Napa Valley Montessori Learning Center - P/S

CCR 101226(e)(1)(B) · Type B

(e) In centers where the licensee chooses to handle medications: (1) All prescription and nonprescription medications shall be centrally stored in accordance with the requirements specified below: (B) Each container shall have an unaltered label. This requirement is not met as evidenced by: Based on LPA observation, the licensee did not comply with the section cited above in 1 of 3 children's (C4) medication storage. C4s medication does not have a container with an unaltered label which poses a potential health, safety or personal rights risk to persons in care.

CCR 101226(e)(5) · Type B

(5) The licensee shall develop and implement a written plan to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given. This requirement is not met as evidenced by: Based on LPA observation and child file review, the licensee did not comply with the section cited above in one out of three children's medication services, in that there is not an IMS Plan for C7 on file. This posed a potential health, safety or personal rights risk to persons in care.

CCR 101226(e)(3)(B) · Type B

(3) Prescription medications may be administered if all of the following conditions are met: (B) For each prescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child. This requirement is not met as evidenced by: Based on observation, interview and record review the licensee did not comply with the section cited above in which 3 childrens records (C1 - C3) did not have written approval or instructions from the child's authorized representative on when and how to administer medications which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101229(a)(1) · Type A

(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time …Supervision shall include visual observation. This requirement is not met as evidenced by: Based on interviews the licensee failed to ensure staff were providing visual supervision of the children resulting in a child's injury. This poses an immediate Health, Safety or Personal Rights risk to the children in care.

Request Denied

CCR 101216.3(b) · Type B

The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance. This requirement was not met as evidenced by: Based on LPA's observation of S1 & S2 left alone to supervise 21 children at 9:27am. This poses/posed a potential health, safety and/or personal rights risk to the children in care.

CCR101162(a)(1) · Type B

Licensees shall reveal each child care center license number in all advertisements in accordance with Health and Safety Code Section 1596.861. This requirement is not met as evidenced by: Based on LPA's observation of several brochures and business card the facility used to advertise with the intent of attracting client(s), however; the brochures and cards did not contain the facility number. This poses a potential health, safety and/or personal rights risk to the children in care.

CCR 101170(e)(1) · Type A

101170(e) 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) Obtain a California clearance or a criminal record exemption as required by the Department This requirement is not met as evidenced by: Based on record review and interviews conducted A1was working in the facility without a clearance from 02/01/2024-02/07/2024. This poses a immediate health and safety risk to children in care.

HSC 1596.8595(c)(1) · Type B

1596.8595(c)(1) A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation... This requirement has not been met as evidenced by: Based on record review children’s files, both current and newly enrolled, did not contain a signed form LIC9224 which is required after receiving a Type A citation, dated 10/04/2024.

HSC101215.1(b) · Type B

101215.1(b) All child care centers shall have a director. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above as they have been operating without a Director which poses a potential health, safety or personal rights risk to persons in care.

CCR 101170(e)(1) · Type A

101170(e) 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) Obtain a California clearance or a criminal record exemption as required by the Department This requirement is not met as evidenced by: Based on interviews conducted D2 was previously uncleared to be in the facility alone while supervising children from 07/05/2022 through 06/06/2023. . This poses a immediate health and safety risk to children in care.

Request Denied

CCR 101216.1(j) · Type B

101216.1 (j) Each teacher shall visually observe aides under his/her supervision whenever the aide is working with children, except as provided for in Sections 101216.2(e)(1) and 101230(c)(1). This requirement is not met as evidenced by: Based on interviews conducted it was corrobored that an aide (S2) was left alone and was providing care and supervision to children. This poses a potential health and safety risk to children in care.

CCR 101212(d) · Type B

101212(d)… during the operation of the childcare center of any of the events… a report shall be made to the Department by telephone or fax within the next working day and during its normal business hours. In addition, a written report containing the information … shall be submitted to the Department within seven days following the occurrence of such event. This requirement is not met as evidenced by: Based on interviews and facility record review, the center has not notified and submitted any Unusual Incident Report’s to CCL in the past six months when incidents did in fact occur. This poses a potential Health and Safety risk to children in care.

CCR101223(a)(1) · Type B

To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as evidenced by: Based on interviews conducted and observations evidence confirmed D1 and S1 have yelled at day care child(ren) in care on more than one occasion, which poses a potential personal rights risk to the children in care.

ALLEGATION(S): Facility discriminated against daycare child INVESTIGATION FINDINGS: Licensing Program Analyst (LPA), M.M. conducted an unannounced subsequent complaint-Investigation visit and met with Director of Operations, T.P. (D2) to deliver the finding regarding the above allegation. LPA, M. previously met with D1 on 08/02/2023 to open the complaint. A subsequent visit was made on 09/20/23 to further investigate the complaint which alleged the facility discriminated against a daycare child. During the course of the investigation, LPA M. toured the facility, obtained documents, conducted interviews and made observations. From 08/02/23 through 09/08/23, interviews were conducted with D1, D2, three staff (S1-S3), and two adults (A1 & A2), and attempted additional parent and children interviews. D1 and D2 denied the claim that the facility discriminated against a child in care. Additionally, two staff stated there is no discrimination while another staff member claimed there was discrimination against a child by another staff member but there was not evidence to corroborate this statement. Statements provided by A1 and A2 indicated that they had not seen any discrimination against children, but one adult claims staff had discriminated against them and was treated differently. Children interviews did not result in any evidence involving this allegation. Based on the information gathered during this investigation, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred and therefore is determined to be unsubstantiated. There were no Title 22 deficiencies cited. This report was reviewed and discussed with the facility’s Director of Operations, T.P. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit. Unsubstantiated Estimated Days of Completion:

CCR 101238.2(a) · Type B

There shall be at least 75 square feet per child of outdoor activity space based on the total licensed capacity. This requirement is not met as evidence by: Based on LPA's observation of 21 children on the playground this is in viloation of the existing waiver that allows up to 19 children on the playground at any given time. This is a potential health and safety risk to children in care.

CCR 101226.3(b) · Type B

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 recorded in the child's record. This requirement was not met as evidenced by: Based on interviews conducted and record review there was enough evidence to support claims about the facility not reporting all injuries or incidents requiring assessment to the child’s authorized representative. This poses/posed a potential health, safety and/or personal rights risk(s) to children in care.

CCR 101229(a)(1) · Type B

101229(a)...licensee shall provide... supervision...to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except... Supervision shall include visual observation. This requirement is not met as evidenced by: Based on interviews and observations the licensee failed to ensure staff were providing visual supervision of the children which resulted resulting in children’s injuries. This poses an immediate Health, Safety or Personal Rights risk to the children in care.