Guardian Angel Academy · Infant Center, Sylmar

Based on observation, the licensee did not comply with the section cited above in not having moveable walls or partitions, at least four feet high; constructed of sound-absorbing material; 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 infant child 5 and child 6 not having a complete LIC 9227 during file review 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 staff #1 and staf f# 2 not providing proof of influenza/declination, measles and pertussis 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 not having at least one present staff have a current pediatric first aid/ cpr certification, 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 not having LIC 503 for staff #1 which 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 not updating the needs and service plans 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 not having the needs and services plan updated quarterly 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 child 1, 2, 5 and 6 not having LIC 701 Physician Report 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 child 1, 3, and 6 not having immurnization records for review during visit,] 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 staff 1 not having LIC 503 Health Screening report available during visit, which poses a potential health, safety or personal rights risk to persons in care.

(b) Confinement to cribs, high chairs, playpens or other similar furniture or equipment shall not be permitted as a form of discipline or punishment. This requirement was not meet by evidence by... 1 Facility will take have staff enroll in discipline training in working with challenging behaviors and on how to direct children. Proof of class/training (Smart Horizon -on line, CA registry) and submit a summary of what was learned. Submit to the Palmdale Regional Office by email by indicated due date. LPA's observation and interview disclosures. LPA observed two infants confined in a crib. Infants were under one year of age, awake and reaching out with arms. According to interviews it was disclosed infants are handled in a rough manner(hands and jaw are squeezed) and are forced to sit, lay down when not listening or following directions. This posses a potential risk to the health and safety of children in care. 8

Based on the record review, facility staff did not comply with the section cited above, 2 out of 3 children's files did not have the LIC 9227 Individual Infant Sleeping Plan completed which poses a potential health and safety risk to children in care. 8 Request Denied

Facility will immediately begin to document on logs when infants are napping every 15 minutes and submit the logs to the Palmdale Regional Office by email by indicated due date. LPA's observation, interviews and documentation. Two infants did not have any 15 minute log documented. According to staff only 0 to one year of age infants are being documented. This poses a potential health and safety risk to children in care.

Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: Infants up to 12 months of age who are sleeping in a position other than on their back. If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping. This requirement was not met by... 1 Facility will immediately begin to turn infants face up until the LIC 9227 individual sleeping plan is completed by infants representative or medical Dr. a copy shall be provided to the Palmdale Regional Office by email by indicated due date. Based on the record review, the facility staff did not comply with the section cited above in 2 out of 3 infants whose files were reviewed did not have LIC 9227 completed to state the infant’s ability to roll, which poses a potential health and safety risk to children in care. 8

Based on observation, the facility did not comply with the section cited above in 2 staff members did not have immunizations records on file which poses/posed a potential health, safety or personal rights risk to persons in care.