Lil' Blue Heartwood Preschool

Infant Care Center Sleeping Equipment — Based on observation, 2 out of 3 sleeping infants had bottles in the crib while they slept. 1 infant had the bottle near their feet, while the other had it cradled under their left armpit while they slept on their stomach. This poses an immediate health, safety or personal rights risk to persons in care.

Buildings and Grounds — Based on observation, 2 areas in the infant classroom contained items that are poisonous to infants. (1)The storage closet containing Clorox, 2 mop buckets & other cleaning chemicals. (2)A doorless closet to the left of the storage closet, with storage of hand sanitizers (3 large bottles). Although these items were inaccessible and not in reach of infants, these items were not kept locked. This poses an immediate health, safety or personal rights risk to persons in care.

101238 Buildings and Grounds(a)The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This was not met as evidenced by: During the tour of the infant classroom, LPA observed mildew-like and mold-like substances in the storage closet. This poses an immediate health and safety risk to children in care.

(a) No person or legal entity shall advertise or represent itself as a licensed child care center without first obtaining a current valid license from the Department. (1) Licensees shall reveal each child care center license number in all advertisements in accordance with Health & Safety Code Section 1596.861. This was not met as evidenced by: LPA observed a large banner at the front of the center, advertising care. However, no facility number was observed to be on the banner. This poses a potential health and safety risk to persons in care.

(b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s). This was not met as evidenced by: The individual who has been appointed as the site director is not fully qualified. Furthermore, there are items missing from the directors packet which are essential to becoming a director. This poses a potential health/safety risk to children in care.

Staff immunization requirements — Based on record review, S3 did not have Tdap and S4 did not have Tdap nor MMR for review. This poses/posed a potential health, safety or personal rights risk to persons in care.

Disaster and Mass Casualty Plan — During a past visit to the facility for the other program, the facility did not have any documentation of disaster drills available for review. During this previous visit, director recalls the disaster drills being done sometime in January, but have not done any since then. This poses/posed a potential health, safety or personal rights risk to persons in care.

Infant Care Center Sleeping Equipment — Based on observation, 2 out of 3 cribs had items hanging off them while infants were asleep in them. 1 item was a baby bib, and the other a speaker for music. This is being downgraded to a Type B due to the staff correcting it immediately. This poses/posed a potential health, safety or personal rights risk to persons in care.

Outdoor Activity Space — Based on observation, there is a circular pit, at least 1 inch deep. There is sand in this area, but the sand has not been replaced or refilled, leaving it semi-empty. The area is deep enough for an infant to fall into, posing a potential health, safety or personal rights risk to persons in care.

Staff immunization requirements — Based on record review, 2 out of 5 staff files did not provide proof of Tdap(pertussis) or MMR(measles). S3 did not have Tdap and S4 did not have Tdap nor MMR. This poses/posed a potential health, safety or personal rights risk to persons in care.

Personnel Requirements — Based on record review, 1 out of 5 staff files did not provide proof of LIC503, health screening. S2 did not have the LIC503 on file. This poses/posed a potential health, safety or personal rights risk to persons in care.

Mandated reporter training — Based on record review, 2 out of 5 staff did not have an updated Mandated Reporter Training (MRT) on file. S2 and S4 did not have updated MRTs. This poses/posed a potential health, safety or personal rights risk to persons in care.

Responsibility for Providing Care and Supervision for Infants — Based on record review during the tour of the facility, LPA asked for 15 minute sleep log for the 1 sleeping infant out of 7. The log was last updated more than 15 minutes to the time written on the log, approximately 25 minutes. Additionally, the form only has a "start" and "end" time of sleep, no 15 minute checks. 15 minute sleep logs were later available, but only for this date. This poses/posed a potential health, safety or personal rights risk to persons in care.

Reporting Requirements — During a previous visit, LPA discovered there was a change in director for the center. This change had taken place well over the 10 days allotted, and was never communicated to LPA. LPA had requested the new appointed director submit a directors packet, which has still not been received. LPA reviewed what was available, and left the center with a list of missing items. This poses/posed a potential health, safety or personal rights risk to persons in care.

Notice to parents that site visit reports are available — A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care...This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in 4 out of 4 persons. Multiple children's files did not have the LIC9224 on file. This poses/posed a potential health, safety or personal rights risk to persons in care.

Cribs shall be free from all loose articles and objects, including blankets and pillows. Pacifiers shall be allowed in the crib if the following provisions are in place: There shall not be anything attached to the pacifier. This was not met as evidenced by: LPA observed 2 infants sleeping in cribs, 1 with a white hairband in the crib, and another with a pacifier in their mouth with a string attached. This posed/poses a potential risk to the health and safety of infants in care.

To be a fully qualified infant care teacher, a teacher shall have the following: Completion, with passing grades, of 12 postsecondary semester or equivalent quarter units in early childhood or child development education at an accredited or approved college or university. This was not met as evidenced by: three of the ‘lead staff’ in the infant classroom are not fully qualified to be in the classroom with the infants by themselves, as each of the staff do not have all the qualifying units. This posed/poses a potential risk to the health and safety to infants in care.

Mandated reporter training — 1 out of 4 staff did not have an updated MRT on file.

Staff immunization requirements — & Dec 1 of each year. This requirement is not met as evidenced by: 1 out of 4 staff did not have their immunizations (measles, pertussis, and/or flu shot/written declination of flu shot) on file.

(b) The infant care center shall be equipped with appropriate furniture and equipment including, but not limited to, cribs, cots or mats; changing tables; and feeding chairs.

Personnel Requirements — Based on record review the licensee did not comply with the section cited above in that S2 did not have LIC503 available for review which poses/posed a potential health, safety or personal rights risk to persons in care.

Mandated reporter training — Based on (record review)], the licensee did not comply with the section cited above in that S1 has expired mandated reporter (7/23) which poses/posed a potential health, safety or personal rights risk to persons in care.