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Reporting Requirements (d)... A report shall be made to the Department by telephone or fax within the Department's next working day...a written report ... shall be submitted to the Department within seven days. This requirement was not met as evidence by: Based on observation, interview, and record review, Licensee did not notify the Department of the incident within the time frame required, which poses a potential Health and Safety risk to children in care. .

(E) If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible.

(h) Infants who are unable to hold a bottle shall be held by a staff person or other adult for bottle feeding. At no time shall a bottle be propped for an infant. An infant shall not be allowed to carry a bottle while ambulatory. A bottle given to an infant able to hold his/her own bottle shall be unbreakable.

Type B citation - potential risk if not corrected

(h) Infants who are unable to hold a bottle shall be held by a staff person or other adult for bottle feeding. At no time shall a bottle be propped for an infant. An infant shall not be allowed to carry a bottle while ambulatory. A bottle given to an infant able to hold his/her own bottle shall be unbreakable.

Type B citation - potential risk if not corrected

Type A citation from complaint investigation - immediate risk

Type A citation from complaint investigation - immediate risk

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

(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.

(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.

(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.

(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.

101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.

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

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f) or

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

101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.

(b) There shall be an individual feeding plan for each infant.

(b) There shall be an individual feeding plan for each infant.

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f) or

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