Grace Harbor Church and School · Preschool, Tustin

Based on interviews conducted, Five children stated C1 was left alone in the bathroom crying. This poses an immediate risk to the health, safety, of children in care.

Based on records reviewed, The facility did not provide the 5/27/25 licensing report LIC9099 and acknowledgement receipt LIC9224 to 2 children rep by the next day the or day the child was in attendance. Tthis poses a potential risk to the health, safety, or personal rights of children in care. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must also be placed in the child's file for verification. A copy of missing LIC9224 will be sent to LPA by due date. CCR

Based on staff interview, staff 5 (S5) stated that another staff would let children wake up the other children during nap. This poses a potential risk to health and safety of children in care

Based on the interviews conducted,S1 stated C1 was left alone and unsupervised in the playyard This poses an immediate risk to health and safety of children in care

Based on obveservation, there were broken toys in the play yard such a broken plastic kitchen toys, there is a wooden spool table that has protruding wood which could splinter children in care. Mats used was ripped and shows off sponges that can cause tripping hazard. This is potential risk to health safety of children in care.

101212(d) Reporting Requirement (d) Upon the occurrence, during the operation of the child care center... a report shall be made to the Department by telephone or fax within the Department's next working day...and within seven days following the occurrence of such event. Director stated they will send action plan to prevent this from happening again by due date of 6/9/25 Based on interview and record review, there were at least 3 confirmed cases of preschool children who were infected with pick eye or conjunctivitis. The Department was not notified of th outbreak. This is potential risk to health safety of children in care. 8

Based on interview and record review, there was a warning notice on S7’s file about drug and alcohol use that violated their employee handbook. Based on interview, adult 1 stated they could smell in the room and S7 like cannabis. Based on S7 interview, they will ensure this situation will not happen again. This is potential risk to health safety of children in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above. 1 child's presciption has no proper label and has expired on 06/2024, 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, 2 out of 6 staff members did not have current Mandated reporter training certificates which poses a potential health, safety or personal rights risk to persons in care.

101212 Reporting Requirements...(d) Upon the occurrence... 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 shall be submitted to the Department within seven days. 1 Director states that she will submit a statment of understanding of the Reporting Requirement regulation to LPA by due date. This requirement is not met evidenced by: Based on LPA's record review and interview, facility failed to submit an unusual incident report to Community Care Licensing Department regarding this incident, this poses a potential risk to the health, safety and personal rights of persons in care. 8

101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time. This requirement is not met evidenced by: 1 Director stated she had put in supervision plan in place immediately after the incident: The staff was instructed that the children are no longer allowed on the treeline area. Staff will be stationed in specific spots on the playground to be vigilant on children's activities on the playground. Based on LPAs' interviews, 2 interviewed staff were informed by a non-client child about 3 children were playing with a dying rat and the staff were not aware, and child #1 confirmed about the incident. This poses an immediate risk to health and safety of persons in care. 8 Director will submit the detailed plan to LPA by 04/10/2023. CCR

LPAs observed the LIC 809 and LIC 809D report from 03/29/2023 were not posted, in the facility's front entrance and Director admitted she did not know about posting requirements for the type A citation.

1596.8595 (c)(1) A licensed child day care facility shall provide to the parents ...copies of any licensing report that documents any Type A citation... This requirement is not met evidenced by: 1 Director states that she will obtain LIC9224 from parents by 04/10/2023. Based on record review, 7 out of 7 reviewed children's files, did not have the Acknowledgement of Receipt of Licensing Reports LIC 9224 on file. 8

of 3 staff who were present during the incident admitted absence of supervision for C#1 on 03/22/23 and LPAs observed C#2 left unsupervised in classroom #3 on 03/29/2023, this poses an immediate risk to health and safety of persons in care. 8 and kept all hazadous items in the office inaccessible for the children.

101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation. The director locked the restroom doors to make the restroom inaccessible to the children without adult supervision. The restrooms will be accessible with a key that will be provided to each staff at the facility. This citation will be cleared during today's inspection. During today's inspection it was revealed and observed that a child was without adult supervision on 03/03/3023 in the restroom at the facility. The restroom is a jack n Jill style restroom that is accessible by the children which leads to the exit of the facility and a busy street where cars speed limit is 45 MPH. This poses a potential risk of the children in care. 8

101238.2 Outdoor Activity Space(d) The surface of the outdoor activity space shall be maintained: (1) In a safe condition for the activities planned. 1 The director has since then removed the debris from the playground area. The director agrees as a plan of correction to order and place the cushioned material around the metal poles installed on the playground. The director is also going to provide pictures the that the padding was installed on all 8 poles via email to stella.gutierrez@dss.ca.gov This requirement was not meant as evidence by statements and obervations. During today's visit LPA observed no podding on the metal poles installed and the director stated that there was debris the children were throwing at each other. This poses a potential threat to the health and safety of children in care. 8

Observation and statements that the director did not notify the department of adding the 08 metal poles and an order that they were properly installed. This poses a potential threat to the health and safety of children in care.

101223 Personal Rights(a)The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidence by statements and documents reviewed. 1 C1 contract was terminated due to the incidents that occurred at the facility. Since then the facility director has a meeting on today, 01/23/2023 in the PM hours with Child Care TSP Analyst, Susan Du that was organized by the director for personal rights support. The facility director did not provide a safe environment for the children in care by not develping a plan for C1 sooner to avoid the personal rights of the children in care having to witness the incidents and getting injured by C1 during the months of July-September 2022. This a risk to the children in care. 8 The director provided the email from the TSP Analyst, Susan Du and by 02/01/2023 the director will update the LPA with a plan of action to ensure the personal rights of all children at the facility are in accordance…

(d) Upon the occurrence, during the operation of the child care center… (1) Events reported shall include the following: (C)Any unusual incident The director agrees to call their local licensing agency immediately reporting the incidents all in one report that involved C1 and the outcome of the child no longer present at the facility. LPA is asking this to be done immediately and a written report (LIC 624) be provided to LPA by the specified date of 01/30/2023. This requirement was not met as evidence by records review that the incidents were not reported to the CCLD and is a potential risk to the children in care. 8

f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. This requirement was not met as evidence by statements received. 1 The director agrees that she will move forward and provide the authorized representatives a verbal and written report of any incidents involving their children at the facility. The director will send out an email to all parents at the facility of the importance of this requirement ensuring the effective communication will be followed through to meet this regulation. The facility director did not endure that teh authorized representative were communicated of the incidents that invovled their children at teh facility. 8 The director will forward this communication to all representatives of the facility by the specified date on 02/01/2023 via email to stella.gutierrez@dss.ca.gov

(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This page was amended on 01/24/2023. The director is meeting with the TSP Analyst, Susun Du today, 01/23/2023 in the PM hours to develop a plan and seek further support from their local licensing agency. A written declaration was provided by the director today to start the process of implementing a plan of action to ensure this personal rights of this children enrolled at the facility. This requirement was not met as evidence by statements from several staff and parents. The chidlren were not being clearend properly and left in feces that resulted in rashes. This is a health risk that violates the personal rights of the children in care. 8 The director will provided the LPA with this plan of action to be taken by 01/30/2023 via email to stella.gutierrez@dss.ca.gov and the completed action thereafter when available. This is a repeat violation and there will be no civil penalty…

101215 Administrator Qualifications and Duties- (b) The administrator shall have the following qualifications: (2)Knowledge of and ability to comply with applicable laws and regulations.(5) Ability to recruit, employ, train, direct... This requirement was not met as evidence by statements and records. The facility staff stated they 1 Staff #2 stated the staff at the facility will be provided a training on the LIC 9106 and the importance of the reporting requirements to all agencies. The LPA will be provided with a meeting agenda and role sheet signed by each staff present working at the facility attending the meeting by the specified date of 12/02/2022. were unaware of the mandated reporter timely requirement. Suspected child abuse that was made verbally from child and evidence of bruising is sufficient evidence that the staff should have immediately Reporter the incident and did not until day 5. This poses a risk to the children in care 8

101223(a)(3) Personal Rights (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including... This requirement was not met evidence by: Director stated S3 no longer works at the childcare center as of July 2022. New employment 90 day policies have been implemented and they have also implemented coaching plan for staff. On 9/1/22 and 9/2/22 staff will have an inservice training that will cover policies and procedures, title 22 and curriculum. Director requested to be referred Based on interviews with staff and children, S3 would speak to the children in a mean and intimidating manner. S3 would yell at children and place them on time out for longer than 10 minutes. This is an immediate Health and Safety risk to the children in care. 8 to the TSP program. Director will submit a written plan of correction within 24 hours.

Staff left child unattended.

Reporting Requirement/LIC9224

Daycare child was unattended

Buildings and Grounds (Safety)

Daily Inspection for Illness

Staff smelled like cannabis or marijuana while children are in care.

Facility did not provide type A violation report to children's representatives.

Daycare child was bitten by a rat due to lack of supervision.

Physical Plant -Facility does not provide a safe environment for children in care.

Physical Plant - Staff did not ensure that facility is free of trash.

Reporting requirements- Facility did not report physical plant changes of the play yard area of the addition of metal poles.

Reprting requirements- Staff did not report injuries to child's auhtorized representative

Personal Rights- Staff leave daycare child soiled in feces

Personal Rights -Facility not providing a safe environment for day-care children.

Administrator Qualifications and Duties - Facility staff did not immediately report child abuse as required.

Staff does not treat daycare child with dignity and respect.