Lil' Blue Heartwood Preschool · Infant Center, Ontario

LPA observed a large banner at the front of the center, advertising care. However, no facility number was observed to be on the banner. This poses a potential health and safety risk to persons in care.

The facility agrees to submit all pending items for the current appointed director, or submit a full packet for any other current or new staff who could qualify as a fully qualified site director. No civil penalty, as it has been assessed already. This is due to licensing no later than the

Based on record review, S3 did not have Tdap and S4 did not have Tdap nor MMR for review. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, 2 out of 3 sleeping infants had bottles in the crib while they slept. 1 infant had the bottle near their feet, while the other had it cradled under their left armpit while they slept on their stomach. This poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, 2 areas in the infant classroom contained items that are poisonous to infants. (1)The storage closet containing Clorox, 2 mop buckets & other cleaning chemicals. (2)A doorless closet to the left of the storage closet, with storage of hand sanitizers (3 large bottles). Although these items were inaccessible and not in reach of infants, these items were not kept locked. This poses an immediate health, safety or personal rights risk to persons in care.

During a past visit to the facility for the other program, the facility did not have any documentation of disaster drills available for review. During this previous visit, director recalls the disaster drills being done sometime in January, but have not done any since then. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, 2 out of 3 cribs had items hanging off them while infants were asleep in them. 1 item was a baby bib, and the other a speaker for music. This is being downgraded to a Type B due to the staff correcting it immediately. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, there is a circular pit, at least 1 inch deep. There is sand in this area, but the sand has not been replaced or refilled, leaving it semi-empty. The area is deep enough for an infant to fall into, posing a potential health, safety or personal rights risk to persons in care.

Based on record review, 2 out of 5 staff files did not provide proof of Tdap(pertussis) or MMR(measles). S3 did not have Tdap and S4 did not have Tdap nor MMR. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, 1 out of 5 staff files did not provide proof of LIC503, health screening. S2 did not have the LIC503 on file. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, 2 out of 5 staff did not have an updated Mandated Reporter Training (MRT) on file. S2 and S4 did not have updated MRTs. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review during the tour of the facility, LPA asked for 15 minute sleep log for the 1 sleeping infant out of 7. The log was last updated more than 15 minutes to the time written on the log, approximately 25 minutes. Additionally, the form only has a "start" and "end" time of sleep, no 15 minute checks. 15 minute sleep logs were later available, but only for this date. This poses/posed a potential health, safety or personal rights risk to persons in care.

During a previous visit, LPA discovered there was a change in director for the center. This change had taken place well over the 10 days allotted, and was never communicated to LPA. LPA had requested the new appointed director submit a directors packet, which has still not been received. LPA reviewed what was available, and left the center with a list of missing items. This 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 4 out of 4 persons. Multiple children's files did not have the LIC9224 on file. This poses/posed a potential health, safety or personal rights risk to persons in care.

LPA observed 1 The facility agrees to have a staff meeting with all staff regarding all infant regulations and rules, in particular safe sleep regulations, in the infant classroom. The facility agrees to submit an agenda with a list of all staff who attended. This is due to the department no later than the

To be a fully qualified infant care teacher, a teacher shall have the following: Completion, with passing grades, of 12 postsecondary semester or equivalent quarter units in early childhood or child development education at an accredited or approved college or university. This was not met as evidenced 1 Facility agrees to let the department know what their plan is with the infant classroom, in regards to a lead staff and send something in wrting no later than the

During the tour of the infant classroom, 1 The facility owner agrees to immediately remediate the issue in the storage closet of the infant classroom. Proof of this via pictures are due to the department no later than the

out of 4 staff did not have an updated MRT on file.

Facility agrees to submit proof of immunizations (measles, pertussis and/or flu shot/written declination of flu shot) for S4 no later than

Based on [(observation) the licensee did not comply with the section cited above in that the sink required for infant toileting needs within arms lengtth was observed not operable 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 S2 did not have LIC503 available for review 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 S1 has expired mandated reporter (7/23) which poses/posed a potential health, safety or personal rights risk to persons in care.

101217 Personnel Records(c) All personnel records shall be available to the Department to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying... This requirement was not met as evidence by: 1 Licensee, Fernando Chavez provided copy of Staff N.3's file to verify compliance with Title 22 regulation on 03/03/2023 additional documents requested were also provided on a later day via e-mail. Letter of Deficiency Cleared was provided during this inspection. During LPA's inspection conducted on 02/28/23 and 03/02/2023: Staff N.3's records were not available for review. Additional sign in/out documentation requested from staff from infant room were unable to populate on 02/28/23 due to computer conflict transferring information from old to current facility. No back up system was in place to be in substantial compliance with CCL. Records were provided on 03/03/23. This is a potential risk to the health, safety and/ or personal rights risk to children in care.

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 101170(f). This requirement was not met as evidence by: 1 Staff N.2 documentation was sent to be associated during this inspection. Civil Penalty assessed. $100 per day for 5 days per person. Based on the interview/record review, the licensee did not meet Criminal Record Clearance which poses an immediate Health, Safety & Personal Rights risk to the children in care. During the inspection LPAs observed S2 providing care & supervision and do not have a Criminal Record Clearance associated to the facility. 8

Staff did not ensure infant sleeping areas were free from all loose articles and objects.

Licensee allowed unqualified staff to provide care and supervision to infants without supervision.