Lil' Genius Kid, The

Based on observation and record review, the licensee did not comply with the section cited above due to Room 1 having 1 aid caring for 3 infants which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above due to all staff net to complete the mandated reporter training which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above facility not documentation with having approval and instructions for perscription medication which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above due facility not documents every 15 mintues when infants are which poses/posed an potential health, safety or personal rights risk to persons in care.

on 4/13/2022 a staff member had an altercation with the Licensee will send in a written statement of a plan that the facility will follow to ensure the personal rights of the children will be insured and statement stating that they have read and understand the regulations on the childrens personal rights. Licensee. There were children and a parent present during this incident with posed an immedite risk to the health and safety to the children in care.

101416.5 (b) There shall be a ratio of one teacher for every four infants [..]. (1) An aide may be substituted for a teacher when all of the following conditions[..] (A) There is a fully qualified teacher[...]. This requirement is not met as evidence by; 1 Licensee will ensure that the facility is in ratio at all times. Licensee will submit a written POC by POC date to LPA Sutton. Based on observation S1(aid) caring for 4 infants, S2(aid) and S3(aid) caring for 8 infants.This is an immediate risk to Health and Safety or Personal Rights risk to persons in care. 8

Nancy Acevedo and Kirsten Pooley do not have criminal record clearance which poses an immediate risk to children in care. 8 • Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected

There were no teachers present during today's inspection. All infants were being supervised by aids only which poses an immediate risk to children in care. 8 Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected

LPAs observed 4 infants under the age of 12 months sleeping on their stomachs. 8 Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected

101427(e) The infant's authorized representative may provide formula [..]. (1) Such formula or milk shall be bottled before being accepted by the center. [..]. (A) Bottles shall be labeled. This requirement is not met as evidence by; 1 Licensee will ensure that all bottles are labeled and properly stored at the facility. Licensee will submit proof of correction to LPA Sutton by POC date. Based on observation, interviews and record reviews, LPA observed 6 bottles being used, 1 bottle with no label and 1:4 infants without labeled bottle.This is a potiential risk to Health and Safety or Personal Rights risk to persons in care. 8

101429 Responsibility for Providing Care and Supervision for Infant (a) In addition to Section 101229,[..](1)Each infant shall be constantly supervised [..] This requirement is not met as evidence by; 1 By end of

By

1 staff memebr watching up to six infants alone

Bottles and food aren't being labeled

Staff left day care children unsupervised during nap time