Action Day Nursery

Site Director states that she will submit a written plan by 07/21/26 to ensure that staff follows the center's protocol to check/change children's diapers every two hours or as needed. A child's diaper was not changed in a timely manner. Additionally, another child was picked up in soiled or dirty diaper. This poses a potential risk to the health, safety, and personal rights to children in care.

Staff (S1) was observed leaving infants in Room 2 unsupervised. This poses an immediate risk to the health, safety, and personal rights to persons in care.

Staff (S1) was witnessed force feeding infants. This poses an immediate risk to the health, safety, and personal rights to persons in care.

Staff (S1) was witnessed yelling at coworkers in front of daycare children. This poses a potential risk to the health, safety, and personal rights to persons in care.

Staff (S1) removed Halloween decorations on the wall leaving staples on the floor accessible to infants. This poses a potential risk to the health, safety, and personal rights to persons in care.

Staff did not prevent the spread of Hand, Foot, and Mouth disease by not changing the beddings daily and not replacing the beddings when a child uses the crib that belongs to another child. This poses a potential risk to the health, safety, and personal rights to children in care.

The facility failed to notify the Department and parents regarding two or more cases of Hand, Foot, and Mouth disease. This poses a potential risk to the health, safety, and personal rights to children in care.

Based on record review, the facility did not comply with the section cited above. LPAs observed that most of the children in care are missing up to date Infant Needs and Services Plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Cockroaches have been observed in the classrooms and outdoor. This poses a potential risk to the health, safety, and personal rights of children in care. 1 By

The facility failed to report an injury to Community Care Licensing (CCL). This poses a potential risk to the health, safety, and personal rights of children in care.

LPA learned from interviews that the temperature in all of the infant classrooms was not comfortable for staff and children during the power outage that occurred on 02/21/23 to 02/22/23.

Based on observation, interviews, and record reviews, Licensee did not comply with the section cited above. During investigation, it was discovered that there were presence of rodents by the kitchen area (fridge) and cubbies/storage for children’s snacks which posed a potential health, safety or personal rights risk to persons in care.

Licensee will submit a written plan to keep the classrooms and facility grounds clean, sanitary and free of rodents. Licensee has set up mouse traps on the affected classroom and areas where mouse sightings were reported. Licensee will provide proof of professional pest control service to LPA by

LPA learned from interviews that the facility was out of ratio with 2 staff and 9-10 infants or 3 staff and 13 infants present in the classroom. This poses an immediate risk to the health, safety and personal rights of children in care. 8 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.

Per records review, Staff #3, #5, #7, #10, #12, #13, and #15 have expired Mandated Reporter Training (AB 1207). This poses a potential risk to the health and safety of children in care.

LPA observed that the Infant Needs and Services Plan for four infants were not updated quarterly. This poses a potential risk to the health and safety to children in care.

Staff did not ensure child's diaper was changed timely.

Staff left infants unsupervised.

Staff is force feeding children.

Staples were accessible to infants.

Staff yelled at other adults in front of infants in care

Staff did not prevent the spread of Hand, Foot, and Mouth disease.

Staff did not notify responsible parties of the spread of a communicable disease.

Staff did not keep facility free of insects.

Staff does not provide a comfortable temperature for day care children.

Facility failed to keep free of rodents

Facility failed to keep facility clean, safe, and sanitary

Facility is out of ratio.