Town and Country Preschool · Infant Center, Sacramento

Based on observation the facility did not comply with the above regulation as there was one teacher supervising five infants which poses Health, Safety, or Personal Rights risk to persons in care.

The facility will provide LPA with a service request form for pest control. Additionally, the facility will provide LPA with a plan of action for live insects whenever observed on the premesis. These requirements will met by the

Facility will provide LPA with a service receipt for floor cleaning by the

2 To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced: Child #1 sustained a lip injury while in care. 1 Facility owner and Facility Representative will come up with a plan of correction and conduct training with staff to ensure quality care is provided. POC is due 02/28/22 During the investigation LPA has also learned that other children's shoes or jackets are often placed on children although they are labeled and staff allow children to watch videos on their personal phones. 8

Any unusual behavior, any injury or signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and 1 Facility owner and Facility Representative will conduct training with staff. Proof of training agenda will be submitted to CCL by POC date of 03/24/2022 with all staff signatures. recorded in the child's record. This requirement is not met as evidenced: An authorized representative was not informed when their child sustained a lip injury at the facility. This is a potential risk to the health and safety of children in care. 8

Owner Bhatti stated that a drill was conducted, however she was unable to provide proof 1 Mrs. Bhatti will send proof of correction by POC date of 03/04/2022. of record. This is an immidiate risk to the health and safety of children in care.

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the 1 Mrs. Bhatti will ensure to submit proof of traning for Facility Representative by 03/04/2022. mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. Facility Representative did not have proof of completed training. 8

The owner has additional 30 days to come into compliance with record keeping. LPA will return to clear the citation. LPA reviewed three children's records and none of the records had documents previously requested.

Based on interview with Facility Representative, the licensee did not comply with the section cited above 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 which poses a potential health, safety or personal rights risk to persons in care.Facility Representative's certificate expired 02/26/2020.

Based on record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Three files reviewed did not have an immunziation record.

Staff did not ensure the day care was free from insects

Day care is out of ratio

Infant sustained injury while in care

Facility staff failed to report incident to authorized representative