Sunflower Preschool & After School Center INC.

Based on observation, interview, and record review. The licensee did not comply with the section cited above. Child #4 (C4) does not complete the LIC 627 form, which 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 Child #1 medications in storage was expired 6/2024, which posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in 8 out of 10 staff files reviewed were missing or have expired mandated reporter training, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in four out of ten staff files reviewed were missing proof of immunization, which poses/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 no staff member present possesses have current EMSA approved Pediatric CPR/First Aid certifications, which poses/posed a potential health, safety or personal rights risk to persons in care.

Director will review ADA resources and include information on revised Parent Handbook. Director will also have an all staff training on how to manage difficult behaviors. Director will schedule training with TSP Analyst and submit attendance sheet to LPA via email. Director stating to RP and LPA during interview that subject child did not need a Shadow while in care and would create a new policy that will not allow such services at their campus. This is a potential risk to the health, safety or personal rights to the children in care. 8 Director will email LPA revised Parent Handbook by POC date

101219 Admission Agreements- (f) The licensee shall comply with all terms and conditions set forth in the admission agreement. The director agrees that she will provide the remaining amount of $90.00 to the authorized representative by 12/23/2022. The director also stated that the facility will update their admission agreement to reflect the refund condition upon termination of an admissions agreement. This requirement was not met as evidence by receords reviewed and interview condcuted revealed that the facility did notr provide a full refund payment upon termination of the admissions agreement to the authorized representative. 8

101212 Reporting Requirements: (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone...(1) Events reported ... (C) Any unusual incident The director agrees to immediately report the incidents that led to the termination of the admissions agreement and was provided a copy of this regulation. This requirement was not met as evidence by records reviewed and director stated during interview that this incident was no reported to their local licensing office. According to records the incidents on 12/06/2022, 12/13/2022 and 12/16/2022 were reported to the authorized representative but not CCLD-CCP. 8

Based on interviews with complainant party, staff and images provided C4 sustained red marks on right side cheek and chin by S2 grabbing C4’s chin with S2 hand. This poses an immediate Health and Safety risk to the children in care.

(d)Up... (d)(1)... a report shall be made... by telephone... next working day and during its normal business hours...a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days... This requirement is not met as evidence by: Director wrote up the unusual incident report on 8/23/21 and gave the original report to LPA Odom on day of visit. Based on interview with director, director failed to report incident to licensing office within 24 hours. This poses a potential Health and Safety risk to the children in care. 8

Facility is discriminating against child in care

Admissions agreement