Kids' Community Campus · Preschool, Turlock

LPA Vega-Gonzalez observed that classroom 1, 2, and 3 had stained carpets 1 Teacher, Parmjit Singh stated tha staples will be removed from partition walls that are accessible to children in care, and provide information of how often facility is cleaned by to CCL by

101229(a)(1) Responsibility for Providing Care and Supervision(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 teachers any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Licensee stated they will create an action plan regarding this incident and submit it to CCL by

LPA, Vega-Gonzalez observed Staff #13 caring for one child as described in LIC809. This poses an immediate risk to the health, safety, or personal rights to children in care. A civil penalty was assessed.

101223 Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced Licensee stated they will provide a action plan regarding this incident to CCL by POC. In addition, Licensee will provide documentation on behavior plan for child to CCL. by: LPA, Vega-Gonzalez observed Child #1 being disruptive and causing other children to be distressed as described in LIC809. This poses an immediate risk to the health, safety, or personal rights to children in care. A civil penalty was assessed. 8

Based on observations LPA observed that reports were not posted as described in LIC809. This poses a potential risk to the health, safety, or personal rights of children. A civil penalty of $100 was assessed.

Based on that Licensee did not report incident to CCL as stated in LIC809. This poses a potential risk to the health, safety, or personal rights of children.

Based upon information gathered through interviews, it was revealed that Staff #7 yells at day care children. This poses an immediate risk to the health, safety, or personal rights to children in care. A civil penalty was assessed.

LPAs, Vega-Gonzalez and LPA Tristan 1 Licensee stated that they will write a plan of action on how facility will ensure ratios are being met and that qualified staff are supervising children. observed facility short staffed and out of ratio. LPAs observed Licensee in classroom 1 with a ratio of 15 children and Staff #2. Through record review it was revealed that Staff #2 is an unqualified aide. This poses an immediate risk to the health, safety, or personal rights to children in care.

LPA Vega-Gonzalez observed the 1 Licensee stated that they will write an action plan on proper procedures on how they will ensure that items that could pose a danger to children shall be stored where it is inaccessible to children in care, and submit plan to CCL by

101216.1 Teacher Qualifications and Duties (b) Prior to employment, a teacher shall meet the requirements of (b)(1) or (b)(2) below:(1) A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education. . .This requirement was not met as 1 Licensee stated that they will write an action plan on how they will ensure that children are being supervisied by qualified staff, and submit plan to CCL by

Based on observation, Licensee failed to operate within limitations of the license by 1 Licensee stated that they will have a qualified teacher in the front lobby reception area. Licensee stated they will submit a list of qualified teachers that will be in the front lobby by

Based on record review various children sustained and obtained an unknown injury while in care. 1 Licensee stated that they are incorporating an Active Supervision Plan training with staff. Licensee stated that they will provide CCL with proof of training by

Licensee stated that they will condcut a staff training on how to handle children during operational hours including difficult behaviors. Licensee stated that they will submit proof to licensing by

101223(a)(1) Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights: (1)To be accorded dignity in his/her personal relationships with staff and other persons. Based on observation conducted via video surveillance footage, it was revealed that 1 Licensee stated that they will condcut a staff training on how to have a positive relationship between staff and children during operational hours. Licensee stated that they will cover stratagies on active supervision plan. Child #5 was handled in a rough manner by Staff #3, Staff #5, and Licensee. This poses an immediate risk to the health, safety, or personal rights to children in care. 8 Licensee stated that they will submit proof to licensing by

interviews conducted, indicating that the licensee retaliated against staff. Demanding to know who filed a complaint. This poses a potential risk to the health, safety, or personal rights of children.

Based on interviews conducted, it was revealed that child#1 sustained an injury due to staff #3 handling child #1 in a rough manner. This poses an immediate risk to the health, safety, or personal rights to children in care.

it was revealed that child#1 sustained an injury due to staff #3 handling child #1 in a rough manner and was not reported to Community Care Licensing. This poses a potential risk to the health, safety, or personal rights of children.

1010428 (b) The infant shall be kept clean and dry at all times. (2)Each infant's clothing and diapers shall be changed as often as necessary to ensure that the infant is clean and dry at all times. 1 Licensee stated that they will conduct a staff training regarding diaper changing regulations and policies. Licensee stated they will submit the following: Agenda of the meeting/training, and staff signatures to CCL by

Based on observation on 11/17/2022, LPA observed that one staff member was supervising a total of 10 children 1 Licensee stated that they will watch CCL video at https://ccld.childcarevideos.org/child-care-center-operators/ titled “Supervising Children in Child Care Centers” and write a statement on what they have learned due 1/5/2023. Licensee stated that they will - infants, preschool, and school age children all at once. LPA observed children crawling on floor, climbing chairs, running around, and potentially leaving the facility through the front door that leads into the parking lot. This poses an immediate risk to the health, safety, or personal rights to children in care. 8 create an action plan for morning drop offs that ensures that every child's needs are being met, adequate supervision is provided and is being monitored by a qualified Staff at all times with the appropriate License capacity and following Title 22, Division 12, Chapter 1 regulations due on 1/5/2023.

Licensee stated that they will watch CCL video at https://ccld.childcarevideos.org/child-care-center-operators/ titled “Teacher-to-Child Ratios in Child Care Centers” and write a statement on what they have learned due 1/5/2023. Based off observations on 11/17/2022, LPA observed that staff to children ratio was 1:10 which included a commingling of infants, preschoolers, and school age in lobby “reception” area of facility. This poses an immediate risk to the health, safety, or personal rights to children in care. 8 Licensee stated that they will create an action plan Limitations on Capacity that ensures limitations on capacity are being followed as stated by Title 22, Division 12, Chapter 1 regulations due on 1/5/2023.

Licensee stated that they will create an action plan for when cleaning will occur to ensures that personal rights are being met for children in care as stated in Title 22, Division 12, Chapter 1 regulations which will be due on 01/05/2022 Based off interviews and documents obtained, it was revealed that Licensee hired a professional sanitization company that deep cleans children’s restrooms while children are sleeping, and the usage of cleaning chemicals are used while children are present. List of chemicals stated on LIC9099 are used. This poses an immediate risk to the health, safety, or personal rights to children in care.

LPA discussed comfortable temperature for children and how they shall be maintained at all times. LPA observed Staff #3 turn on thermostat in Room 4, and heating was turned on once Licensee arrived at facility at 8:30am on 11/17/2022. Licensee stated that they will conduct a training with staff regarding regulation 101239(a)(1) Based off observations, LPA observed that thermostats in whole facility were off and that temperatures read 60 degrees. This poses a potential risk to the health, safety, or personal rights of children. and create a plan with staff on the daily duties and responsibilities of turning on the thermostat. Licensee stated they will submit to CCL the following: a signed form by all staff list of who attended the meeting, and a detail agenda of meeting and what actions will be in place to ensure that the health, safety, or personal rights of children are being met as stated in Title 22, Division 12, Chapter 1.

Based on interview and record review, 1 Licensee stated she shall develop a financial plan and maintain good financial standing. Licensee shall submit this plan to CCL by 08/24/2022 and shall submit copies of financial records to the Department each month for the next 12 months, August 2022 – July 2023. Licensee failed to maintain sufficient funds necessary to meet the operating costs for the care and supervision of children as multiple staff were unable to cash or deposit paychecks due to limited funds. This poses a potential risk to the health, safety, or personal rights of children.

Based on record review and interview, Licensee provided false statement in regard to the fingerprint status of Staff 7. This poses an immediate risk to the health, safety, or personal rights of children.

Based on observation, interview, and record review, Licensee failed to maintain accountability for the general supervision of the child care center. This poses an immediate risk to the health, safety, or personal rights of children.

Based on interview and record review, children’s behavior was not continually observed resulting in multiple incidents of inappropriate interactions between children. This poses a potential risk to the health, safety, or personal rights of children.

Based on interviews conducted, seven out of nine parents stated their child(ren) had not been picked up from school and two out of nine parents stated their child had not been dropped off to school. This poses a potential risk to the health, safety, or personal rights of children.

Based on record review, Licensee failed to maintain a personnel record for Staff 7. This poses a potential risk to the health, safety, or personal rights of children.

A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care... This requirement was not met as 1 Licensee stated she provided copies of all licensing reports with Type A citations to parents or guardians of each child and provided LPA with copies of forms LIC 9227. Licensee shall submit a written statement acknowledging this to CCL by 08/03/2022. evidenced by: Based on interviews and records review, Licensee failed to provide parents or guardians of each child receiving services in the facility copies of licensing reports that document Type A citations. This poses a potential risk to the health, safety, or personal rights of children. 8

Based on observation and interview, 1 Licensee stated she shall submit a written statement that children are not using the "off-limits" areas and preschool is no longer using school age classrooms to CCL by 06/28/2022. Licensee failed to operate within limitations of the license by providing care and supervision to preschool children in areas of the facility that are"off-limits" and licensed only for use by school age children as described in LIC 9099. This poses a potential risk to the health, safety, or personal rights of children in care.

Based on observation and interview, Aide 1, who is under 18 years of age, assists at the facility and is supervised by Staff 5, who does not meet teacher qualifications. This poses a potential risk to the health, safety, or personal rights of children in care.

Based on record review, Licensee failed to produce documentation that Aide 1 is currently participating in an occupational program conducted by the high school. This poses a potential risk to the health, safety, or personal rights of children in care. 8 CCR

Based on record review, 10 out of 15 staff records reviewed were missing documentation of a current mandated reporter training certificate. This poses a potential risk to the health, safety, or personal rights of children in care. This is a repeat violation and a civil penalty will be issued.

Personnel Requirements; Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure. This requirement was not met as 1 Licensee stated she shall obtain copies of the health screenings and TB test and submit copies to CCL by 06/28/2022. evidenced by: Based on record review, three of the 15 staff records reviewed were missing documentation of a health screening and results of a test for tuberculosis. This poses a potential risk to the health, safety, or personal rights of children in care. 8

Based on record review, five of the 15 staff records reviewed were missing documentation of immunizations for influenza, pertussis, and measles and eight of the 15 were missing documentation of influenza. This poses a potential risk to the health, safety, or personal rights of children in care.

Based on record review, Licensee failed to meet the personal rights of children by handling child roughly. This poses an immediate risk to the health, safety, or personal rights of children.

Based on observation, Licensee failed to correct to deficiency issued on 05/05/2022 by the due date of 05/19/2022. This poses a potential risk to the health, safety, or personal rights of children. A civil penalty is issued.

Based on observation, Licensee failed to post the notice of site visit from the case management inspection conducted on 05/05/2022. This poses a potential risk to the health, safety, or personal rights of children. A civil penalty is issued.

Based on LPA L Gavoutian's observation Licensee failed to provide supervision as 1 Per licensee, provide training to staff in regards to care and supervison. Licensee will provide a copy of detailed training agenda and attendance to the Fresno Community Care office no later than 5/6/22. described in LIC 809 which poses an immediate risk to the health, safety, or personal rights of children in care. This is a repeat violation and a civil penalty of $1000.00 was assessed during today's inspection, with a $100 civil penalty per day until corrected. Licensee is to pay the bill upon receipt.

based on record review, none of the staff present upon LPAs arrival had a current and accepted EMSA certified First Aid/CPR. Licensee and S3 have current and EMSA approved First Aid/CPR certificates. This is a potential personal right, health and safety risk to children in care. 8 Community Care Licensing office by 5/19/22.

Per licensee, she will review staff's Child Development units to ensure qualified staff and aides are within ratio. Licensee will provide a copy of staff schedule in rooms and play yard with the number of children. This is to be sent to the Fresno Community Care Licensing by LPA Gavoutian's observation and interview of two staff, verifying that the two staff were outside with 19 preschool children. This is a potential personal right, health and safety risk to children in care.

Based on interview and records review, Licensee did not guarantee the children's personal rights in that Child 1 sustained various injuries while in care, as described in LIC 9099. This poses a potential risk to the health, safety, or personal rights of children.

Based on interview and records reviewed, Licensee failed to provide safe and healthful accommodations as described in LIC 9099. This posed an immediate threat to the health, safety, or personal rights of children. 8 has symptoms of, or tests positive for COVID-19 shall be submitted to CCL by 01/13/2022.

Based on interview and record review, Staff 1 provided false statements to LPA related to the date of last presence at the facility as described in LIC 9099. This poses a potential threat to the health, safety, or personal rights of children.

Based on record review, the licensee did not comply with the section cited above in seven out of 11 files were missing current mandated reporter training certificate which poses 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 the facility had a fly infestation and a spider in the infant classroom, which poses an immediate 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 a napping child was left without supervision on multiple occasions as described in LIC 809 which poses an immediate 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 large grains of salt were scattered throughout the floors of the infant, preschool, and school age classrooms, and other areas of the facility which poses 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 two outdoor trash bins were observed to contain food items that were discarded the night before and did not contain lids which posed a potential health, safety or personal rights risk to persons in care.