Community Care Licensing

Document Has Been Signed on 10/12/2021 01:51 PM - It Cannot Be Edited

SUPERVISORS NAME: Mayla Mendoza LICENSING EVALUATOR NAME: Caroline Colson LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2021

Link to Parent Document Below:

FACILITY NAME: BABY ACADEMY, THE	FACILITY NUMBER: 013421993
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/12/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type A 10/13/2021 Section Cited CCR 101179(a)	1 2 3 4 5 6 7	A license shall be issued for a specific capacity, which shall be the maximum number of children that can be cared for at any given time. The Department may issue a license for fewer children than requested. Based on observation, interview and record review, the licensee did not comply with the section.	1 2 3 4 5 6 7	Licensee will reduce the number of children to 13 which is the maximum amount of children based on the license.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by document review and licensee interview. The are 15 children present when the facility is licensed for 13 children. This poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14	Failure to correct will result in a $100.00 per day civil penalty until corrected. Repeat violations are 250.00 per violation and $100.00 per day until corrected.
Request Denied Type A 10/13/2021 Section Cited CCR101170(e)(1)	1 2 3 4 5 6 7	Criminal Record Clearance Obtain a California clearance or a criminal record exemption as required by the Department or	1 2 3 4 5 6 7	Licensee will have the individual obtain a criminal record clearance before returning to the facility.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by document review and licensee interview. There is an adult working in the facility with a criminal record clearance. This poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14	Failure to correct will result in a $100.00 per day civil penalty until corrected. Repeat violations are 250.00 per violation and $100.00 per day until corrected.

SUPERVISOR'S NAME: Mayla Mendoza LICENSING EVALUATOR NAME: Caroline Colson LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2021

Link to Parent Document Below:

FACILITY NAME: BABY ACADEMY, THE	FACILITY NUMBER: 013421993
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/12/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type A 10/13/2021 Section Cited CCR 101216.3(a)	1 2 3 4 5 6 7	Teacher-Child Ratio There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.	1 2 3 4 5 6 7	Licensee will provide documentation that proves both staff members are fully qualified teachers and or aides.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by document review and licensee interview. There is no documentation that either individual in the classroom is a qualified teacher. This poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14	Failure to correct will result in a $100.00 per day civil penalty until corrected. Repeat violations are 250.00 per violation and $100.00 per day until corrected.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

SUPERVISOR'S NAME: Mayla Mendoza LICENSING EVALUATOR NAME: Caroline Colson LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2021