Der Kinder Garden Infant Center

101430 Infant Care Activities (A) Staff shall place infants up to 12 months of age on their backs for sleeping.(1)This requirement shall not apply if the infant has a written medical exemption from a licensed physician that allows for an alternative sleep position...This requirement was not met as evidence by: 1 The Director will review Title 22 section 101430 and the Anatomy of Baby: Sleeping on Back vs, Stomach and provide a statement regarding your understanding of the material. Director will also train staff on safe sleep practices and send to LPA by POC date. During staff interviews, S2 stated she placed the infant on her stomach for a few minutes, to make sure the infant would go back to sleep. If not corrected, this poses an immediate risk to 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 9 employees are missing TB test results in their files 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 6 out of 9 employees are missing immunizations which poses a potential health, safety or personal rights risk to persons in care.

101439.1(F)Cribs shall be free from all loose articles and objects, including blankets and pillows.(3)There shall be no objects hanging above or attached to the side of the crib. This requirement was not met as evidence based on LPA's observation of infant safe sleep environment. LPA observed 1 Director agreed to review PIN 20-24-CCP Safe Sleep Regulations to ensure the facility is in compliance. Director will provide copies of PIN 20-24-CCP to staff to review and will provide copies with staff signatures to LPA by 1/30/2024. 2 infants sleeping with bibs on and a hanging toy device over an empty pack n play. In addition S1 and S2 acknowledge and stated that a blanket was placed in a pack n' play while infant was sleep which poses an immediate health, safety, risk to children in care.

(1) Each infant shall be constantly supervised and under direct visual observation...(2)Sleeping infant(s) shall be directly observed by sight and sound at all times...Staff shall physically check on sleeping infant(s) every 15 minutes and document the following... 1 Director agreed to review CCR 101429 and Safe Sleep Log with staff. Staff will implement safe sleep logs as soon as possible and send proof of correction to LPA by POC date. This requirement was not met as evidenced based on LPA's record review. LPA asked to review sleeping logs and Director stated the did not have 15 minute logs. This poses a risk to children in care if not corrected. 8

(A)Staff shall place infants up to 12 month of age on their backs for sleeping. This requirement shall not apply if the infant has a written...(1)This requirement shall not apply if the infant has a written medical exemption from a licensed physician... 1 Director will have Authorized Representative complete LIC 9227 for all infants with the ability to roll and place in infants file by POC date. This requirement was not met as evidenced based on LPA's record review. LPA did not observed LIC 9227 in infant file. This poses a risk to children in care if not corrected. 8

Allegation:: Personal Rights - Staff do not follow infant safe sleep practices.

Allegation: Personal Rights- Staff did not provide a safe sleeping environment for infants.