Heritage Montessori School · Preschool, Ridgecrest

(a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule...but not limited to: interference with..functions of daily living. Licensee informed LPA during interview that S1 received verbal written warning and was re-trained. During interviews it was found that S1 is no longer employed by the facility. Licensee has confirmed enrollment in the CCL TSP program. This requirement was not met as evidence by: Based on observation, interviews and record file reviews C1's arm was injured by S1, which poses an immediate risk to the health safety and personal rights of the clients in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in not having exit door work properly which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in not having immunization's records (MMR and Tdap) for three employees, flu decline or vaccination missing for four employees which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in by not having employee with TB test results or assessment in the employee file which poses/posed a potential health, safety or personal rights risk to persons in care.

(a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule...but not limited to: interference with..functions of daily living. 1 Director informed LPA during interview that S1 is no longer employed with facility. This requirement was not met as evidence by: Based on observation, interviews and record reviews C1's personal rights were violated by S1, which poses an immediate risk to the health safety and personal rights of the clients in care. 8

(1) Except as specified in (3) below, good physical health shall be verified by a health screening,...test for tuberculosis,...performed by..physician not more than one year prior to or seven days after employment or licensure. Site Supervisor states they will ensure that TB test is obtained within the first 7 days of employment. Director will implement POC procedure to ensure TB is obtained on time. Director will provide proof completion to LPA.

(b) The medical assessment shall provide the following: (2) Results of a test for tuberculosis. Site Supervisor states ensure current TB or documentation from physician report when enrolled. Director will implement POC procedure to ensure TB is obtained on time for children. Director will provide proof completion to LPA.

(a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. 1 Site Supervisor states they will ensure employees immunization records are on file on date of hire. Director will implement POC procedure to ensure immunization's are obtained for employees. Director will provide proof completion to LPA.

(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. Site Supervisor states she will re-train staff on proper procedures of working with bodily fluids for childs health in accordance first aid. Director will provide proof completion to LPA.

Based on observation, interview, record review, the licensee did not comply with the section cited above due to not having TB test results present in employee file which poses/posed a potential health, safety or personal rights risk to persons in care.

101173(c) Plan of Operation: (c) The child care center shall operate in accordance with the terms specified in the plan of operation. The requirement is not met as evidence by: 1 The licensee shall submit a Plan of Operation to provide Incidential Medical Service by the due date. Based on interviews and record review, the licensee failed to have a Plan of Operation to provide Incidential Medical Services for child #1 which propose a potential health safety or personal rights risk to the person in care. 8

Allegation#1-Personal Rights: Lack of supervision resulting in daycare child sustaining unexplained injuries.

Allegation #2-Personal Rights: Staff handle daycare children in a rough manner.

Allegation #6-Personal Rights-Staff do not practice proper hand hygiene when wiping infants nose.

Allegation #7-Record Keeping-Staff does not have TB clearance.

Allegation #8-Record Keeping-Staff did not ensure infant immunization and TB records are maintained at the facility.