YALE PRESCHOOL - SYCAMORE

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

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 10/6/2021 @ 10:20AM, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced case management inspection. This is in reference to facility's self-reported incident that occurred on 8/19/2021 wherein a 3-year old child was left unsupervised in the play yard for approximately 3-5 minutes. This child was found in the play yard by parent during pick up. LPA observed 15 preschool children present today with staff Dori Holm, Tyler Erwin and Kelli Morrissey. A tour of the facility was conducted with Ms. SalcIdo. She stated that a substitute staff was supervising during outdoor play when one child had to use the bathroom. Staff failed to conduct the name to face check before transitioning from the play yard to the bathroom. Type A violation if not corrected, will have a direct and immediate risk to the health, safety, or personal rights of children in care. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. An exit interview was conducted with Ms. Salcedo. Appeal rights were discussed and a written copy was provided today. A notice of site visit was observed posted, this notice shall remain posted for 30 days. SUPERVISORS NAME: Tashima Daniel LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2021 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2021 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: YALE PRESCHOOL - SYCAMORE FACILITY NUMBER: 376700465 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/06/2021 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 10/06/2021 Section Cited CCR 101229(a)(1) 1 2 3 4 5 6 7RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by:1 2 3 4 5 6 7CORRECTED. Ms. Salcedo stated that Hope Baker met with the substitute staff to discuss the importance of visual supervision. Ms. Hope also met with staff individually to discuss supervision of children at all times. A transition sheet was also created to ensure that staff conduct a name to face check before transitioning. Licensee also created a substitute checklist. 8 9 10 11 12 13 14Based on the documentation provided to the department and information provided by Ms. Salcedo. Licensee reported that a substitute staff failed to provide visual supervision when she transitioned her group to the bathroom, leaving a 3-year old child alone in the play area. 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:Tashima Daniel LICENSING EVALUATOR NAME:Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2021 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2021

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 10/6/2021 @ 10:20AM, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced case management inspection. This is in reference to facility's self-reported incident that occurred on 8/19/2021 wherein a 3-year old child was left unsupervised in the play yard for approximately 3-5 minutes. This child was found in the play yard by parent during pick up. LPA observed 15 preschool children present today with staff Dori Holm, Tyler Erwin and Kelli Morrissey. A tour of the facility was conducted with Ms. SalcIdo. She stated that a substitute staff was supervising during outdoor play when one child had to use the bathroom. Staff failed to conduct the name to face check before transitioning from the play yard to the bathroom. Type A violation if not corrected, will have a direct and immediate risk to the health, safety, or personal rights of children in care. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. An exit interview was conducted with Ms. Salcedo. Appeal rights were discussed and a written copy was provided today. A notice of site visit was observed posted, this notice shall remain posted for 30 days. SUPERVISORS NAME: Tashima Daniel LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2021 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2021 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: YALE PRESCHOOL - SYCAMORE FACILITY NUMBER: 376700465 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/06/2021 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 10/06/2021 Section Cited CCR 101229(a)(1) 1 2 3 4 5 6 7RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by:1 2 3 4 5 6 7CORRECTED. Ms. Salcedo stated that Hope Baker met with the substitute staff to discuss the importance of visual supervision. Ms. Hope also met with staff individually to discuss supervision of children at all times. A transition sheet was also created to ensure that staff conduct a name to face check before transitioning. Licensee also created a substitute checklist. 8 9 10 11 12 13 14Based on the documentation provided to the department and information provided by Ms. Salcedo. Licensee reported that a substitute staff failed to provide visual supervision when she transitioned her group to the bathroom, leaving a 3-year old child alone in the play area. 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:Tashima Daniel LICENSING EVALUATOR NAME:Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2021 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2021