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32 | At 10:07am LPA observed the infant room (Tiny Hearts) where facility staff was changing a child's diaper at the diaper changing area that is located outside of the classroom. LPA observed three (3) infants had been left unsupervised in the room while the diaper changing took place. LPA noted that the classroom cannot be fully viewed/supervised in its entirety while standing at the changing area. LPA also noted that the sink used for hand washing is not in direct view of the entire room and that supervision cannot be on the child that is having their diaper changed as well as the children that are inside of the classroom. (see LIC809D).
The facility is operating within its licensed capacity and was not in ratio (See LIC809D). During the inspection LPA observed one (1) Aide supervising eleven (11) toddlers. Through record review it was found that the staff member does not have the qualifications to supervise infants and toddlers alone (see LIC809D). All staff working have obtained a criminal record clearance, exemption, or transfer. The fire/disaster drill log is complete with the last drill logged on 12/2023. A physical census of the children was taken and cross referenced with the electronic sign-in and out log. All children were properly signed in by their authorized representative. All required postings, including the menu are posted. LPA obtained a sample of the children’s files, staff files, and the facility files. Through record review it was found that one (1) staff member did not have a current Mandated Reporter training certificate. All other files were complete.
Director was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Mandated Reporter Training ("Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting https://mandatedreporterca.com/. Personnel and facility roster must be properly maintained, and fire/disaster drills must be conducted at least every six (6) months and documented. Licensee was reminded that California law requires facilities to report unusual incidents and/or injuries to children in care, to the child's parents, and to the Department within 24 hours by phone. Within seven (7) days from the incident, facilities must submit the Unusual Incident/Injury form (LIC 624) to the Department. LPA informed Director that all forms can be downloaded at www.ccld.ca.gov.
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
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