Napa Valley Montessori Learning Center - P/S

Based on LPA observation, the licensee did not comply with the section cited above in 1 of 3 children's (C4) medication storage. C4s medication does not have a container with an unaltered label which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observation and child file review, the licensee did not comply with the section cited above in one out of three children's medication services, in that there is not an IMS Plan for C7 on file. This posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review the licensee did not comply with the section cited above in which 3 childrens records (C1 - C3) did not have written approval or instructions from the child's authorized representative on when and how to administer medications which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interviews the licensee failed to ensure staff were providing visual supervision of the children resulting in a child's injury. This poses an immediate Health, Safety or Personal Rights risk to the children in care.

Based on LPA's observation of S1 & S2 left alone to supervise 21 children at 9:27am. This poses/posed a 1 Licensee shall not accept children when the facility is at ratio or would hire additional staff. Licensee shall produce a written statement detailing the exact steps and strategy the facility intends to utilize to ensure and prevent violation of ratio requirements. Licensee shall submit POC to the Department by 03/29/24 via mail, email or fax. potential health, safety and/or personal rights risk to the children in care. 8 Fax: 707-588-5080 Email: Melinda.Mohr@dss.ca.gov

Based on LPA's observation of several brochures and business card the facility used to advertise with the intent of attracting 1 The Licensee shall ensure all documents including the facility website used to advertise shall contain the facility number, and Licensee shall produce a written statement detailing describing the steps the facility would take to comply with the regulation. client(s), however; the brochures and cards did not contain the facility number. This poses a potential health, safety and/or personal rights risk to the children in care. 8 Fax: 707-588-5080 Email: Melinda.Mohr@dss.ca.gov

Based on record review and interviews conducted A1was working in the facility without a clearance from 02/01/2024-02/07/2024. This poses a immediate health and safety risk to children in care.

Based on record review children’s files, both current and newly enrolled, did not contain a signed form LIC9224 which is required after receiving a Type A citation, dated 10/04/2024.

Based on interview and record review, the licensee did not comply with the section cited above as they have been operating without a Director which poses a potential health, safety or personal rights risk to persons in care.

Based on interviews conducted D2 was previously uncleared to be in the facility alone while supervising children from 07/05/2022 through 06/06/2023.. This poses a immediate health and safety risk to children in care. 8 CCR

Based on interviews conducted it was corrobored that an aide (S2) was left alone and was providing care and supervision to children. This poses a potential health and safety risk to children in care.

Based on interviews conducted and record review there was enough evidence to support claims about the facility not reporting all injuries or incidents requiring assessment to the child’s authorized representative. This poses/posed a potential health, safety and/or personal rights risk(s) to children in care.

Based on interviews and observations the licensee failed to ensure staff were providing visual supervision of the children which resulted resulting in children’s injuries. This poses an immediate Health, Safety or Personal Rights risk to the children in care.

Based on interviews and facility record review, the center has not notified and submitted any Unusual Incident Report’s to CCL in the past six months when incidents did in fact occur. This poses a potential Health and Safety risk to children in care.

Based on interviews conducted and observations evidence confirmed D1 and S1 have yelled at day care child(ren) in care on more than one occasion, which poses a potential personal rights risk to the children in care.

There shall be at least 75 square feet per child of outdoor activity space based on the total licensed capacity. This requirement is not met as evidence by: Director stated she will make a outdoor playyard schedule. This will make sure that no more than 19 children are on the playyard at any given time. Director will email the outdoor playyard schedule to LPA at: melinda.mohr@dss.ca.gov Based on LPA's observation of 21 children on the playground this is in viloation of the existing waiver that allows up to 19 children on the playground at any given time. This is a potential health and safety risk to children in care. 8

Staff did not provide children in care adequate supervision

Day care child sustained injuries while in care

Staff did not notify day care child's parent of injuries