Coles Cottage Academy

Based on interview & record review, the licensee did not comply with the section cited above in distaster drills have not been completed this year which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in sheets are not fitted on crib mattresses which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in LPA observed a lot of un-maintained spider webs on all fencing and materials and a shelving thats weather damaged with chipping paint which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in staff are not completing sleep logs according to regulation which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 1 out of 4 persons missing TB clearnace in file 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 4 persons with an expired Mandated Reporter certificate on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 10 out of 11 persons with an expired plan on file which poses/posed a potential health, safety or personal rights risk to persons in care.

(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met as evidence by: 1 Office Manager stated that C1 will be be moved to the Two year old class on the preschool license and will provide LPA with an updated class roster. Based on child (C1) being over the age of 24 months and still being enrolled and present in the Toddler classroom which poses a potential health, safety or personal rights risk to children in care. 8

Based on observation, the licensee did not comply with the section cited above as there were accessible hazardous items which posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as one staff (Ref#1) was missing measles immuization, which poses a potential health, safety or personal rights risk to persons in care.

Child Care Center Directors Qualifications and Duties: The child care center director, or the substitute director as specified in (f) below, shall be on the premises during the hours the center is in operation:The child care center director shall not accept outside employment that 1 Director agrees to ensure she is on site Monday through Friday from 8:30am to 5:30pm. If she has a doctors appointment or vacation time, she will make sure it's on a day her Operations Manager is on site to avoid having no one in the front desk to assist with Center Operations. interferes with the duties specified in this chapter. 8

Staff-Infant Ratio - (b) There shall be a ratio of one teacher for every four infants in attendance.This requirement was not met as evidence by: LPA observed infant classroom with 2 teachers and 9 children. This poses an immediate risk to the health and safety of the children. 1 Director, Weeratunga Costa agrees to submit a written statement on how the facility will remain in compliance with ratio as required by Title 22 Regulations.