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25 | Licensing Program Analysts (LPA) Martinez and Pacheco conducted an unannounced inspection and met with Director Licensee. Upon arrival at 1:40 pm, LPAs entered the infant room and observed 13 infants/toddlers with 5 staff. LPA's observed a staff member (S1) sitting on the red love seat in the room with a toddler in her arms and an infant (C1) asleep in a boppi next to her. LPA's advised staff to immediately remove the infant and place the infant in an appropriate sleeping crib or play yard. Upon entering the half door LPAs observed 3 toddlers awake and jumping on their cots yelling. LPAs observed that the cots, which infants/toddlers were on, were crowded together in a manner that did not allow sufficient room for staff and LPAs to work or walk through. As LPAs were maneuvering around the sleeping toddlers and infants, LPA Pacheco observed an infant (C2) sleeping behind the tall shelves in the infant napping area in a crib without visual supervision. LPA also observed another infant (C3) in a crib next to the awake and jumping toddlers, who was asleep with a bib wrapped around it's neck. As stated previously, the 4 staff were in the walkway and near the infant half door while 1 remained on the red love seat. LPA Pacheco advised staff that the bib needed to be removed from the sleeping child's neck as it presented a hazard to the child's health. LPA Martinez advised staff that all awake children were required to be removed from napping area so as to not disrupt the napping children. LPAs observed that awake children were removed from the nap area and that the infants were safely placed in cribs without additional hazards in them. LPAs walked into the preschool area to check census and ratios there. LPA Pacheco returned to the infant room at 2:11 pm, and observed that there was 1 qualified teacher and 2 unqualified assistants supervising 3 napping infants and 10 awake infants. LPAs observed that the Licensee entered the infant room at 2:23 pm and removed 1 infant from the room and walked around the facility with the child in arms until a parent arrived at 2:32 pm to pick up their child. This report, as well as the AAP Guide to Safe Sleep Practices brochure, were reviewed and discussed with the Licensee. All licensing reports are public information and must be made available upon request for at least three years. Notice of Site Visit shall be posted for 30 days from today's visit. The following violations of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided. Reports citing Type A violations are to be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file. |