Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
03/01/2026
Section Cited
CCR
101223(a)(2) | 1
2
3
4
5
6
7 | 10123 Personal Rights (a)(2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement has not been met as evidenced by: | 1
2
3
4
5
6
7 | Facility to evaluate staff to ensure they meet the standard requirements as determined by written directives. This evaluation may require an update to the LIC503 or the changing of staff classification so the staff abilities match the tasks assigned. Facility to provide LPA with a written plan of correction prior to POC due date. |
 | 8
9
10
11
12
13
14 | S1 engaged in aggressive behaviors in the presence of children such as finger wagging, yelling at a wall, and pacing back and forth while arguing with self, which makes children uncomfortable. This poses a potential risk to the health, safety and personal rights of children in care. | 8
9
10
11
12
13
14 |  |
Type B
03/01/2026
Section Cited
CCR
101212(d)(1)(C) | 1
2
3
4
5
6
7 | 101212 Reporting Requirements (d)(1)(C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
This requirement has not been met as evidenced by: | 1
2
3
4
5
6
7 | Facility to review reporting procedures and develop a written plan to address any breakdowns in communication from staff to management and/or management to Licensing regarding reportable occurrences. Director to provide LPA with written plan prior to POC due date. |
 | 8
9
10
11
12
13
14 | Testimony received included occurrence that are required to be reported to Licensing such as lack of supervision or attention to children's needs not being met, but the Department was not made aware by the Facility. This poses a potential risk to the health, safety and personal rights of children in care. | 8
9
10
11
12
13
14 |  |