Patti Cakes Children's Center · Preschool, Turlock

Based on LPA records review and facility representative interview, the licensee did not comply with the section cited above in Staff #4's mandated reporter training EXPIRED 11/24/2022 which poses/posed a potential health, safety or personal rights risk to persons in care.

Criminal Record Clearance(b) The following individuals are exempt from the requirement to submit fingerprints: (4) A student who is enrolled or participating at an accredited educational institution if all of the following apply:(B)The facility has an agreement with the educational institution concerning the placement of the student. This requirement was not met as evidence by: 1 Students participating in the Child Development internship program have been reassigned for the semester. Should Director Meredith Lawrence continue with the California State University, Stanislaus Internship program, she will obtain appropriate documentation from the college. Director Meredith Lawrence stated that she did not obtain the appropriate authorization for placement paperwork for all of the California State University, Stanislaus Child Development Program Internship students that were placed at her Child Care Center. 8 Deficiency cleared.

Employees or volunteers at day care center; immunization requirements; records; exemptions (a) (1) ... a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. This requirement was not met as evidence by: 1 Students participating in the Child Development internship program have been reassigned for the semester. Should Director Meredith Lawrence continue with the California State University, Stanislaus Internship program, she will obtain and maintain immunization records on file. Director Meredith Lawrence stated that she did not obtain the appropriate immunization paperwork for all of the California State University, Stanislaus Child Development Program Internship students that were placed at her Child Care Center. Staff immunization records are on file. 8 Deficiency cleared

Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidence by: Director Meredith Lawrence will provide training/meeting regarding personal right, positive and consious discipline practices. Director will provide ongoing training to staff. Director will provide a copy of staff meeting agenda and sign-in sheet by

Discipline (a)Any form of discipline or punishment that violates a child's personal rights as specified in Section 101223 shall not be permitted regardless of authorized representative consent or authorization. This requirement was not met as evidence by: 1 Director Meredith Lawrence will provide training/meeting regarding personal right, positive and consious discipline practices. Director will provide ongoing training to staff. Director will provide a copy of staff meeting agenda and sign-in sheet by

Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision ... (1) No child(ren) shall be left without the supervision of a teacher at any time, ... Supervision shall include visual observation. This requirement was not met as evidence by: Director Meredith Lawrence will provide a training/meeting regarding Title 22 Care and Supervision Regulations. Director will provide ongoing training to staff. Director will provide a copy of staff meeting agenda and sign-in sheet by

information obtained during the investigation. 1 Director is to watch the video Teacher to Child Ratios in Child Care Center video at childcarevideos.ccld.org and write a statement that includes what she learned from the video and what is her plan is to ensure compliance with required Teacher to Child ratios going forward. Director stated to LPA that she has been utilizing Teacher’s Assistants who are not teacher qualified to provide care and supervision to children during outdoor play without a qualified Teacher present. This is an immediate risk to the health, safety or personal rights of children in care. 8 Plan to be submitted to Community Care Licensing by 2/10/23.

Staff handled day care child in rough manner

Licensee allowed uncleared staff to work in the facility

Licensee does not ensure staff’s immunization records are up to date

Staff do not provide supervision to day care children in the bathroom

Staff inappropriately disciplines day care children

Tecaher-child ratios are not being met