Follow-up on corrections·June 29, 2023

Licensing Program Manager (LPM) Rita Ramos and Licensing Program Analyst (LPA) Lilia Hernandez conducted and unannounced complaint inspection to the above facility on 06/27/23. LPM and LPA arrived to the facility at 9:16AM and initially met with Vino Veerasingam, Administrator Assistant, who guided LPA on a tour of the facility. There were 14 children with 9 staff upon arrival. LPM and LPA were later met by Evan Levi, Licensee, Mia Levi, Licensee, and Debrah Heim, Director. The purpose of the visit is to address deficiencies that were discovered during the course of an investigation conducted by the Department. Based on interviews conducted, declarations obtained, records reviewed, pictures taken, and other pertinent information and documentation obtained, it was determined that Staff #1 swaddled Child #1 in an attempt to console Child #1’s “screaming” (crying), then Staff #1 placed Child #1 on a swing, Staff #1 then placed a second blanket over the swing, and Child #1 was left on the swing to sleep for an hour. When Child #1 woke up, Staff #1 changed Child #1's diaper and returned Child #1 to the swing. Per Staff #1, when Child #1 continued to cry, Child #1 was placed in their crib to “cry it out” for 5 to 7 minutes. This poses an immediate health, safety and personal rights risk to children in care. During the course of the investigation, it was also discovered that the facility staff disclosed both verbally and in writing that they were aware that Child #1 showed signs of illness for days. The facility staff continued to accept Child #1 for care at the facility even though they also have an illness policy that indicates that a child will be sent home if they show signs of illness which includes the symptoms that staff observed Child #1 to have. ---Page 1 of 2 When interviewing staff, disclosures were made that Staff #1 and Staff #2 were only provided with resources via email regarding infant safe sleep practices. No information or documentation was provided confirming that staff was provided with on-the-job training on infant safe sleep practices or that the Director and Licensee ensured that staff were following and practicing infant safe sleep. The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee/Director was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the licensee/Director. The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Debrah Heim, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role. ---Page 2 of 2