BOWERS CHILD DEVELOPMENT INFANT PROGRAM

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 25On 3/5/25, Licensing Program Analyst (LPA) Anna Morales conducted a Case Management inspection in response to an Unusual incident that was self- reported by the facility to Licensing on 2/26/25. LPA met with Director Daisy Cano, and explained the purpose for the visit. Based on available evidence and interview, it was determined that on 2/24/25, Staff (S2) administered Child(C1)medication in error at 12:40pm. The Director stated that Child(C1) parent(s) were notified, and Child(C1) was monitored until Child(C1) was picked up by the Parent(s) at 3:13pm. Director stated that Child(C1)returned to the facility on the following day, 2/25/25. As a result of this inspection, A Type B citation was issued at today's visit. An exit interview was conducted, and Plan of Corrections were reviewed with the Director Daisy Cano. A notice of site visit has been issued and must remain posted for 30 days. Appeal Rights Given. SUPERVISORS NAME: Gladys Kuizon LICENSING EVALUATOR NAME: Anna Morales LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025 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 2 FACILITY NAME: BOWERS CHILD DEVELOPMENT INFANT PROGRAM FACILITY NUMBER: 434408763 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 03/05/2025 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/14/2025 Section Cited CCR 101226(e)(3)(A) 1 2 3 4 5 6 7101226(e)(3)(A):Health Related Services: (e) In centers where the licensee chooses to handle medications:(3)Prescription medications may be administered if all of the following conditions are met:1 2 3 4 5 6 7Director stated that she will submit a plan to ensure that the children's medications are administered in accordance with the label directions as prescribed by the Child's physician by the POC date. 8 9 10 11 12 13 14(A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician. This requirement was not met as evidenced by: On 2/24/25,at 12:40pm Staff(S2)administered Child(C1)medication in error, which poses a potential health, safety or personal rights risk to persons in care.8 9 10 11 12 13 14 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. SUPERVISOR'S NAME:Gladys Kuizon LICENSING EVALUATOR NAME:Anna Morales LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 3/5/25, Licensing Program Analyst (LPA) Anna Morales conducted a Case Management inspection in response to an Unusual incident that was self- reported by the facility to Licensing on 2/26/25. LPA met with Director Daisy Cano, and explained the purpose for the visit. Based on available evidence and interview, it was determined that on 2/24/25, Staff (S2) administered Child(C1)medication in error at 12:40pm. The Director stated that Child(C1) parent(s) were notified, and Child(C1) was monitored until Child(C1) was picked up by the Parent(s) at 3:13pm. Director stated that Child(C1)returned to the facility on the following day, 2/25/25. As a result of this inspection, A Type B citation was issued at today's visit. An exit interview was conducted, and Plan of Corrections were reviewed with the Director Daisy Cano. A notice of site visit has been issued and must remain posted for 30 days. Appeal Rights Given. SUPERVISORS NAME: Gladys Kuizon LICENSING EVALUATOR NAME: Anna Morales LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025 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 2 FACILITY NAME: BOWERS CHILD DEVELOPMENT INFANT PROGRAM FACILITY NUMBER: 434408763 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 03/05/2025 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/14/2025 Section Cited CCR 101226(e)(3)(A) 1 2 3 4 5 6 7101226(e)(3)(A):Health Related Services: (e) In centers where the licensee chooses to handle medications:(3)Prescription medications may be administered if all of the following conditions are met:1 2 3 4 5 6 7Director stated that she will submit a plan to ensure that the children's medications are administered in accordance with the label directions as prescribed by the Child's physician by the POC date. 8 9 10 11 12 13 14(A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician. This requirement was not met as evidenced by: On 2/24/25,at 12:40pm Staff(S2)administered Child(C1)medication in error, which poses a potential health, safety or personal rights risk to persons in care.8 9 10 11 12 13 14 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. SUPERVISOR'S NAME:Gladys Kuizon LICENSING EVALUATOR NAME:Anna Morales LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025