St Johns Child Study Center

(c) The infant shall be fed in accordance with the individual plan. Director confirmed that all staff has been retrained around feeding procedures, including new steps added. Director agrees to submit via email a statement of discussion points on new procedures by 4/28/2026. This requirement was not met as evidence by Staff 1 admitting to feeding C2 the wrong bottle on 4/15/2026. 8

(c) The infant shall be fed in accordance with the individual plan. Director confirmed that all staff has been retrained around feeding procedures. Director provided LPA a copy of what steps have been taken to ensure the incident is not repeated. This requirement was not met as evidence by Staff 1 admitting to feeding C1 the wrong bottle on 8/25/2025. Director agrees to submit via email a statement of discussion points that were covered including who received training by 9/17/2025.

Responsibility for Providing Care and Supervision for Infants (a) In addition to Section 101229, the following shall apply: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. 1 Director met with staff to discuss incident and retrained staff on utilizing the Teacher Child Ratio Log that all teachers utilize. Facility will also implement different check point where staff confirms children in attendance. This requirement is not met as evidence by, per LPA Laureano's investigative interviews, facility left a child unattended for approximately 5-7 minutes in the infant yard near the house area, without visual supervision on an undisclosed day in July of 2024, which poses an immediate health and safety risks to persons in care. 8 Director agrees to train staff on visional and auditory supervision during the use of the preschool yard going over potential scenarios and will submit meeting points to LPA via email.

Lack of Supervision: Facility staff left day care child unattended