Infant World

Based on LPA records review and Director interview, the licensee did not comply with the section cited above. C1-C5 does NOT have 15-minute sleep logs which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA observation, LPA observed in kitchen a 7-foot white cabinet stored with a 17.5oz spray can of Raid Ant & Roach Fragrance Free. The licensee did not comply with the section cited above in out of which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA records review, staff 1 needs to complete LIC9182, staff 2 is missing mandated reporter training, staff 3 needs to complete LIC9182 and is missing mandated reporter training, cpr/first aid, LIC503, LIC501, immunization records and tb shot, staff 4 is missing signature and date on LIC501, and staff needs to complete LIC9182 and is missing her MMR from her immunization records. the licensee did not comply with the section cited above in out of which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA records review, child 1 is missing parent signature and date for LIC702, LIC9227 and 15-minute sleep log, child 2 is missing physician's report, LIC9227 and 15 minute sleep log, child 3 is missing LIC9227 and 15 minute sleep log, child 4 is missing 15 minute sleep logs and child 5 is missing LIC9227 and 15 minute sleep log. The licensee did not comply with the section cited above in out of 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 6 out of 6 infants 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 15 out of 15 which poses/posed a potential health, safety or personal rights risk to persons in care.

Personal Rights. To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. Based upon LPA's observation this requirement was not met. LPAs observed a five month old infant, propped on a boppy, with a bottle propped by a blanket. LPAs 1 Per director, Sylvia Wingfield, she will provide training to all infant staff that infants are to be held while feeding and there will be no propping of bottles. Director will provide copy of detailed training agenda with attendance to the Fresno Community Care Licensing office no later than 3/17/23. reviewed with director, who stated that training as been provided to staff. Training included that bottles are not to be propped. This is a potential personal rights, health and safety risk to infants in care. 8

Director's admission statement made on 10/27/21. Director stated that on 10/15/21, there were 13 infants in care under her supervision and 1 Director will submit a staff plan that has been put in place to ensure facility does not operate out of ratio and will submit to CCLD by the

Penalties. When a child care center is cited for a deficiency and violates the same regulation subsection within a 12-month period, the child care center shall be cited and an immediate penalty of $250 per cited violation shall be assessed for one day only. Thereafter, a penalty of $100 per day, per cited violation, shall be assessed until the deficiency is corrected. 1 Director will submit a staff plan that has been put in place to ensure facility does not operate out of ratio again and avoid a repeat violation. Facility will submit to CCLD by the

this inspection and LPAs observation. Upon ariving LPA counted 14 infants in a classroom with the Director and Director stated facility is in the process of hiring more teachers. They are also contacting former staff to see if they are available to return to work. Facility was back in ratio before LPA left facility. Director to update CCLD on progress of plan by the

review of child sign in/out sheets. There were 21 infants present and only 18 signed in. This is a possible risk to the health, safety or personal rights of children in care.