Building Kidz of San Ramon

Based on record review, two children (C9 and C10) did not have parent authorization for their epinephrine medication, which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, four out of nine staff files reviewed had expired mandated reporter training "child care provider" certificates on file, which poses a potential health, safety or personal rights risk to persons in care.

Based on interviews, S1 was standing at the doorway of bathroom supervising both C1 to her right in bathroom & napping children to her left, which is impossible to see all the children at once. This is an immediate health & safety risk to children in care.

Based on interviews, on at least one occasion an aide in the 2's class was supervising children in the playground without the direct supervision of a teacher, which is an immediate health and safety risk to children in care. 8 Failure to submit Proof of Corrections (POC) by Plan of Correction date may result in additional civil penalties.

Based on interviews, an aide in the 2's class was supervising children in the playground without the direct supervision of a teacher, which is an immediate health and safety risk to children in care. 8 Failure to submit Proof of Corrections (POC) by Plan of Correction date may result in additional civil penalties.

Facility is out of ratio.