Tots of Love - Citrus Heights · Infant Center, Citrus Heights

Based on observation, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care.LPA observed an infant in a crib with a blacket covering them.

There shall be a ratio of one teacher for every four infants in attendance. This was not evidenced by: Admission of acting director stating they were left alone with six (6) infants for 20-25 minutes. 1 Acting Director will submit a signed letter to LPA which explains that infant ratio is understood and how the facility will remain in compliance with infant ratios.

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: 1 Acting director will not remain in the facility until the livescan has been completed and a criminal record clearance is granted. In the interim the program director will step into place. Obtain a California clearance or a criminal record exemption as required by the Department. This was not evidenced by: LPA finding that acting director did not have livescan prints completed and cleared before working in the facility

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 Facility will submit the director's package to LPA directly (via e-mail). This was not evidenced by: Based on communication and observation, LPA found that the facility did not notify licensing within 10-days of the change in directors. 8

Based on review of clearances, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care.

infants & preschool children in the butterflies & caterpillar room with a divider that is not 4 feet high all across which posses a potential risk to the health & safety of children in care.

they will do wellness checks prior to arrival and throughout the day as well as check the infants during nap time. A child got a mark on the face which looks like a bite mark after waking up from nap time. Staff confirmed child did not have the mark on the face prior to nap time and also documented the incident on the communication application. This poses an immediate danger to children in care if not corrected.

Based on record review, that the head teacher did not provide written proof of the last fire drill conducted which poses 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 that multiple sites managed by the licensee share the same director which poses 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 that a majority of infant files were either missing the needs and services forms or the forms were outdated. This poses 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 staff could not provide 15 minute checks used on the procare app for infants that nap. This poseses a potential health, safety or personal rights risk to persons in care.

Based on observation, staff failed to label a majority of the bottles with name and date. LPAs observed some with name. This poses a potential health, safety or personal rights risk to persons in care.

Ratio- Daycare is out of ratio

Day-care child sustained an injury while in care