Children's Hospital Child Development Center (Ps)

Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 6 staff did not have a current childcare mandated reporter training certificate in their file for LPA to review, which poses 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 1 out of 5 staff did not have a childcare mandated reporter training certificate in their file for LPA to observe, 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 1 out of 2 toddlers did not have a consent form where the child’s representative is acknowledging that the child is enrolled in the toddler program, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on video footage and interviews, S4 did not ensure supervision was maintained at all times which caused C1and C2 to wander to another classroom without supervision, which poses an immediate risk to the health, safety, and personal rights of children in care.

Based on video footage and interviews, facility did not ensure supervision was maintained at all times which caused C1 to be left without supervision in the bathroom and classroom, which poses an immediate risk to the health, safety, and personal rights of children in care.

101229 Responsibility for Providing Care and Supervision (1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation. This requirement is not met as evidence by: 1 Director will conduct a staff meeting reviewing responsibility for providing care and supervision. Declarations from staff on what they learned will be submitted. Meeting minutes with signatures will be send to LPA by POC date. Based on interviews and video footage it was disclosed that staff were not responsible for providing care and supervision for children in care. This is an immediate risk for the health and safety of children in care. 8

Based on record review, the licensee did not comply with the section cited above in 3 out of 7 staff did not have a current Mandated Reporter training on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

(a) The licensee and the child's authorized representative shall jointly complete a current individual written admission agreement for the child... 1 Licensee will provide LPA a copy of the updated parent handbook. Based on LPA’s interviews and record reviews conducted on C1, C2, C3, and C4 did not have a current individual written admission agreement for review. This poses a potential health and safety risk to children in care. 8

Personal Rights: The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidence by: Based on interviews and 1 Per director, S1 has been placed on administrative leave. Per director there was an in service meeting with all staff on 05/24/2024 reviewing supervison and personal rights. Director will submit sign in sheets of staff that attedned to LPA by POC date (06/07/2024). video footage review. S1 was observed to handle C1 in an inappropriate manner. S1 grabbed C1 by the arm and leg, lifted C1 and placed C1 on a cot. This poses an immediate health and safety risk for children in care. 8

Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, ... Supervision shall include visual 1 Director will hold a staff meeting discussing supervision and provide a copy of sign in sheet to LPA along with meeting agenda by POC date 03/17/2023. observation. This requirement was not met as evidence by: Based on interviews and observations, C1 and C2 were left in the classroom unattended by S2 for approximately 30 seconds. This poses an immediate health and safety risk to children in care. 8

Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working...Request and be approved for a transfer of a criminal record exemption, ... the Department permits the individual to be employed... 1 Staff Lena Aceituno left the facility and director will submit all required forms to guardian for s1 clearance. This requirement was not met as evidence by: Based on LPAs observation and record reivew, Lena Aceituno was observed providing care and supervision to day care children and does not have clearance. This poses an immediate health and safety risk for children in care. 8

Based on LPAs observation and records review of child's #1 medication was expired on 09/2021, the licensee did not comply with the section cited above by discarding of medication by 09/2021 which poses/posed a potential health, safety or personal rights risk to persons in care.