Emanuel Lutheran Day Care · Infant Center, Modesto

(b) There shall be a ratio of one teacher for every four infants in attendance. 1 Director will implement a plan in writing of how facility will remain in ratio including a copy of staff members' work schedules. It will also include a plan on the how facility plans to document when teachers from the preschool rooms come over to help the infant room. Based on documentation, the facility was operating out or ratio on two dates in April. This poses a potential risk to the health and safety of children in care. 8 All documents will be submitted to Community Care Licensing Office by the Plan of Correction due date, 07/30/2026.

Based on review of video footage, staff did not redirect the child which resulted in self-harm. 8 Staff will print their name, date of attendance and provide signatures on sign in sheet. Director will submit the sign-in sheet to CCLD Fresno by POC deadline.

Based on record review, the licensee did not comply with the section cited above. LPA observed that the toddlers did not have documentation for safe sleep which poses a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above. Licensee was not able to provide evidence of lead water testing as required by AB2370, which poses a potential health, safety or personal rights risk to persons in care.

Staff are operating out of ratio.

Staff not redirecting daycare child resulting in self-harm.