Thomsen Learning Center

Based on observations, stair case between room 1A and !B were not barricaded which posed/poses a potential health, safety or personal rights risk to persons in care.

Based on records reveiw and interview, staff S2 has 6 ECE units, but was missing verification for current ECE staff stated they were enrolled which posed/poses a potential health, safety or personal rights risk to persons in care.

Based on records review, staff S2 and S3 were missing part or all proof of immunizations which poses a potential health and safety risk to children in care.

All personnel... good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician Director stated she will submit proof of missing required document or provide proof of medical appointment by POC date. Based on records review, staff proof of negative TB screening and/or health screening (LIC 503) 8

Based on records review, facility did not have proof of immunizations on file for Staff S1 - S3, which poses a potential hazard to the health and safety of children in care.

Based on observation, half filled syringe with pink antibiotics in a clear zip lock bag was observed in a small refrigerator in preschool room 1B. Director identified the antibiotics is for child C4 then quickly took it away and said she will place in the "staff refrigerator" which poses an immediate health, safety or personal rights risk to persons in care.

Based on records review and observation, staff S3 was alone in classroom 1A (2's) with 12 children but only has proof of 9 ECE units completedd (12 required) which poses an immediate health, safety or personal rights risk to persons in care.

Based on records review, facility did not complete testing prior to their deadline in accordance to the Written Directives as facility was licensed on 7/16/22 and due to test by 1/16/23 which poses a potential health, safety or personal rights risk to persons in care.

Based on records review, 4 out of 5 staff records were missing current Mandated Reporter Certificate which poses a potential health, safety or personal rights risk to persons in care.

Based on records reviewed, 5 out of 5 staff files were missing immunizations (Tdap, MMR) proofs which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interview with staff Nicolle Daniels, she initially stated she is no longer the Director due to legal before stating that she was still Director, of the facility but that new teacher wasn't slated to start until Monday. She was observed as the fully qualified teacher in room 1B supervising 2 aides and 17 children then around 12:30pm entered infant room when that qualified teacher exited. There was no Director in place during the visit which poses a potential health, safety or personal rights risk to persons in care.

Based on records review, child C4 was missing medical release for their antibiotics at the facility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, there were 9 children in the toddler room with one staff. This poses a potential health and safety risk to the persons in care.

Based on observation there were 28 children in room 1A with 2 staff. This poses an immediate health and safety risk to children in care.

101161(a) Limitations on Capacity - A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not meet by: 1 Director stated, School age children will go in the private school upstairs. Based on observation the unlicensed school age children were combined with the preschool classroom. Preschool Facility is licensed for children ages 2 to kindergarten age ONLY. Licensee stated there were children ages 4 – 8 in the classroom upon LPM and LPA arrival. This is an immediate risk to the health and safety of children in care. 8

Based on interview, Director stated LIC 9224 or verification of receipt of type A citation reports and the 11/16/22 Non-Compliance Conference were missing from all children’s files.

Based on interviews and records review, parents of child C1 were not informed of the need for medical emergency until 4 hours later and emergency medical treatment for C1 was never obtained by the facility. Only after a family member took C1 to a medical office, over 7 hours after the injury, was medical treatment obtained. This poses an immediate health and safety risk to children in care.

Based on interviews, children were exposed to yelling and intimidation tactics from facility management toward a staff member, violating children’s right for an environment free of intimidation and mental abuse. This poses an immediate health and safety risk to children in care.

Based on interviews, Licensee Pamela Thomsen grabbed and moved C1s injury in a manner that could have exasperated the injury and/or inflict additional pain to the child in attempts to prove the child is not injured. This poses an immediate health and safety risk to children in care.

101223 Personal Rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. 1 Director stated, all chidlren nap on cots now and expressed that the children sleeping without cots or mats was due to a former staff making the decision. Based on interviews, although the facility has enough napping cots/sleeping mats for all enrolled children, the facility has not made them available for use at all napping periods. On multiple occasions children have been placed on the carpet and hard floor to sleep without cots, floor mats, and sheets. 8

Director will review video “Teacher-to-Child Ratios in CCC” at https://ccld.childcarevideos.org/child-care-center-operators/ CCLD website and provide the department a statement how they will meet ratio in the todder room by 10/25/22. Based observation during inspection, room 1D, designated for the toddlers component had 11 children being supervised by one teacher. Staff Laura Digiacinto in the toddler's classroom stated there was no other staff in the class with her. This poses an immediate health and safety risk to children in care.

Based on records review C1 was injured on 9/29/22 and was known by Director to required medical attention on the same day, but a call was not made to the department within 24 hours. This poses a potential health and safety risk to children in care.

1596.955(a)(3) A ratio of six children to each teacher is maintained for all children in attendance at the toddler program. An aide who is participating in on-the-job training may be substituted for a teacher when directly supervised by a fully qualified teacher 1 Director stated she will review with the staff reporting regulations video “Teacher-to-Child Ratios in CCC” at https://ccld.childcarevideos.org/child-care-center-operators/ CCLD website and provide the department a copy of the training agenda and staff member sign in sheet of participation by 11/12/22. Based on reports and observation during inspection, room 1D, designated for the toddlers component had ll children being supervised by one teacher. This poses a potential health and safety risk to children in care. 8

Based on file review, the facility did not have LIC 503 with TB screening, Immunization records, and current Mandated Reporter certificate for Taylor Butler and Vanessa Cervantes, which poses a potential health and safety risk to children in care.

101216.1(b)(1)Teacher Qualifications and Duties - A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement...or shall have obtained a Child Development Assistance Permit issued by the California Commission on Teacher Credentialing. This requirement was not met by: 1 Director stated, a fully qualified teacher has been hired, fingerprints are cleared, and will be starting on 8/18/22. Based on interview, observation, and records review, classroom 1D (2's) had an aide and volunteer caring for 7 children but not a qualified teacher. Therefor the classroom is out of ratio. This is a potential risk to the health and safety of children in care. 8

Facility staff did not seek day care child timely medical attention for an injury.

Facility staff member spoke inappropriately in front of day care children.

Staff member handled injured day care child in a rough manner.

Facility did not follow reporting requirements

Facility was out of ratio

Classroom operating out of ratio