PLAY ATELIER NURSERY SCHOOL, THE

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25The LPA conducted an unannounced Case Management inspection to follow up with an Unusual Incident reported to the regional office on 8/9/2024. Upon arrival, the LPA met with Administrator Aremi Sanchez, who then provided a tour of the facility. This facility operates a Preschool Program with a Toddler Option. The waiver was observed to be posted. According to Aremi Sanchez, there are 39 children enrolled, including 19 toddlers and 20 preschoolers. During the visit, LPA took a census and noted 25 children and 5 staff present. The facility operates Monday through Friday, from 7:30 AM to 5:30 PM. On 08/09/2024, the department received a telephone report from this facility regarding an incident involving Child #1 (C1) that occurred on 8/8/2024. The incident was reported promptly. During this follow-up inspection, the LPA conducted interviews related to the incident. The LPA also gathered documentation, including the facility roster, personnel report, Health History for C#1, Consent for Emergency Medical Treatment for C#1 (LIC 627), declarations, copy of the written incident report, Parent Handbook, video footage, and other relevant documents. Interviews conducted during LPA’s follow-up disclosed that C#1 was dropped off at the facility by their aunt around 9:16 AM and appeared to be very tired and needed rest. C#1’s aunt indicated that C#1 had slept well the night before but left the facility with a "do what you can" instruction. Later, around 10:00am C#1 had a snack and vomited, and while playing outside, fell asleep on a swing. Per the SUPERVISORS NAME: Brandi VanOosten LICENSING EVALUATOR NAME: Staicy Perry LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 4 FACILITY NAME: PLAY ATELIER NURSERY SCHOOL, THEFACILITY NUMBER: 198021170 VISIT DATE: 08/14/2024 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 32administrator, “child was lethargic, and the child was on a swing and child fell asleep.” Facility staff attempted to wake up the child by putting water on C#1’s face, however, the child would not wake up and was not responsive, prompting the administrator to contact C#1’s parent to inform them that the facility was calling 911. The parent told the Administrator that C#1 was just tired and informed the administrator that C#1’s aunt would pick up C#1 and take them to urgent care. During that time, the administrator checked C#1’s temperature and breathing, finding them normal while the child remained asleep and unresponsive. The administrator believed C#1 was in a deep sleep. Around 11:30-11:40am, C#1’s aunt arrived and was advised to seek medical attention. C#1 was handed to their aunt, asleep. The child was not signed out by the aunt during pick up. Per Aremi, staff signed child out. During an interview with the administrator on 8/12/2024, it was stated that 911 was not called due to the heat. They explained, “It was a hot day, and children playing outside can lead to heat exhaustion, which makes them tired.” The administrator also said, “I called the dad first because of the earlier conversation about the child being tired at drop-off. I considered calling 911 but was unsure, so I decided to contact the dad first.” LPA asked Aremi on this day, why 911 was not called when C#1 appeared lethargic, was unresponsive, and had vomited within the hour. Aremi responded, “Because the child was breathing. The whole time he was breathing normal that’s why I didn’t call 911. I felt that the fact that he was lethargic was maybe from the heat.” Although C#1 was breathing, the child’s lack of responsiveness, lethargy, closed eyes, and vomiting indicated a need for immediate medical attention. The delay in calling for emergency medical care compromised the child’s health and safety. The facility did not provide appropriate emergency medical treatment at the time of the incident. Despite monitoring C#1, the administrator should have called 911 to have the child evaluated by medical professionals. SUPERVISORS NAME: Brandi VanOosten LICENSING EVALUATOR NAME: Staicy Perry LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024 FACILITY NAME: PLAY ATELIER NURSERY SCHOOL, THEFACILITY NUMBER: 198021170 VISIT DATE: 08/14/2024 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 32Based on observations and information obt

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25The LPA conducted an unannounced Case Management inspection to follow up with an Unusual Incident reported to the regional office on 8/9/2024. Upon arrival, the LPA met with Administrator Aremi Sanchez, who then provided a tour of the facility. This facility operates a Preschool Program with a Toddler Option. The waiver was observed to be posted. According to Aremi Sanchez, there are 39 children enrolled, including 19 toddlers and 20 preschoolers. During the visit, LPA took a census and noted 25 children and 5 staff present. The facility operates Monday through Friday, from 7:30 AM to 5:30 PM. On 08/09/2024, the department received a telephone report from this facility regarding an incident involving Child #1 (C1) that occurred on 8/8/2024. The incident was reported promptly. During this follow-up inspection, the LPA conducted interviews related to the incident. The LPA also gathered documentation, including the facility roster, personnel report, Health History for C#1, Consent for Emergency Medical Treatment for C#1 (LIC 627), declarations, copy of the written incident report, Parent Handbook, video footage, and other relevant documents. Interviews conducted during LPA’s follow-up disclosed that C#1 was dropped off at the facility by their aunt around 9:16 AM and appeared to be very tired and needed rest. C#1’s aunt indicated that C#1 had slept well the night before but left the facility with a "do what you can" instruction. Later, around 10:00am C#1 had a snack and vomited, and while playing outside, fell asleep on a swing. Per the SUPERVISORS NAME: Brandi VanOosten LICENSING EVALUATOR NAME: Staicy Perry LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 4 FACILITY NAME: PLAY ATELIER NURSERY SCHOOL, THEFACILITY NUMBER: 198021170 VISIT DATE: 08/14/2024 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 32administrator, “child was lethargic, and the child was on a swing and child fell asleep.” Facility staff attempted to wake up the child by putting water on C#1’s face, however, the child would not wake up and was not responsive, prompting the administrator to contact C#1’s parent to inform them that the facility was calling 911. The parent told the Administrator that C#1 was just tired and informed the administrator that C#1’s aunt would pick up C#1 and take them to urgent care. During that time, the administrator checked C#1’s temperature and breathing, finding them normal while the child remained asleep and unresponsive. The administrator believed C#1 was in a deep sleep. Around 11:30-11:40am, C#1’s aunt arrived and was advised to seek medical attention. C#1 was handed to their aunt, asleep. The child was not signed out by the aunt during pick up. Per Aremi, staff signed child out. During an interview with the administrator on 8/12/2024, it was stated that 911 was not called due to the heat. They explained, “It was a hot day, and children playing outside can lead to heat exhaustion, which makes them tired.” The administrator also said, “I called the dad first because of the earlier conversation about the child being tired at drop-off. I considered calling 911 but was unsure, so I decided to contact the dad first.” LPA asked Aremi on this day, why 911 was not called when C#1 appeared lethargic, was unresponsive, and had vomited within the hour. Aremi responded, “Because the child was breathing. The whole time he was breathing normal that’s why I didn’t call 911. I felt that the fact that he was lethargic was maybe from the heat.” Although C#1 was breathing, the child’s lack of responsiveness, lethargy, closed eyes, and vomiting indicated a need for immediate medical attention. The delay in calling for emergency medical care compromised the child’s health and safety. The facility did not provide appropriate emergency medical treatment at the time of the incident. Despite monitoring C#1, the administrator should have called 911 to have the child evaluated by medical professionals. SUPERVISORS NAME: Brandi VanOosten LICENSING EVALUATOR NAME: Staicy Perry LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024 FACILITY NAME: PLAY ATELIER NURSERY SCHOOL, THEFACILITY NUMBER: 198021170 VISIT DATE: 08/14/2024 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 32Based on observations and information obt

Type B citation - potential risk if not corrected