Enchanted Castle San Marino Montessori School

Based on observation, interview, record review, the licensee did not comply with the section cited above in 2 children out of 4 children's medical records with epi-pens are missing instructions for adminstration and anaphylaxis care plan, which poses/posed a potential health, safety or personal rights risk to persons in care.

Infant Care Personal Services...(1) Each infant shall be diapered on a changing table. (A) No infant shall be left unattended while on a changing table. This requirement was not met evidenced by: 1 Per director, she will have a staff meeting to discuss the severity of it and have staff sign in. Director will place reminder posters with guidance near changing table for visual reminder. Per director, she terminated one employee that she was aware who was doing this. Based on interviews, staff was observed to leave child unattended while on changing table, which poses an immediate risk to the health and safety of children in care. 8 Per director, she will submit staff meeting agenda and staff sign to LPA S Li by 12/10/25.

Infant Care General Sanitation... (b) Each caregiver shall wash his/her hands with soap and water before each feeding and after each diaper change. This requirement was not evidenced by: 1 Per director, she will review requirements in staff meeting. She has already placed hand washing reminder signs in classrooms with diapering. LPA observed hand washing signs in classrooms above sink during visit. Based on interviews, staff was observed to not wash hands before serving snack and after diaper changes, which poses a potential risk to the health and safety to children in care. 8

Based on interview and record review, 1 Per Director, they will conduct a staff meeting regarding facility procedures and have all staff sign an attendance form. Written declarations for all staff will be submitted noting that all staff will adhere to facility and licensing policies and regulations, while on campus. Licensee did not ensure that prohibition of tobacco product, in the form of an e-cigarette, was upheld on property. Staff was found to have used an e-cigarette in the facility office, after hours. This is a potential risk to health, safety, and personal rights of children in care.

Based on record review, the licensee did not comply with the section cited above in 6 out of 13 staff files did not have a proof of Mandated Reporter Child Care Provider (AB1207) completion, 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 in four out of fourteen staff files were missing current Mandated Reporter - Child Care Provider certificates, 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 one out of fourteen staff files was missing a completed and signed LIC503 Health Screening Report, which poses a potential health, safety or personal rights risk to persons in care.

Staff leaves day care children unattended on the changing table.

Staff do not practice proper hand washing procedures.