Grace Lutheran Preschool · Santa Maria

(f) When the child care center director is absent from the center...(1) If the child care center director is absent for more than 30 consecutive calendar days, the substitute director shall meet the qualifications of a director. This is an immediate risk to the health, safety and personal rights of children. 1 Designee agrees to submit a POC declaration detailing how the CCC will ensure that there is a qualified Director/acting Director on site during the CCC hours of operation by 4/8/24 via email Francisca.Velazquez@dss.ca.gov Based on Designee's interview, it was disclosed the acting director Kathy Ledoux has been absent from the CCC for over 30 consecutive days. This is an immediate risk to the health, safety and personal rights of children. 8

Mary Youngblood (designee) agrees to ensure all children are supervised by a fully qualified teacher at all times. Designee will submit a written POC via email with teacher work schedules and detail how this requirement will be met by 3/25/24 to Francisca.Velazquez@dss.ca.gov At around 12:30 PM, LPAs observed S2 providing care and supervision to four (4) children in the outdoor yard. File review of S2 revealed S2 does not meet the education qualifications to be a fully qualified teacher or qualified teacher aide. This is an immediate risk to health, safety, and personal rights... 8 of children in care.

Mary Youngblood (designee) agrees to ensure S1 receives a negative TB test and agrees to submit proof of the negative test results via email by 3/29/24 to Francisca.Velazquez@dss.ca.gov File review revealed that S1 did not have a required negative TB test within one year of being hired at the CCC. This is a potential risk to the health, safety and personal rights of children in care.

All personnel, including the licensee, administrator and volunteers, shall be in good health...(2)Each person specified in (g) above shall have a health-screening report signed by the person performing the screening... This requirement was not met as evidence by: 1 Mary Youngblood (designee) agrees to ensure S1, S2 and S3 complete a health screening and agrees to submit proof of the health screening via email by 3/29/24 to Francisca.Velazquez@dss.ca.gov File review revealed that S1, S2, and S3 did not have a Health Screening in their file for review during today's inspection. This is a potential risk to the health, safety and personal rights of children in care. 8

Mary Youngblood (designee) agrees to ensure S1 receives MMR vaccine and S2 receives influenza vaccine or completes influenza waiver. Designee agrees to submit proof of current immunizations via email by 3/29/24 to Francisca.Velazquez@dss.ca.gov File review revealed S2 does not have proof of MMR vaccine on file and S4 does not have proof of influenza vaccine or influenza waiver on file for review during today's inspection. This is a potential risk to the health, safety, and personal rights of children in care.

On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training...This requirement is not met as evidence by: 1 Mary Youngblood (designee) agrees to ensure S2 and S3 complete Mandated Reported Training Certificate and agrees to submit proof of completed certificates via email by 3/29/24 to Francisca.Velazquez@dss.ca.gov File review revealed S2 has only completed the general portion of the Mandated Reporter Training and S3 did not have any certificate on file for review. This is a potential risk to the health, safety, and personal rights of children in care. 8

Mary Youngblood (designee) agrees to ensure the CCC reports any changes to the Department within 10 days of any changes. Designee will submit a written statement detailing how this will be met via email by 3/29/24 to Francisca.Velazquez@dss.ca.gov Interview with S2 revealed the acting Director is not present in the CCC. It was also revealed that the Director has been out of the CCC for about 3 weeks due to medical issues and this information was not reported to the Department. This is a potential risk to the health, safety and personal rights of 8 children in care.

Director agreed for the staff not to be present at the CCC until the criminal record clearance/exemption transfer is completed. POC letter should be submitted.no later than Monday, 2/12/2024. Durng inspection, LPA Reyes reviewed the Roster report and it was found out that Mallorie Galvez was not on the list and has been working since 10/9/2023. This poses an immediate risk to health and safety of children in care. 8 THE DEFICIENCY PAGE WAS AMENDED TO CORRECT THE EMPLOYMENT START DATE OF MALORIE GALVEZ.

Director agreed to submit the plan of correction to CCL no later than 2/16/2024 and submit it to CCL, gigi.reyes@dss.ca.gov During review of S1's file, it was noted that S1 has not taken the Mandated Reporter training. This poses a potential risk to health and safety of children in care.

Director filled out and signed the LIC 308 at the time of inspection. During the inspection, since director was not present, S1 was appointed to be in charge, however, LPA did not observe the LIC 308, Designation of Responsibility disignating the teacher in charge, Deborah Sharer. This poses a potential risk to health and safety of children in care.

Staff 1 stated she was never asked to submit but she agreed to submit the proof no later than 2/16/2024. During file review,it was noted that S1 still lacks immunization records, marking the second instance of the same violation for the individual at the CCC, which is an indicatie that violation was never corrected. This poses a potential risk to health and safety of children in care.

All personnel shall be given on-the-job training in the areas listed below... Such training or experience shall be appropriate to the job assigned and shall be evidenced by safe and effective job performance. This requirement was not met as evidence: 1 Director agrees to ensure all staff receives apporpriate training in all areas of child development and will submit a detail calendar of future trainings that will be provided to staff by. After each training, Director agrees to submit the agenda, sign-in and supporting documents for the trainings provided via email Actions taken by the staff at the CCC on 5/25/23 and 8/7/23 demonstrated, staff did not have the knowledge to safely and effectively met the needs of the children resulting in children's personal rights being violated. This is an immediate risk to the health, safety and personal rights of children in care. 8 to Francisca.Velazquez@dss.ca.gov by 2/1/24. Director will continue to submit evidence as trainings are provided.

For a violation that the department determines constitutes physical abuse or resulted in serious injury, as defined in Section 1596.8865, to a child, the civil penalty shall be assessed as follows: (B) Five thousand dollars ($5,000) for a facility licensed to care for 31 to 100, inclusive, children. 1 Director will ensure to proivide a training on how to handle serious injiries in the CCC. Director will submit caldenar with training date and once trainings occur, Director agrees to submit the agenda, sign-in and supporting documents for the training provided via email On 8/3/23, child received a seriously bodily injury in the CCC that resulted in C1 being diagnosed with an acute fracture of distal radius and ulna which was 100% displaced. This is an immeidate risk to the health, safety and personal rights or children in care. 8 to Francisca.Velazquez@dss.ca.gov by 2/1/24 and will continue to submit evidence as training is completed.

Conduct Inimical- Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state. This requirement was not met as evidenced: interview of W1 which determined that the CCC provided misleading information to 1 Director agrees to submit a written statement detailing how the CCC will give correct and accurate information to CCLD and parents of children when incidents occur in the CCC by 12/8/23 via email Francisca.Velazquez@dss.ca.gov CCLD and the parent of C1 regarding incident which C1 exited the CCC without staff's knowledge. It was determined C1 was out of the CCC at least 20 minutes prior to C1 being found by staff. This is an immediate risk to the health, safety and personal rights of children in care. 8

(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. This requirement was not met as evidenced: 1 Director agrees to submit plan of correction detailing how the CCC will ensure the supervision of children is met at all times. Director will submit plan of correction by 12/7/23 via email Francisca.Velazquez@dss.ca.gov Based on interviews with CCC staff it was revealed C1 wandered out of the CCC for about 10 mintues without any CCC staff noticing C1 was missing. This is an immediate risk to the health, safety and personal rights to the children in care. 8

101226 -Health-Related Services (b) The licensee shall make prompt arrangements for obtaining medical treatment for any child if necessary. This is an immediate risk to the health, safety, and personal rights to the children in care. This requirement was not met as evidenced: 1 Director agrees to submit a written statement detailing how the CCC will ensure medical treatment is obtained for any child when needed. Director will submit proof that all CCC staff has been trained regarding Health related services. Written statement will be due by the end of business day on 11/3/23 C1 sustained injury on 8/3/23 at around 1600 and S1 did not obtain medical treatment for C1's injury until parents picked up C1 and took C1 to receive medical treatment. This is an immediate risk to the health, safety and personal rights of children in care. 8 via email to Francisca.Velazquez@dss.ca.gov

Director agrees to submit a written statement detailing how the CCC wil train staff on reporting requirements in regard to injuries sustained at the CCC, specifically regarding notifying parents of injured child. Written statement will be due by the end of business day on Interview with Director revealed that Director found out about C1's injury through parent of C1. Director acknowledge not knowing of this incident as S1 did not report this injury to the Director. This is an immediate risk to the health, safety and personal rights to children in care. 8 11/3/23 via email to Francisca.Velazquez@dss.ca.gov

(a) The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons. To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. 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 eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. (4) To be informed, and to have his/her authorized representative informed, by the licensee of the law regarding complaints including, but not limited to, information on confidentiality and the address and telephone number of the Department's complaint unit. This requirement was not met as evidenced: DIrector agrees to submit a written plan detailing how she will ensure that all adults present in the CCC will respect all children's…

Based on observation, the licensee did not comply with the section cited above in that LPAs observed the janitor's closet wihich contain various cleaning solutions accessible to children, a broken cabinet in the outdoor playyard, broken plastic tables with sharp edges and old benches that can cause splinters 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 that the licensee believes the church has tested their water source for lead containmients but is not sure nor does she have testing results which poses/posed a potential health, safety or personal rights risk to persons in care.

1.) Staff did not seek timely medical attention for child.

2.) Staff did not notify child's parents of injury.

1.) Staff handled day care child in a rough manner

2.) Staff hits day care children

3.) Staff yelled at day care child