu LICENSING EVALUATOR NAME: Vicky Williamson LICENSING EVALUATOR SIGNATURE: DATE: 05/02/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/02/2024 This is an official report of an unannounced visit/investigation of a complaint received in our office on 02/12/2024 and conducted by Evaluator Vicky Williamson PUBLICCOMPLAINT CONTROL NUMBER: 20-CC-20240212100529 FACILITY NAME:COZY CUBS 3 - INFANTSFACILITY NUMBER:376701522 ADMINISTRATOR:TUOHY DUNNFACILITY TYPE: 830 ADDRESS:8475 LA MESA BLVDTELEPHONE: (619) 460-0393 CITY:LA MESASTATE: CAZIP CODE:91942 CAPACITY:16CENSUS: 12DATE: 05/02/2024 UNANNOUNCEDTIME BEGAN: 10:51 AM MET WITH:Maria Morales and Annette KurtenbachTIME COMPLETED:01:00 PM ALLEGATION(S): 1 2 3 4 5 6 7 8 9Facility operating out of ratio Staff are not following proper napping methods for day care children Staff are not following proper feeding methods for day care children Staff left day care child in a soiled diaper for an extended time period Facility not following individual infant needs and service plan INVESTIGATION FINDINGS: 1 2 3 4 5 6 7 8 9 10 11 12 13On 5/2/2024, at 10:51am, Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced complaint inspection for the purpose of delivering findings regarding the above allegations. LPA met with Facility Representative Annette Kurtenbach and Assistant Director, Maria Morales. During the inspection there were 12 children present with two (2) teachers and two (2) teacher assistants. During the course of the investigation, interviews were conducted with the facility representative, 12 staff members and seven (7) daycare parents. Facility

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 32A review of 15-minute sleep checks documentation from the Brightwheel App for six daycare children was verified. During the period of January 2024 and February 2024, it was confirmed that 15-minute sleep checks were documented for Child 1 (C1); however, were not documented in 15 minutes intervals. During the month of January 2024 and February 2024, sleep checks documentation was documented in the Brightwheel App from 18 to 32 minutes intervals. Based on documentation from the Brightwheel App, the preponderance of evidence standard has been met and the allegation that staff are not documenting infant sleep log is therefore SUBSTANTIATED. A Type B deficiency under California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 9099-D. Exit interview was conducted, and the report was reviewed with Facility Representative, Annette Kurtenbach and Assistant Director, Maria Morales. A copy of this report, along with Appeal Rights, was provided. Notice of Site Visit was given and must remain posted for 30 days. LPA observed notice of site visit posted on the bulletin board in the lobby. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. SUPERVISORS NAME: Tulam Vu LICENSING EVALUATOR NAME: Vicky Williamson LICENSING EVALUATOR SIGNATURE: DATE: 05/02/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/02/2024 FACILITY NAME: COZY CUBS 3 - INFANTSFACILITY NUMBER: 376701522 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 05/02/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 05/13/2024 Section Cited CCR 101429(a)(2)(C)(3)1 2 3 4 5 6 7a)In addition to Section 101229… (2) Sleeping infant(s) shall be directly observed...(C) Documentation shall be maintained in the infant’s file... Documentation shall include the following: 3. Time of each 15-minute check. This requirement was not met as evidenced by:1 2 3 4 5 6 7Facility Representative stated that she will ensure that staff conduct and document 15-minute sleep checks in 15-minute intervals for all infants under 24 months. Facility Representative stated that she will submit a written plan detailing how she will ensure that staff are documenting 15-minute sleep checks 8 9 10 11 12 13 14Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 6 persons as 15-minute sleep checks were not documented in 15-minute intervals during the month of January & February 2024 which poses a potential health, safety or personal rights risk to persons in care.8 9 10 11 12 13 14accurately and submit to the SDRO, no later than 5/13/24. 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISORS NAME: Tulam Vu LICENSING EVALUATOR NAME: Vicky Williamson LICENSING EVALUATOR SIGNATURE: DATE: 05/02/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/02/2024 This is an official report of an unannounced visit/investigation of a complaint received in our office on 02/12/2024 and conducted by Evaluator Vicky Williamson PUBLICCOMPLAINT CONTROL NUMBER: 20-CC-20240212100529 FACILITY NAME:COZY CUBS 3 - INFANTSFACILITY NUMBER:376701522 ADMINISTRATOR:TUOHY DUNNFACILITY TYPE: 830 ADDRESS:8475 LA MESA BLVDTELEPHONE: (619) 460-0393 CITY:LA MESASTATE: CAZIP CODE:91942 CAPACITY:16CENSUS: 12DATE: 05/02/2024 UNANNOUNCEDTIME BEGAN: 10:51 AM MET WITH:Maria Morales and Annette KurtenbachTIME COMPLETED:01:00 PM ALLEGATION(S): 1 2 3 4 5 6 7 8 9Facility operating out of ratio Staff are not following proper napping methods for day care children Staff are not following proper feeding methods for day care children Staff left day care child in a soiled diaper for an extended time period Facility not following individual infant needs and service plan INVESTIGATION FINDINGS: 1 2 3 4 5 6 7 8 9 10 11 12 13On 5/2/2024, at 10:51am, Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced complaint inspection for the purpose of delivering findings regarding the above allegations. LPA met with Facility Representative Annette Kurtenbach and Assistant Director, Maria Morales. During the inspection there were 12 children present with two (2) teachers and two (2) teacher assistants. During the course of the investigation, interviews were conducted with the facility representative, 12 staff members and seven (7) daycare parents. Facility