Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
01/11/2024
Section Cited
CCR
101223(a)(1) | 1
2
3
4
5
6
7 | 101223 Personal Rights (a)(1) – The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons.
This requirement was not met as evidenced by: | 1
2
3
4
5
6
7 | Director states that an all staff training will be conducted that is to address children’s personal rights and staff/child interaction and expectations. Director states she will submit a copy of topics to be covered in the training as well as the scheduled date for it to analyst by 01/11/24. |
| 8
9
10
11
12
13
14 | Based on analyst interviews and recorded evidence review, the licensee did not comply with the section cited above as it was determined that staff members #1 and #2 yelled at children and spoke to them in a demeaning manner which poses/posed an immediate health, safety or personal rights risk to children in care. | 8
9
10
11
12
13
14 | Once the training has been completed, a staff sign in sheet confirming attendance of the training by all staff and a table of contents of the final topics covered is to be submitted to analyst, demonstrating that the deficiency has been addressed, by no later than 01/22/24. |
Type A
01/11/2024
Section Cited
CCR
101223(a)(2) | 1
2
3
4
5
6
7 | 101223 Personal Rights (a)(2) – The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement was not met as evidenced by: | 1
2
3
4
5
6
7 | Director states that an all staff training will be conducted that is to address children’s personal rights and staff/child interaction and expectations. Director states she will submit a copy of topics to be covered in the training as well as the scheduled date for it to analyst by 01/11/24. |
| 8
9
10
11
12
13
14 | Based on analyst interviews and record evidence review, the licensee did not comply with the section cited above as it was determined that staff member #1
did not allow for comfortable napping accommodations when she was found to have restrained a child who did not want to nap which poses/posed an immediate health, safety or personal rights risk to children in care. | 8
9
10
11
12
13
14 | Once the training has been completed, a staff sign in sheet confirming attendance of the training by all staff and a table of contents of the final topics covered is to be submitted to analyst, demonstrating that the deficiency has been addressed, by no later than 01/22/24. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
01/11/2024
Section Cited
CCR
101223(a)(3) | 1
2
3
4
5
6
7 | 101223 Personal Rights (a)(3) – The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature…
This requirement was not met as evidenced by: | 1
2
3
4
5
6
7 | Director states that an all staff training will be conducted that is to address children’s personal rights and staff/child interaction and expectations. Director states she will submit a copy of topics to be covered in the training as well as the scheduled date for it to analyst by 01/11/24. |
| 8
9
10
11
12
13
14 | Based on analyst interviews and recorded evidence review, the licensee did not comply with the section cited above as it was determined that staff member #1 handled a child roughly when she grabbed and restrained him in two separate instances which poses/posed an immediate health, safety or personal rights risk to children in care. | 8
9
10
11
12
13
14 | Once the training has been completed, a staff sign in sheet confirming attendance of the training by all staff and a table of contents of the final topics covered is to be submitted to analyst, demonstrating that the deficiency has been addressed, by no later than 01/22/24. |
| 1
2
3
4
5
6
7 | | 1
2
3
4
5
6
7 | |
| 1
2
3
4
5
6
7 | | 1
2
3
4
5
6
7 | |