Rainbow Day Care

Based on observation, interview, record review, the licensee did not comply with the section cited above by having a child's expired Epi pen from April 2021 and liquid benadryl from January 2021, which posed a potential health, safety or personal rights risk to the person in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in that 4 out of 4 children's records did not have the LIC9224 signed by parents in file, which posed a potential health, safety or personal rights risk to persons in care.

Based on interviews with staff and record review of an unusual incident report 1 S2's employment was terminated on 11/22/2023. submitted, the facility did not comply with section above by staff leaving the classroom with 7 children unattended for approximately 5-7 minutes. This is an immediate risk to the health and safety of children in care.

Based on interviews with staff and record review of an unusual incident report 1 Facility will talk to staff about the importance of doing counts making sure that the name to face is being completed every time. Board will do practice fire drills to ensure that everyone is familiar with the practice. Facility will send an outline of a staff meeting that will occur with the Board, by the POC date. submitted, the facility did not comply with section above by S1 and Director failing to ensure that all children were accounted for during an evacuation. This resulted in a child being left in a classroom without supervision for approximately 5-7 minutes. This is an immediate risk to the health and safety of children in care.

The toddler program shall be conducted in areas physically separate from those used by older or younger children... This requirement was not met by envidence by 1 Director will create a training and have staff sign it. Director will email LPA the training and staff signatures. Based on the interviews, LPAs learned the Preschool Program was combined with the Toddler Program for a total of 13 children together with one staff member for approximately 5 minutes. This is considered a potential health, safety, or personal rights risk to children in care. 8

The department received documentation of name to face sheets to aide in ratio/supervision tracking. LPA Guerra will also follow up with email containing supervision training video. Director or representative will provide evidence of training completion for all staff by

The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s). 1 LPA provided a checklist of required documents for a facility Director. The packet for the qualified individual must be submitted by POC date of 06/09/23. This requirement is not met as evidenced. Currently there is no qualified Director to oversee the program. Based on the interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. 8

All toilets, hand washing and bathing facilities shall be maintained in safe and sanitary operating condition. This requirement is not met as evidenced: One out of three sinks is non-operational and unclean. 1 Facility Representative Garcia stated that they will ensure that the sink is cleaned and water drains properly by POC date of 06/09/23. Based on observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. 8

(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met evidenced by: Staff interviews revealed that Staff #1 and Staff #2 neglected to change children's diapers 1 Director stated that staff #1 and staff #2 are no longer employed here. Director stated personal rights will be reviewed during staff interview. Direct will submit proof to LPA Tillery. in a timely manner, resulting in serious diaper rashes. Interviews also revealed that staff #1 and staff #2 allowed the children to sleep in wet clothing, after outdoor water play. Interview revealed that staff placed a childs wet clothing in the trash instead of with the child's belongings. 8

(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. 1 Director stated that staff #1 and staff #2 are no longer employed here. Director stated that supervision will be reviewed during staff interview. Director will submit proof to LPA Tillery. This requirement was not met, evidenced by: Staff interviews reveal that Child #1 left the outdoor playarea and was able to exit the facility out of the main entrance before being stopped by Staff #3. Staff interviews revealed on a separate ocassion, Child #2 was forgotten on the outdoor area for approx. 3 min. before teacher returned for Child #2. 8

(a) Personnel records shall be maintained on the licensee, administrator, and each employee, and shall contain specified information. Based on observation and record review, this requirement was not met evidenced by: 1 LPA will return to review files LPA reviewed 5 staff personnel files and all files were observed to be complete. 8