Agnes Memorial

CCR 101220.1(a) · Type B

(a) Prior to admission to a child care center, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, commencing with Section 6000. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as 7 of 10 children's files reviewed did not have immunization records which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR101221(b)(8)(C) · Type B

(C) A signed consent form for emergency medical treatment unless the child's authorized representative has signed the statement specified in Section 101220(f). This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as 2 of 10 children's files reviewed did not have a consent for emergency medical treatment form which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101216(g)(1) · Type B

(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as two staff did not have a health screening on file which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR101220(a) · Type B

(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in which 8 of 10 children did not have physician's reports on file which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101216.2(e) · Type B

101216/2(e) Teacher Aide Qualifications and Duties In addition to Section 101216, the following shall apply: ....(e)An aide shall work only under the direct supervision of a teacher. This requirement has not been met as evidenced by: Upon LPA's arrival and entering the facility, LPA's observed two (2)... .. assistant supervising four (4) preschool aged children without a qualifying teacher present which poses an potential risk to the health, safety or personal rights of children in care.

CCR 101216(g)(1) · Type B

(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as one staff did not have a health screening on file which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101220(a) · Type B

(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in which 5 of 5 children did not have physician's reportss on file which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101220.1(a) · Type B

(a) Prior to admission to a child care center, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, commencing with Section 6000. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as 4 of 5 children's files reviewed did not have immunization records which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101221(b)(8)(C) · Type B

(C) A signed consent form for emergency medical treatment unless the child's authorized representative has signed the statement specified in Section 101220(f). This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as 4 of 5 children's files reviewed did not have a consent for emergency medical treatment form which poses/posed a potential health, safety or personal rights risk to persons in care.

ALLEGATION(S): Facility has mold. INVESTIGATION FINDINGS: LPAs J.V. and D.C. met with Center Director S.P. for a complaint investigation regarding the above allegation. Present were 4 staff and 13 preschool children in care. It was alleged that the facility has mold. During the course of the investigation, interviews and observations were conducted and pertinent records reviewed. LPAs did not observe signs of mold nor detect any mildew odor. Per center Director the facility had the carpet tested for mold on 2/24/24 where no mold was detected. Additionally, the facility had an environmental investigation conducted on 7/25/24 which concluded that there was no evidence of immediate health risks to current occupants. Although third party testing conducted did not confirm signs of mold in the classroom, another party reported concerns regarding mold in the facility. Based on the investigative findings, there was no evidence to determine whether or not facility has mold. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is unsubstantiated. Notice of Site Visit provided must remain posted for 30 days. Unsubstantiated Estimated Days of Completion:

CCR 101238(a) · Type B

(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.This requirement was not met as evidenced by: LPA's observed missing glass tiles on the classroom ceiling, large stains on classroom rugs, broken handle, chipped paint and spider webs on the outdoor play structure and feces camouflaged by the large wood chips. Exposed tarp under the chips poses tripping hazard. This is a potential risk to the health and safety of children in care.

ALLEGATION(S): Staff did not accord child dignity in their relationship with staff or other persons. INVESTIGATION FINDINGS: Licensing Program Analysts (LPA's) M.M. and D.C. conducted an unannounced complaint inspection to investigate the above allegation. LPA's met with the Director S.P. Present at the facility during the investigation were 4 fingerprint cleared staff, and 13 preschool children in care. During the course of the investigation, interviews and observations were conducted. It was alleged that staff did not accord child dignity in their relationship with staff or other persons. Based on the investigative findings, there was no evidence to determine whether or not the allegation happened. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is unsubstantiated at this time. Exit interview conducted and report reviewed with Director S.P. Notice of Site provided must remain posted for 30 days. Unsubstantiated Estimated Days of Completion:

CCR 101212(a)(d)(1)(B) · Type B

Each licensee... shall furnish to the Department reports as required by the Department including...: Upon the occurrence, during the operation of the child care center of any of the events specified in... 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... below shall be submitted to the Department within seven days following the occurrence of such event. Events reported shall include the following: Any injury to any child that requires medical treatment This requirement was not met as evidenced by: Facility failed to report to licensing an injury regarding day care child sustaining a fracture. This poses a potential risk to the health and safety of persons in care.

HSC 101216.3(a) · Type A

101216.3 teacher-child Ratio (a)There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement was not met as evidenced by: This requirement was not met as evidenced by: On at least one occasion facility was out of ratio when Director, who is the only staff with teacher qualifications assists a child to the restroom.

CCR 101216.1(b)(1) · Type A

101216.1 Teacher Qualifications and Duties (b) Prior to employment, a teacher shall meet the requirements of (b)(1) or (b)(2) below: (1) A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1) below, or shall have obtained a Child Development Assistance Permit issued by the California Commission on Teacher C. This requirement was not met as evidenced by: Per interviews and record review, with the exception of Director none of the staff present meet the teacher qualification requirements which poses an immediate risk to the health and safety of children in care.

CCR 101216(i)(1)(2)(3) · Type A

101216(i)(1)(2)(3) Prior to employment or initial presence in the child care center, all employees and volunteers subject to a criminal record review shall: (1)Obtain a California clearance or a criminal record exemption as required by law or Department regulations or (2)Request a transfer of a criminal record clearance as specified in Section... (3)Request and be approved for a transfer of a criminal record exemption, as specified in Section 101170.1(r)... This requirement was not met as evidenced by: One staff assisting with day care children was not associated to facility or have current clearance this poses an immediate health and safety risk to persons in care.

CCR101221(a)(b)(5) · Type B

Childs Records. The licensee shall maintain, in each child’s record, a copy of the emergency information card required in Section 101221(a)(b)(5)... This requirement was not met as evidenced by record review: licensee did not have an emergency information card for 7 out of 14 children. This poses a potential Health and Safety Risk to children in care.

ALLEGATION(S): Staff denied child's authorized represenatative entry into the facility Staff are not following proper sign in/out procedures. INVESTIGATION FINDINGS: LPA D.C. met with Center Director S.P. for a complaint investigation regarding the above allegation. Present were 2 staff and 10 preschool children in care. It was alleged that staff denied child's authorized representative entry into the facility. During the course of the investigation, interviews were conducted. Per interviews conducted an incident occurred when a woman attempted to pick up a child from the center who was not listed as the child's authorized representative. Interviews also revealed that the adult woman was behaving beligerant and aggressive with staff. A review of records revealed that some children enrolled were missing the emergency information cards which contains the list of authorized represantatives. Based on the investigative findings, LPA was unable to determine whether or not staff denied child's authorized representative entry into the facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is unsubstantiated. A Notice of Site Visit was provided and must remain mposted for 30 days. Unsubstantiated Estimated Days of Completion: LPA D.C. met with Center Director S.P. for a complaint investigation regarding the above allegation. Present were 2 staff and 10 preschool children in care. It was alleged that staff are not following proper sign in/out procedures. During the course of the investigation, interviews were conducted and records reviewed. Interviews revealed that most children are signed in/out by the staff that conducts the pick up/drop off of children in care. Per record review on 9/26/2023 a copy of sign in out log was made available to LPA, but no other logs were available for previous months. Based on the investigative findings, there was no evidence to determine whether or not staff are not following proper sign in/out procedures. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is unsubstantiated. A Notice of Site Visit was provided and must remain posted for 30 days. Unsubstantiated Estimated Days of Completion:

CCR 101216.3(a) · Type A

(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement is not met as evidenced by: Based on observation and record review, the facility did not comply with the section cited above in that 1 teacher and 2 teacher aids were supervising a total of 21 preschool children which poses an immediate health, safety or personal rights risk to persons in care.

CCR 101174(a) · Type B

(a) Each licensee shall have a disaster and mass casualty plan of action. The plan shall be in writing and shall be readily available. This requirement is not met as evidenced by: Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in that a Disaster and Mass Casualty Plan could not be made available during today's inspection which poses a potential health, safety or personal rights risk to persons in care.

CCR 101238.2(d) · Type B

(d) The surface of the outdoor activity space shall be maintained: This requirement is not met as evidenced by: Based on [(observation) (interview), the licensee did not comply with the section cited above in that outdoor play area is not maintained LPA observed tears in the fence and missing parts to the play structure which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101229.1(a)(1) · Type B

(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. This requirement is not met as evidenced by: Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in that sign in/out sheets were not made available which poses a potential health, safety or personal rights risk to persons in care.

CCR 101227(a)(19) · Type B

(19) All food shall be protected against contamination. Contaminated food shall be discarded immediately. This requirement is not met as evidenced by: Based on [(observation), the licensee did not comply with the section cited above in LPA observed mold spots on a package of flour stored in the refrigerator which poses/posed a potential health, safety or personal rights risk to persons in care.