Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
09/22/2025
Section Cited
CCR
101226.3(a) | 1
2
3
4
5
6
7 | 101226.3 Observation of the Child
(a) The behavior and health of the children shall be continually observed throughout the period of attendance.
This requirement was not met as evidenced by:
Based on interview and records | 1
2
3
4
5
6
7 | Director stated they will provide a statement to LPA how to prevent this situation from happening again. A training will be conducted with the staff regarding supervision and observation. Statemen and training signed by staff will be provided by the due date of 9/22/25. |
 | 8
9
10
11
12
13
14 | reviewed, (1) The facility did not prevent children from getting injuries. None of the staff observed or witnessed the incident when a C2 was throwing books at the wall and hit C1 on the face. | 8
9
10
11
12
13
14 |  |
Deficiency Dismissed
Type B
09/22/2025
Section Cited
CCR
101212(f) | 1
2
3
4
5
6
7 | Reporting Requirements (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.This requirement was not met as evidenced by:Based on staff interviews and record reviews, The facility did not follow
reporting requiremenst on outbreaks; | 1
2
3
4
5
6
7 | Director stated they will provide a statement to LPA how to prevent this situation from happening again. Statement will be provided to LPA by the due date of 9/22/25 |
 | 8
9
10
11
12
13
14 | Total 4 cases of HFM occured prior to reporting to the Department; 1 on 5/27/25, 2 on 6/2/25 and 1 on 6/5/25. However there are no documentation of the facility notifying the children representatives of the outbreak This poses a potential risk to health and safety of children in care. | 8
9
10
11
12
13
14 |  |