Children's Courtyard, the

CCR 101430(a)(3)(A)(4) · Type B

(A) Staff shall place infants up to 12-months of age on their backs for sleeping. (4) Infants with an Individual Infant Sleeping Plan [LIC 9227 (3/20)] that have Section C of the form completed and signed by an authorized representative shall be placed on their back when first laid down to sleep. In the event the infant changes position, the infant may remain in the alternative position. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in four out of four persons which poses a potential health, safety or personal rights risk to persons in care. Four infants under 12 months did not have LIC 9227 on file.

CCR 101419.2(a) · Type B

(a) Prior to the infant's first day at the center, the infant care center director or assistant director shall complete a needs and services plan for the infant. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in 4 out of 6 persons which poses a potential health, safety or personal rights risk to persons in care. There were four infants who did not have needs and service on file.

CCR 101419.3(a) · Type B

(a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in 2 out of 6 persons, which poses a potential health, safety or personal rights risk to persons in care.

CCR 101427(j) · Type B

(j) Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. LPA observed that there were bottles and containers that did not have the infant's name and current date.

101700.3(b)(1) · Type A

Lead Testing Written Directives. A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evident by: The water fountain located to the right of the staff break room had a result of 17.3 ppb, which poses an immediate health and safety risk to children in care.

ALLEGATION(S): Facility staff is not meeting child's need INVESTIGATION FINDINGS: Licensing Program Analyst (LPA) S.Y. conducted an unannounced subsequent complaint inspection for the above allegation. LPA met with Director A.C. and explained the reason for the inspection. Present during today's inspection were 13 children and at least 5 staff. During today's inspection, LPA conducted interview with staff, observation, and reviewed the MyPath app for staff. During the course of this investigation, LPA also conducted interviews with parents and staff and reviewed documents, such as Managing Challenging Behavior and employee handbook. Based on the information obtained, the above allegation is found to be UNSUBSTANTIATED, meaning although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. No deficiencies were cited as a result of this inspection. Exit interview conducted and report was reviewed with the Director, A.C. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Unsubstantiated Estimated Days of Completion: