PEACE OF MIND PRESCHOOL

Based on record review, the licensee did not comply with the section cited above in one out of three staff did not have records of measles or pertussis immunization, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in four out of eight children did not have sign in/out sheets available, 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 one out of three staff did not have records of measles or pertussis immunization, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in four out of eight children did not have sign in/out sheets available, which poses/posed a potential health, safety or personal rights risk to persons in care.

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

(b) In combination programs, indoor activity space provided for school-age child care center children shall be physically separated from space provided for infant care and child care center children.

(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:

(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

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

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

(b) In combination programs, indoor activity space provided for school-age child care center children shall be physically separated from space provided for infant care and child care center children.

(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:

(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:

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

(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:

(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

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

(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:

(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:

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 32Infant changing tables have a padded surface not less than one inch thick. Infant changing tables have raised sides at least three inches high. Toys are observed to be safe, and did not have sharp points or edges or splinters or made of small parts that can be pulled off and swallowed. Facility maintains sufficient napping equipment. The infant facility have indoor/outdoor activity space that is physically separate from space used by preschool children. Direct visual supervision are provided by staff at all times. Infant individual feeding and needs and services plans are maintained. Nap documentations are maintained that included: infant’s name, date, time of each 15-minute check and initials of the person who conducted each check. The kitchen, food-preparation and storage areas are kept clean, free of litter. Food are protected against contamination. All storage containers for solid waste have a tight-fitting covers that are kept on and in good repair. Playground equipment were observed to be in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space are maintained in safe condition and free of hazards. The areas around or under high climbing equipment, slides, and similar equipment was cushioned with material that absorbs a fall. Children were observed to be under the supervision of qualified staff. An isolation area has been designated for children who becomes ill during the day. Children’s records were reviewed today. All required forms were on file. Menus are posted in a place visible by the child’s authorized representative. All children are signed in/out by a representative who uses a unique PIN code and has recorded the time of day. Child’s record also contain a medical assessment. Staff records reviewed today contain a health screening as required by the r

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

§1596.8662 (b) (1)   Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion (b) (1)   On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child 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.

(g) The playground shall be enclosed by a fence to protect children and to keep them in the outdoor activity area. The fence shall be at least four feet high.

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

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

(e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls. (1) Sand, woodchips and peagravel, or rubber mats commercially produced for the purposes of (e) above, are permitted.

(e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls. (1) Sand, woodchips and peagravel, or rubber mats commercially produced for the purposes of (e) above, are permitted.

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 32Infant changing tables have a padded surface not less than one inch thick. Infant changing tables have raised sides at least three inches high. Toys are observed to be safe, and did not have sharp points or edges or splinters or made of small parts that can be pulled off and swallowed. Facility maintains sufficient napping equipment. The infant facility have indoor/outdoor activity space that is physically separate from space used by preschool children. Direct visual supervision are provided by staff at all times. Infant individual feeding and needs and services plans are maintained. Nap documentations are maintained that included: infant’s name, date, time of each 15-minute check and initials of the person who conducted each check. The kitchen, food-preparation and storage areas are kept clean, free of litter. Food are protected against contamination. All storage containers for solid waste have a tight-fitting covers that are kept on and in good repair. Playground equipment were observed to be in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space are maintained in safe condition and free of hazards. The areas around or under high climbing equipment, slides, and similar equipment was cushioned with material that absorbs a fall. Children were observed to be under the supervision of qualified staff. An isolation area has been designated for children who becomes ill during the day. Children’s records were reviewed today. All required forms were on file. Menus are posted in a place visible by the child’s authorized representative. All children are signed in/out by a representative who uses a unique PIN code and has recorded the time of day. Child’s record also contain a medical assessment. Staff records reviewed today contain a health screening as required by the r

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

(g) The playground shall be enclosed by a fence to protect children and to keep them in the outdoor activity area. The fence shall be at least four feet high.

§1596.8662 (b) (1)   Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion (b) (1)   On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child 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) Outdoor activity space shall be physically separate from space used by children in the child care center and school-age child care center components.

(b) Outdoor activity space shall be physically separate from space used by children in the child care center and school-age child care center components.