Creative Scholars Academy Preschool

Based on record review, the licensee did not comply with the section cited above in one staff file out of six reviewed (S2) missing immunization record including MMR, TDAP, TB and flu or flu decline 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 one out of six staff files (S2) is missing LIC 503 which poses 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 5 children's records was missing physician's report which poses potential health, safety or personal rights risk to persons in care.

(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. Licensee stated they will be communicating with parents about picking up and dropping children at contracted time. Staff will be aware of contracted time. Licensee will submit a plan of correction to CCLD by 8/18/24. (1) The number of children in attendance shall not exceed licensed capacity. Based on interviews and record review, the licensee did not comply with the section cited above in which facility has been operating out of ratio.

(a) In accordance with the child care center's individual program, policies and needs, the licensee shall develop, implement and maintain an admission procedure that enables the person in charge of admissions to: (B) Provides the child's parent or authorized representative with information about the child care center that shall at least include the child care center's admission policies and procedures, activities, services, regulations, hours and days of operation, fees, procedures to be followed should the child become ill or injured while at the child care center, and procedures for conducting inspections for illness. Licensee will submit a written statement uderstanding the regulations for admission procedures and will have staff meeting with staff on calling authorized representatives on any incidents regarding children. Based on interviews and record review, the licensee did not comply with the section cited above in which the family was not notified in a timely manner regarding a incident which poses an immediate health, safety, or personal rights risk to children in care. 8…

(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. Facility with submit a Unusual Incident Report (UIR) to CCLD and will go over reporting requirements with staff. Licensee will submit a document verifying that staff have been trained to report unusual incidents to CCLD. Licensee will submit documentation by 4/14/24 ro CCLD. (1) Events reported shall include the following:(B) Any injury to any child that requires medical treatment. Based on record review and staff interviews: facility did not report to CCLD a unusual incident regarding C1 receiving medical attention for a injury. 8

Based on observing the emergency disaster log, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observing the expired and nonexistent mandated reporter certificates, 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 which poses/posed a potential health, safety or personal rights risk to persons in care.

(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. (1) The number of children in attendance shall not exceed licensed capacity. Licensee/director will ensure that they have they meet the teacher ratio requirements with qualified staff and adjust scheduling for staff. Plan of correction shall be submitted to LPA Mendez by 6/17/22 This requirment was not met based on interviews. Facility was operating ouf of ratio. 8 Deficiency Dismissed

a) The licensee shall ensure that each child is accorded the following personal rights: 3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, 1 Licensee/director will implement potty training schedule and ensure that staff are checking periodically and log in documeting potty training and having a hard copy on file. Plan of correction will be submitted to LPA Mendez on 6/17/22. mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning This requirement was not met by as evidence no copies of diaper logs were avaiilable..

Licensee failed to report an unusual incident that occurred on 2/9/22 that resulted in a child sustaining an injury at the time.

Based on observations/interviews/record reviews, the licensee did not ensure the personal rights of children in care in that 24 of children in care (C1 – C23) did not wear face coverings while in the facility, as required by the Order of the State Public Health Officer (June 11, 2021), and an individual face covering exception did not apply. This is a potential health and safety risk to children in care.

Based on observations/interviews/record reviews, not all staff were masked, the licensee did not ensure the personal rights of children in care in that 30 of children in care (C1 – C24) did not wear face coverings while in the facility, as required by the Order of the State Public Health Officer (June 11, 2021), and an individual face covering exception did not apply. This is a potential health and safety risk to children in care.

Facility is operating out of ratio

Staff are not changing children's diapers

Facility is out of ratio

Facility is not following Covid-19 mask guidelines

Staff are not wearing masks in the facility

Children are not encouraged to wear a mask