Caring Connection Children's Center

Based on observation, interviews, record reviews, the licensee did not comply with the section cited above in 4 out of 5 staff are missing immunizations in their personnel files, which posed a potential health, safety or personal rights risk to persons in care.

A child was found in the play yard without adult supervision. This is considered as an immediate risk to the children in care.

The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance. This requirement was not met by evidence: LPA observation. This is considered as a immediate risk to the children in care. 1 Director will ensure that the facility is in Teacher-Child Ratio by POC date 7/28/23. Director stated that they only hired Qualified Staff since the incident. LPA will return to clear the deficiency. HSC

A licensed child care facility or home shall provide to the parents of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as 1 Director will ensure that all parents receive a copy of past deficiencies by POC date 8/4/2023. LPA will return to clear the deficiency. specified in paragraph (1) of subdivision (a) of Section 1596.893b. This requirement has not been met by evidence: Owner admitted that they have notified all the parents in care. This is considered as a potential risk to the children in care. 8

To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. Director stated she will retrain staff on changing children immediately when they come in from playground and they are wet. She will send LPA a sign in all staff meeting agenda. This requirement was not met because a child was left in wet sock and shoes for an extended period of time. Sock soaked with water; water could be rung out of socks. This is potential risk to a child. 8 LIC 9224 was given and discussed with director at time of inspection.

Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. This requirement was not met Director stated she will retrain staff on having children clean up yard before coming inside and she will have the holes in the playground filled up with dirt. She will send LPA of play yard cleaned up and holes filled up. because the children's playground does have some hazardous features that can cause injury to children such as deep dirt holes /pot holes, wooden pallets and tin bowls and pots scattered about the play yard. This is a potential risk to a child. 8 She will submit to LPA on or before POC date of 3/31/2023.

Based on observation and interview facility has not documented firedrills since 2021. This is a potential ris to children.

Based on observation and director interview the facility did not have a current menu posted. This is a potential risk to children. A civil penalty may be accessed if not corrected by 4/26/2023.

(2) Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding. This requirement was not met, evidenced by: LPA observed used bedding to be in contact with one another. Director will submit proof to LPA, of bedding appropriately stored by POC date.

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidencedby Assistant Director will send a correspondence to LPA Tillery stating that she understands, employees or volunteers, 18 years and older must be fingerprint cleared and attached to the roster, prior to being present in a child care center. Based on interview and record review, the licensee did not comply with the section cited above in that staff member Stephanie Martin is not fingerprint cleared and has been employed and working in the facility since July 16, 2022. 8

(b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance. Based on observation, interview and record review, this requirement was not met, evidenced by: LPA will return to clear the deficiency. LPA observed Staff #1 and Staff #2 supervising 16 children. Staff #1 is a qualified teacher and Staff #2 is an Aide with zero units. 8

(e) An aide shall work only under the direct supervision of a teacher. Based on observation, interview and record review, this requirement was not met evidenced by: Per interview with Assistant Director, Staff #3 has been acting as a teacher and 1 LPA will return to clear the deficiency. supervising children alone. During today's visit, LPA observed Staff #3 caring for children alone and without direct supervision of a teacher. 8

(a) Personnel records shall be maintained on the licensee, administrator, and each employee, and shall contain specified information. Based on observation and record review, this requirement was not met evidenced by: 1 LPA wil return to review files. LPA reviewed 5 staff personnel files and all files were observed to be complete. 8

Based on observation, interview, and record review, the licensee did not comply with the section cited above intwo staff members did not have immunizations on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above in that all staff had expired or missing mandated reporter training certificates which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in that all children files were missing the LIC 627 - consent for medical treatment form, which poses/posed a potential health, safety or personal rights risk to persons in care.

Staff do not adequately supervise day-care children.

Facility classrooms are operating out of ratio

Unqualified staff are providing supervision to children in care