Apple Tree Preschool & Kindergarten · Infant Center, Anaheim

101229(a) Responsibility for Providing Care and Supervision. (a) The licensee shall provide care and supervision as necessary to meet the children's needs. This requirement was not met as evidence by: The director stated she will document the services provided to infants to provide parents a copy and keep a copy in the facility. The director will send evidnce of the documentation to the LPA by 11/20/24. Based on staff interviews. S3 disclosed he/she observed C1 scratching and applied ointment and left work before noon leaving the child under the supervision of staff who did not meet C1’s needs. The child incurred injuries. This poses an immediate risk to the health, safety, or personal rights of children in care. 8 THE DIRECTOR REFUSED TO SIGN THIS CITATION PAGE.

101212(f) Reporting Requirements. Each licensee or applicant shall … reports as required by the Department … (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. This requirement is not met as evidence by: The director stated that staff will be required to document and report incidents to report to the licensing department and to the parents as required. The director will brief the teachers about the protocol to report and provide proof to the LPA including the topcis discussed and a list of staff who participated. Based on records and interviews, the staff did not report C1’s condition. Staff admitted they did not report as required. This poses a potential risk to the health, safety, or personal rights of children in care. 8 THE DIRECTOR REFUSED TO SIGN THIS CITATION PAGE.

Based on interview statements and records review, the facility administration failed to give parents copies of one or more licensing reports that document a Type A citation. Upon records review, the LIC9224 forms were missing or unsigned. Staff admitted they did not provide the required reports to parents. This represents a potential risk to the health, safety, or personal rights of children in care.

Based on records reviewed and interviews conducted, the regulation was not met. Lina Watban did not have clearance and was observed providing care and supervision, which poses an immediate risk to the health and safety risk to children in care.

Based on records review, the licensee did not comply with the section cited above in two of two infants under twelve months old who did not have an LIC9227, which poses/posed a potential health, safety or personal rights risk to persons in care. The two infant files did not have an LIC9227; both infants were under 12 months old.

Based on records and interview statements, the individual infant feeding plan was not updated to reflect the changes in the C1’s dietary plan, which poses/posed an immediate risk to the health of the children in care.

Based on records and interview statements, staff stated that C1 got a hold of restricted food that caused C1 diarrhea on two or more occasions. The staff did not prevent the child from eating restricted food. This poses an immediate risk to the health of the children in care.

Based on interviews and records review, the licensee did not comply with the above regulation, which posed/posses an immediate risk to the health, safety, and personal rights of clients in care. A witness disclosed they observed a staff force force-feeding an infant in care.

Based on observation, the licensee did not meet the regulation above in 6 out of 6 cribs. The LPA observeed 5 infants sleeping in cribs that contained loose articles.

101427(b)(4) Infant Care Food Service

101223(a)(2) Personal Rights