Super Kidz Club

CCR 101415(c) · Type B

(c) At least three of the semester or equivalent quarter units required in Sections 101215.1(h)(1)(B), (h)(2) and (h)(3) shall be related to the care of infants. 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 [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. Upon review of records, there is no qualified infant teacher in the infant room.

CCR 102425(J)(1) · Type B

Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: (1) The provider shall physically check on the infant every 15 minutes. This requirement was not met as evidenced by: 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 [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. Although staff are present in the infant room, they do not physically check infants during nap time

CCR 102425(j)(2)(a)(b) · Type B

Infant Safe Sleep The provider shall supervise infant while they are sleeping and adhere to the following requirements: The provider shall check and document the following: (a) labored breathing (b) signs of distresss which includes but is not limited to flushed skin color, increase in body temperature and restlessness. 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 [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. upon review of records, there are no sleep logs to review

ALLEGATION(S): OTHER OTHER INVESTIGATION FINDINGS: On August 9, 2024, Licensing Program Analyst (LPA) T.A. met with center director N.B. for a 10 day initial visit to discuss the above complaint allegation. Upon arrival, there are 1 infants present along with 1 infant staff. Today an interview was conducted with the director and a facility roster was requested and received. “Due to insufficient information available at this time, the above allegation(s) need(s) further investigation. An exit interview was conducted with center director, N.B. Unsubstantiated Estimated Days of Completion:

HSC 1596.7995(a)(1) · Type B

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. 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 [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. This requirement is not met as evidenced by a review of records which revealed the staff member in the infant room does not have proof of the measles or up to date flu vaccines in file

CCR 101223 · Type B

101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY: INVESTIGATION REVEALED A CHILD WAS TAKEN TO A STAFF MEMBER'S VEHICLE IN THE FACILITY PARKING LOT TO SIT WITH THE STAFF MEMBER TO LET AN UPSET CHILD "CALM DOWN". THIS AREA IS NOT LICENSED AS A DAY CARE AREA.

HSC 1596.7995(a)(1) · Type B

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. 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 [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. THIS REQUIREMENT IS NOT MET AS EVIDENCED BY : A REVIEW OF STAFF RECORDS REVEALED TEACHER BENICIA HOPKINS AND TEACHER AIDE GLORIA SETCHELL DO NOT HAVE IMMUNIZATION RECORDS IN FILE

HSC 1596.8662(c) · Type B

(c) Current proof of completion for each licensed child day care provider or applicant for that license, administrator, and employee of a licensed child day care facility shall be submitted to the department upon inspection of the child day care or upon request by the department. 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 [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. THIS REQUIREMENT IS NOT MET AS EVIDENCED BY: A REVIEW OF STAFF RECORDS REVEALED TEACHER BENICIA HOPKINS AND TEACHER AIDE GLORIA SETCHELL DO NOT HAVE MANDATED REPORTER CERTIFICATES IN FILE

CCR 101170(e)(3) · Type A

101170 Criminal Record Clearance(e) All individuals subject to a criminal record [..]prior to working [..] licensed facility:(3) Request and be approved for a transfer of a criminal record exemption[...] This requirement is not met as evidenced by: Based on observation record reviews, the facility failed to provide complete transfer request forms for staff gloria Setechell. This is an immediate risk to Health and Safety or Personal Rights risk to persons in care.

CCR 101170(e)(2) · Type B

Criminal Record Clearance (e) All individuals subject to a criminal record [..]prior to working [..] licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f) . This requirement is not met as evidenced by: Based on observation record reviews, the facility failed to provide complete transfer request forms for staff N.K. This is a potential risk to Health and Safety or Personal Rights risk to persons in care.

CCR 101439.1(f) · Type B

101439.1 Infant Care Center Sleeping Equipment (f) Cribs shall be free from all loose articles and objects, including blankets and pillows. This requirement is not met as evidenced by: Based on observation, interviews and record reviews infants are napping with blankets in the crib. This is a potential risk to Health and Safety or Personal Rights risk to persons in care.

CCR 101430(a)(3)(C) · Type A

Infant Care Activities 101430 (a) [..]the following shall apply: (3) All infants shall be given the opportunity to sleep without distraction[..] (C) An infant shall not be swaddled while in care. This requirement is not met as evidenced by: Based on observation, interviews and record reviews that infants are being swaddled regularly during nap time. This is an immediate risk to Health and Safety or Personal Rights risk to persons in care.