Immanuel Lutheran Preschool

Based on LPA observation of dirt/debris, light webs on toy structures; spider sacs/webs and wet sand in the sandbox. The facility did not ensure the playground is maintained in a safe condition for activities planned which poses a potential health and safety risk to children in care.

Based on LPA direct observation, facility did not comply with the section cited above in keeping hazardous items( bug spray/motels and paint inaccessible or locked which poses an immediate 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 that there was no LIC503 for review for S3 and S4 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 S4 did not have proof of TB which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation) the licensee did not comply with the section cited above in that during inspection LPAs observed in expired medicaiton from 2025 for child present. which poses/posed a potential health, safety or personal rights risk to persons in care.

Facility will submit proof of staff AM and PM coverage for all classrooms, including a written plan of action fo covering staff shortages to the department by

Facility will submit proof of finger print clearance and association for S1 to the department by

Facility will submit notification to the department from Licensee on director assignments for the facility by

Based on (record review)], the licensee did not comply with the section cited above in that S4 mandated reporter expired on 03/23 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation, the licensee did not comply with the section cited above in that LPA observed during tour expired medications in classrooms which poses/posed a potential health, safety or personal rights risk to persons in care.

101700.3 (b)(1): A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidence by: Facility will implement corrective action pursuant to section CCR 101704 for immediate cessation of outlets testing with action level exceedance until it is replaced and retested pursuant to section CCR 101705 and returns a result at or below the Acton level. Facility will notify CDSS with completion within 30 days. Based on records review of required lead testing, the facility had lead values of 5.5 or above on water outlets: C (20 ppb); E (8.1 ppb); G (12 ppb); I (11 ppb); K (7.2 ppb) and L (14 ppb). This is a potential health and safety risk to persons in care. 8

Facility playground is not kept clean.

Facility is operating out of ratio.