Kids Town Childcare Center, LLC · Infant Center, Lancaster

101416.5 Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as evidence by: Director agreed to submit a plan to ensure ratios will be manitained in the infant room no later than 5/13/2022. Based on interview and record review, facility staff were alone with 5 infants for 1 hour, which is a potential Health and Safety Risk to children in care. 8

101416.2(b) Infant Care Teacher Qualifications and Duties (b)Prior to employment, an infant care teacher shall have completed, with passing grades, ... three postsecondary semester or equivalent quarter units related to the care of infants...This Requirement was not met as evidence by: 1 Director agreed to provide transcripts with grade in infant specific class no later than 5/27/22. Based on observation and record review, facility staff failed to complete 3 infant specific units prior to appointment to the infant classroom, which poses a potential Health and Safety Risk to children in care. 8

(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. Director states she will purchase a minimum of 1 fully charged fire extinguisher for the Infant component within 24 hours.

LPA observed an Infant alone in a crib located in the rear of the Infant Center, LPA's also observed the Infant asleep on his tummy.

101416.2(c)To be a fully qualified infant care teacher, a teacher shall have the following:(1) Completion, ...of 12 semester...units in early childhood or child development education... This requirement was not met as evidence by: Director agreed to come up with plan to have qualified staff present at all times during infant waking hours no later than 3/11/2022. Based on observation, interview, and record review, Staff 2 was left alone supervising 4 infants who were actively awake without a qualified teacher present, which poses a potential Health and Safety risk to children in care. 8

101428 Infant Care Personal Services (b)(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. This requirement was not met at evidence by: 1 Director agreed to provide training to all staff on infant care diaper changing procedures and provide a written plan to the department no later than 11/25/2021. Based on evidence obtained and records reviewed, facility staff failed to change the diaper of Child 1 for approximately 4 hours, which poses an immediate Health and Safety risk to children in care. 8

101439.1 Infant Care Sleeping Equipment (a)(f)Cribs shall be free from all loose articles and objects, including blankets and pillows. This requirement was not met as evidence by: During inspection, LPA observed Director immediately remove blankets from infant cribs. Based on observation: 3 infants were covered by a blanket in their cribs while they slept during nap time, which poses an immediate Health and Safety Risk to children in care. 8

Allegation 2: Facility not adhering to ratio.

Allegation 1: Unqualified staff are providing supervision to children.

Allegation 1: Infants sustained rashes while in care.