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25 | On Wednesday, May 01, 2024 at 9:45 am, Licensing Program Analysts (LPA) Manel Estoesta and Jaleesa Jackson conducted a Plan of Correction (POC) visit.
The Licensee Merat Ayalew arrived at 10:43 am, LPA's met with Merat and explained the purpose of today's visit.
At the time of LPA's arrival, present were two (2) Staff for the Infant Component, two (2) Staff for the Preschool Component, 4 infants and 1 preschool child.
Facility operates from Monday to Friday 6 AM to 6 PM.
LPA's toured the facility to conduct a Health and Safety Inspection.
LPA Estoesta informed the Licensee that this report dated 5/1/2024 included a Type A and B Citations which shall be posted for 30 consecutive days as there is an immediate and potential risk to the health, safety, or personal rights of children in care.
See LIC 9099 D for the Repeat Violations of Type A and B from the 4/17/2024 visit, new Type B violations, Plan of Corrections (POCs) and Civil Penalties.
Also, LPA's informed the Licensee to provide a copy of this licensing report dated 5/1/2024 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
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Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
05/02/2024
Section Cited
CCR
101439.1(a)(f)
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7 | 101439.1 Infant Care Center Sleeping Equipment (a) In addition to Section 101239.1, the following shall apply....... | 1
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7 | The Licensee shall develop a plan, in writing, how to manage the Infant Care Center Sleeping Equipment in the Facility. The Licensee shall conduct a Staff meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date. |
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14 | 04/17/2024 1st violation. This requirement is not met as evidenced by, 2nd violation, on LPA's observation at 10 am, 1 crib at the infant room had a "jacket", 2 cribs had stains on the sheet and 1 crib mattress was smaller and not fitted in the crib, the licensee did not comply with the section cited above in which poses an immediate risk to the health, safety or personal rights to children in care. | 8
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14 | LPA shall endrorse the facility for a Non Compliance Conference (NCC), to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R). |
Type A
05/02/2024
Section Cited
CCR101416(b)(1)(A)
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7 | 101416.5 Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance. (1) An aide may be substituted for a teacher when all of the following conditions are met: (A) There is a fully qualified teacher directly supervising no more than 12 infants; and...... | 1
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7 | The Licensee shall develop a plan, in writing, how to manage the Staff-Infant Ratio in the Facility. The Licensee shall conduct a meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date. |
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14 | 04/17/2024 1st violation. This requirement is not met as evidenced by, 2nd violation, on LPA's observation at 9:50 am, Staff Rgbe was by herself supervising 3 infants at the Infant Room, Staff Faye was cleaning in the Preschool Classroom, andthe licensee did not comply with the section cited above in which poses an immediate risk to the health, safety or personal rights to children in care. | 8
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14 | LPA shall endrorse the facility for a Non Compliance Conference (NCC) to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R). |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
05/02/2024
Section Cited
CCR
101229.1(a)(1)
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7 | 101229.1 Sign In and Sign Out (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..... | 1
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7 | The Licensee shall develop a plan, in writing, how to manage the Sign In and Sign Out procedure in the Facility. The Licensee shall conduct a meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date. |
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14 | 04/17/2024 1st violation. This requirement is not met as evidenced by, 2nd violation, on LPA's observation at 9:50 am, 3 of 5 infants Sign In for the day did not have a full legal signature of the parents and 1 out of 5 infant was not signed in, the licensee did not comply with the section cited above in which poses an immediate risk to the health, safety or personal rights to children in care. | 8
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14 | LPA shall endrorse the facility for a Non Compliance Conference (NCC) to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R). |
Type B
05/08/2024
Section Cited
CCR101427(j)
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7 | 101427 Infant Care Food Service (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.....
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7 | The Licensee shall develop a plan, in writing, how to manage the Infant Care Food Service in the Facility. The Licensee shall conduct a meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date. |
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14 | 04/17/2024 1st violation. This requirement is not met as evidenced by, 2nd violation, on LPA's observation at 10 am, on LPA's observation, infant milk bottle in the refridgerator and infant milk bottle on the counter where the posters were not labeled with the infants name and current date, the licensee did not comply with the section cited above in which poses an immediate risk to the health, safety or personal rights risk to persons in care. | 8
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14 | LPA shall endrorse the facility for a Non Compliance Conference (NCC) to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R). |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
05/08/2024
Section Cited
CCR
101239(f)
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7 | 101239 Fixtures, Furniture, Equipment and Supplies (f) Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents..... | 1
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7 | The Licensee shall develop a plan, in writing, how to manage the Fixture, Equipment and Supplies in the Facility. The Licensee shall conduct a meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date. |
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14 | 04/17/2024 1st violation. This requirement is not met as evidenced by, 2nd violation, on LPA's observation at 10 am, on LPA's observation, waste container at the Staff bathroom and at the hallway did not have tightfitting cover that was kept on, the licensee did not comply with the section cited above in which poses an immediate risks to the health, safety or personal rights to chldren in care. | 8
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14 | LPA shall endrorse the facility for a Non Compliance Conference (NCC) to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R). |
Type B
05/08/2024
Section Cited
CCR101215.1(g)
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7 | 101215.1 Child Care Center Directors Qualifications and Duties (g) A licensee who is responsible for two or more centers may serve as the child care center director of one of the centers provided that he/she meets the qualifications specified in (h) below, or may serve as the executive director of all of the centers provided that a qualified child care center director is employed for each individual center.....
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7 | The Licensee serves as an executive director of all of her centers, she shall develop a plan, in writing, how to employ a qualified child care center director for her each individual center. The Licensee shall conduct a meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date. |
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14 | This requirement is not met as evidenced by, on LPA's interview, the Licensee claimed that she has assigned a qualified director on her other centers and record says that her name showed a a director on the other site
and on LPA's arrival, on multiple visits, the Licensee was not present, the licensee did not comply with the section cited above in which poses a potential risk to the health, safety or personal rights risk to children in care. | 8
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14 | LPA shall endrorse the facility for a Non Compliance Conference (NCC) to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R). |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
05/08/2024
Section Cited
CCR
101429(a)(B)
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7 | 101429 Responsibility for Providing Care and Supervision for Infants (a) In addition to Section 101229, the following shall apply. (B)Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:......
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7 | The Licensee shall develop a plan, in writing, how to manage the Infant Safe Sleep in the Facility. The Licensee shall conduct a meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date. |
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14 | 04/17/2024 1st violation. This requirement is not met as evidenced by, 2nd violation, on LPA's observation at 10 am, the Licensee have "Baby's Daily Report Sheet" but the Staff did not document their condition to check for signs of distress, which includes, but is not limited to labored breathing, flushed skin color, increase in body temperature, and restlessness. The licensee did not comply with the section cited above in which poses an immediate risk to the health, safety or personal rights to children in care. | 8
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14 | LPA shall endrorse the facility for a Non Compliance Conference (NCC) to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R). |
Type B
05/08/2024
Section Cited
HSC1596.8595(a)(1)
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7 | 1596.8595 Posting licensing report by child care facility or home; duration of posting; civil penalty for failure to comply; reports to be provided to parents or guardian of each child receiving services.. | 1
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7 | The Licensee shall post all of the reports that has a Type A violation. The Licensee shall develop a plan, in writing, how to manage the Posting Requirement in the Facility. The Licensee shall conduct a meeting and discuss the above mentioned regulation, document the meeting (Minutes of Meeting), and shall submit to the Regional Office (RO) on or before the POC due date. |
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14 | This requirement is not met as evidenced, on LPA's observation at 9:45 am, LPA's did not observed the Evaluation Reports dated 4/17/2024 that had Type A violations posted, the licensee did not comply with the section cited above in which poses an potential risk to the health, safety or personal rights to children in care. | 8
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14 | LPA shall endrorse the facility for a Non Compliance Conference (NCC) to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R). |