La Crescenta Presbyterian Ctr. For Children/Infant

Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 4 children who obtain prescribed medication do not have proper documentation where the parent and physician are providing instructions on how to administer medication or medication in original box which poses/posed a potential health, safety or personal rights risk to persons in care.

101216.2 Teacher Aide Qualifications and Duties (e)An aide shall work only under the direct supervision of a teacher. This requirement is not met as evidence by: 1 Per Director she will conduct meeting with staff members regarding their duties and will send an agenda to teh LPA by POC date . Staff#8 Teacher aide took the children on the stroller ride without direct supervision of teacher . 8

101416.5Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance. This requiremen ts is not met evidenced by : Per Director , she will talk to the satff members and will make sure everyone understands their duties and will send LPA metting agenda by POC date . LPA observed in room #106 , seven infants with 1 staff member and another staff member who was under 18. 8

101700.3(b)(1)Testing results with fractional ppb readings of 5.5 ppb or greater shall be rounded up to the nearest whole number...(1) A result with values of 5.5 or greater shall be deemed and Action Level Exceedance This requirement is not met as evidence by: 1 Per Director , church will permanatly remove water outlets or buid a box around it . Director will email to LPA work orders and pictures when it is complete by POC date . Based on interview, record review, and observation, the licensee did not ensure that water outlets with lead exceedances, were in accessible to children in care. This poses a potential risk to the health, safety, and personal rights of children in care. 8

Based on four staff file reviews, the licensee did not comply with the section cited above and staff#2 and staff #4 did not have Health Screening form LIC 503 on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interviews that were conducted with staff#2, staff#3, and staff#4 on 09/09/22, staff#1 fell asleep on 05/02/22 and 05/05/22 while had child#1 in hand and child#1 fell down on the floor while staff#1 was sitting on the chair. This is a potential health, safety, personal right risk to children in care.

Based on interviews conducted on 09/09/22 with staff#2 and staff#4, on 05/02/22 and 05/05/22 staff#1 had fallen asleep while had child#1 in hand and child#1 fell down on the floor and not reported to CCL till 05/27/22. This poses a potential health, safety and personal right to children in care. 8 A written plan will be submitted to LPA by plan of correction due date 09/30/22.

Based on interviews conducted on 09/09/22 with staff#2, #3, and #4, on 05/02/22 and 05/05/22, staff#1 had fallen asleep while had child#1 in hand and child#1 fell down on the floor and the incident was not reported to child#1 parents same day. This poses a potential health, safety and personal right to children in care.

Unqualified staff are providing care to day care children without supervision.