Tiny Tots Preschool and Childcare Center · Infant Center, Gilroy

Director agreed to submit a statement how boppy pillows will be used according to the manufacturing label to CCLD by

Director understand that all infants must sleep in cribs if the child is unable to climb out of the crib and will submit a self-certification on section 101439.1(b) to CCLD by

Based on observation, LPAs observed that there were bottles and two bags of breastmilk that were not labeled with the child's name and date, which poses a potential health and safety risk to children in care. 8 child's name and date to Licensing. Bottles were labeled with the child's name during today's inspection.

Based on observation, LPAs observed that there was infant in the crib that had a nursing pillow inside, which poses a potential health and safety risk to children in care. 8 Director will send proof of training to Licensing. Pillows were removed from the crib during today's inspection.

There shall be a ratio of one teacher for every four infants in attendance. An aide may be substituted for a teacher when all of the following conditions are met... This requirement is not met as evident by: 1 By POC 02/03/2023, Director will submit staff schedule for the infant class to show that facility is within ratio at all times; along with transcript/proof of enrollment for those staff. Based on record reviews, S-1 and S-2 have not completed any postsecondary semester units, therefore do not qualify as an aide. Present during today's inspection were 10 infants with three staff, which poses an immediate health and safety risk to children in care. 8

The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. This requirement is not met as evident by: 1 By 12/27/2022, Director will submit a plan outlining how the center will ensure that authorized representatives are notified of any communicable Based on interviews, there were at least two cases of head, foot, mouth, which were not reported to authorized representatives. This poses a potential health and safety risk to children in care. 8 disease outbreaks.

Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged. This requirement is not met as evident by: 1 By 12/27/2022, Director stated that she will send proof that sheets on mattress are tight-fitted. Based on observation, LPA observed that one of the crib, which was occupied by an infant had a sheet that was not tight-fitted and was coming off. This poses a potential health and safety risk to children in care. 8

If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible. This requirement is not met as evident by: 1 By POC 12/27/2022, Director will submit written plan on how she will ensure that all infant are transferred to crib Based on observation, LPA observed that an infant was asleep in the swing, which poses a potential health and safety risk to children in care. 8 when they fall asleep and conduct training with staff on safe sleep. Infant was transferred to crib during inspection.

Staff-Infant Ratio. There shall be a ratio of one teacher for every four infants in attendance. This requirement is not met as evident by: 1 By POC 11/04/2022, Director will submit plan outlining on how she will ensure they are within ratio at all time, what they will do if a child is being Based on observation, LPA observed that Director and one staff was in the infant room with seven infants. At 10:39AM, Director goes to the front door leaving staff alone with seven infants, which poses an immediate health and safety risk to children in care. 8 dropped off. Director will also send staff schedule to Licensing.

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 is not met as evident by: 1 By POC 11/04/2022, Director will submit plan outlining how they will ensure children are not commingling and that children are in spaces that are licensed. Based on record reviews, there were two infants in Room 5, which is licensed under the preschool license. This poses an immediate health and safety risk to children in care. 8

Infant Care Center Sleeping Equipment. Each crib, mat or cot shall be occupied by only one infant at a time. This requirement is not met as evident by: 1 Staff removed one of the infant from the crib. By POC 11/11/2022, Director will conduct training with staff Based on observation, LPA observed that there were two infants in one crib, which poses a potential health and safety risk to children in care. 8 on safe sleep and submit list of staff who attended training.

Infant Care Activities. If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible. This requirement is not as evident by: 1 By POC 11/11/2022, Director will conduct training with staff on safe sleep and list of staff who attended training. Based on observation, LPA observed that there were two infants who were asleep in the swing, which poses a potential health and safety risk to children in care. 8

Cribs shall be free from all loose articles and objects, including blankets and pillows. This requirement is not met as evident by: 1 Director removed blanket and placed infant in the crib. By POC 11/11/2022, Director will conduct training Based on observation, LPA observed that a child was asleep on the swing and had a blanket on top of them, which poses a potential health and safety risk to children in care. 8 with staff on safe sleep and submit list of staff who attend training.

All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:Request a transfer of a criminal record clearance as specified in Section 101170(f)... This requirement is not met as evident by: Deficiency corrected during inspection. Director transferred fingerprints. Based on record review, S-1 has fingerprint clearance and is associated to the preschool license #434415380, but not the infant license. This poses a potential health and safety risk to children in care. 8

Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: 1. Date. 2.Infant’s name. 3. Time of each 15-minute check.4. Initials of staff person who conducted each check. This requirement is not met as evident by: 1 By POC 08/11/2022, Director stated that she will have staff document that they are checking children every 15 minutes. Director will send sleep log to Licensing for 08/04/2022 to 08/10/2022. Based on record reviews, the last documentation that children were checked every 15 minutes was on 03/17/2022, which poses a potential health and safety risk to children in care. 8

To be a fully qualified infant care teacher, a teacher shall have the following: Completion, with passing grades, of 12 postsecondary semester or equivalent quarter units in early childhood or child development education at an accredited or approved college or university. At least three of the units required in (c)(1) above shall be related to the care of infants or shall contain instruction specific to infants. This requirement was not met as evident by: 1 By POC 04/04/2022, Director stated she will submit a written plan on how the facility will obtain fully qualified staff within 30 days of today's inspection. Director stated that she Based on record reviews, LPA reviewed three staff transcripts. All transcripts were from Child Care Education Institute. All staff did not any semester units. This poses an immediate risk to the health and safety to the children in care. 8 will be on-site during operational hours effective immediate.

Indoor activity space for infants shall be physically separate from space used by children in the child care center and school-age child care center components. This requirement was not met as evident by: 1 By POC 04/04/2022, Director stated that she will submit a written plan on how she will ensure that infant and preschool program do not commingle. Based on interview, 5 out 9 people interviewed stated that the infant and preschool children do commingle. This poses a immediate risk to the health and safety to the children in care. 8

Staff-Infant Ratio: There shall be one teacher to every 12 sleeping infants provided the remaining staff necessary to meet the ratios specified in (b) above are immediately available at the center. This requirement was not met evident by: 1 By POC 04/04/2022, Director stated that she will submit a staff schedule to Licensing with their work hours to ensure that facility is able to maintain ratio at all times. Based on observation, LPA observed that there was one staff with 7 infants, whom two were awake. This poses an immediate risk to the health and safety to the children in care. 8

The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. In the case of less serious injuries including, but not limited to, minor cuts, scratches and bites from other children requiring assessment and/or administration of first aid by staff, the licensee shall document the injury in the child's record and notify the child's authorized representative of the nature of the injury when the child is picked up from the center. This requirement was not met as evident by: By POC 04/04/2022, Director will send employee handbook to Licensing and statement that she understands that any injury needs to be documented and notify child’s authorized representative. Based on interviews, 4 out 9 people interviewed stated that authorized representatives are notified of any injuries. This poses a potential risk to the health and safety to the children in care. 8

Reporting Requirements. 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 or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. Events reported shall include the following: Epidemic outbreaks. This requirement was not met as evident by: 1 By POC 04/04/2022, Director stated that she will read the Reporting Requirement regulation and send a statement that she understands the regulation. Director will also send sick policy to Licensing. Based on interviews, 5 out of the 9 people interviewed stated that there were cases of head, foot, mouth. Only 1 of the 5 cases were reporting to Licensing. This poses a potential risk to the health and safety to the children in care. 8

Infant Care Center Sleeping Equipment. Cribs shall be free from all loose articles and objects, including blankets and pillows. This requirement was not met as evident by: By POC 04/04/2022, Director stated that she will read the infant sleeping regulations and send a sign statement that she understands the regulations. Based on observation, LPA observed that there were 5 infants asleep, whom three had blankets on them. This poses a potential risk to the health and safety to the children in care. 8

Infant Care Activities: If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible. This requirement was not met as evident by: 1 By POC 04/04/2022, Director will conduct training with staff on safe sleep. Director will send training notes and the list of the staff who attending training. Based on observation, LPA observed that there were four infants in the swing, whom 3 were asleep. Director transferred infants to the crib during today's inspection. This poses a potential risk to the health and safety to the children in care. 8

Bottles brought by child's parent are not labeled with child's name and current date

Facility failed to notify authorized representatives of communicable diseases

Facility is operating out of ratio.

Facility is commingling children

Facility not reporting an outbreak of hand foot & mouth disease to licensing.

Unqualified staff providing care to day care children

Facility is comingling day care children

Staff did not notified day care child's authorized representative of incidents