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 | Licensing Program Analyst (LPA), Cortney Nelson, met with Office Manager, Brandy Griffin-Bagno, and explained purpose of today's visit. LPA was admitted into the facility by a staff member and was notified that Site Director, Heather Diaz, has left early for the day.
LPA Nelson reviewed the facility's Parent Handbook and observed in the section relating to "Medication" the following statement, "Parent/legal guardian's AND physician's signatures are required on the diocesan medication form before medication of any kind can be administered by the director during school hours." A child in care provided EpiPen to the facility without the Permission to Administer Medication form completed, despite providing the form to parent via email in June 2023. LPA observed EpiPen was at the facility maintained in a ziplock bag without original packaging or completed paperwork.
LPA additionally observed section in Parent Handbook "Nutrition-Lunches" and reviewed the following, "Please be mindful of any food allergies in your child's classroom. If there is a child with an EpiPen for nut products, his/her classroom becomes a nut free class." A child was in attendance in the Sea Otter classroom with an EpiPen for nut tree allergies and the classroom was not made nut free. The Site Director states that verbal conversations were made with the child's authorized representative regarding the classroom becoming nut free, however no changes were made.
As a result of today's inspection, deficiencies have been cited, see LIC809-D.
Exit interview conducted and report was reviewed with Office Manager, Brandy Griffin-Bagno.
A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
11/06/2023
Section Cited
CCR
101173(d)
| 1
2
3
4
5
6
7 | 101173 Plan of Operation (d) The child care center shall operate in accordance with the terms specified in the plan of operation.
This requirement was not met as evidenced by: | 1
2
3
4
5
6
7 | The facility shall submit written plan, outlining what steps will be taken if a child has an allergy with an EpiPen, including those with nut allergies. This shall address from an operational standpoint, indicating all required paperwork, changes to the classroom, allergy list, etc. |
 | 8
9
10
11
12
13
14 | The Site Director allowed the Sea Otter classroom to continue to have nuts, with a child enrolled who had a tree nut allergy with EpiPen, which does not follow the facility's plan of operation and poses a potential threat to the health, safety, and personal rights of children in care. | 8
9
10
11
12
13
14 | Written statement to be submitted to the Department by 11/6/2023. |
Type B
11/06/2023
Section Cited
CCR101226(e)(5)
| 1
2
3
4
5
6
7 | 101226 Health-Related Services (e) In centers where the Licensee chooses to handle medication (5) The licensee shall develop and implement a written plan to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given.
This requirement was not met as evidenced by: | 1
2
3
4
5
6
7 | The facility to create an Incidential Medical Services (IMS) plan for EpiPens and other services to be provided to children and submit to the Department by 11/6/2023. |
| 8
9
10
11
12
13
14 | The Licensee did not obtain paperwork for EpiPen from parent/authorized representative or the physician prior to the child starting care at the facility, which poses a potential risk to the health, safety, and personal rights of children in care. | 8
9
10
11
12
13
14 | |