Casa Dei Bambini

Personal Rights- (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidence by: 1 0n 6/13/22 Director reached out to facility mentor, Shannon Waltkins to discuss the situation and identifying a policy to ensure all staff is aware when children required accomidation. Based on staff interviews conducted and video footage the center failed to ensure the child's personal rights were not violated. Video footage shows child did not have proper furnishing for napping as C1 is observed laying on the cement. Video footage shows C1 laying directly on the cement from 11:14am- 12:28pm. 8 Video footage shows P2 running into the facility at 12:28am and immediately picking up C1 and removing C1 from the sun. This poses an immediate risk to the health and safety of children in care. Deficiency Dismissed

Health-Related Services (c) The licensee shall obtain emergency medical treatment without specific instructions from the child's authorized representative...or if the nature of the child's illness or injury is such that there should be no delay in getting medical treatment for the child. This requirement is not met as evidence by: 1 Director is updating facility's admission and needs and services plan to ensure facility is aware of any and all medical needs for children. Facility will use color coded systems to identify children with medical needs. Director agrees to call ambulance right away if any child or staff ever require immediate medical attention. Based on interviews conducts and review of video footage, the center failed to provide C1 with appropriate medical treatment. Video footage shows S2, S3, S10 and Director all checked on C1 as C1 laid on the cement. Conversation between Director, P1 and P2 show that P1 and P2 asked Director to move C1 from sun due to C1 having heat strokes. 8 This poses an immediate health and safety risk to clients/children in care.

Responsibility for Providing Care and Supervision. (a) The licensee shall provide care and supervision as necessary to meet the children's needs. This requirement is not met as evidence by: 1 Director stated that all scissors have been removed from the classroom and are only used under direct supervision. Director reported having a staff meeting and discussed a scissors policy. Moving forward all sissors will be located on a caddy and when staff have activities that require sissors, staff is responsible for taking caddy and placing Based on interviews with S2 and S4, both had knowledge of more than one situation when chidlren had access to scissors and were able to cut each others hair. Based on record review, S1 was written up when at least one situation occured. This poses an immediate health and safety risk to clients/children in care. 8 it in an area that is not acessible to children in care. Directed agrees that all caddys are to remain in an elevated art shelf. Director agrees to submit pictures of placement of scissors to francisca.velazquez@dss.ca.gov CCR