Follow-up·November 12, 2024

On 11/12/2024 at 12:10pm, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced case management visit at the facility and was met by the Facility Representative who permitted entry to the facility. LPA toured the facility with the Licensee Chauncey Smith according to the facility sketch. Upon arrival, LPA observed 4 children with 2 staff member providing care and supervision. During this inspection, LPA returned the original personnel file that was received on a prior visit. At 12:19pm, LPA Pittman and Staff 2 entered the infant classroom. LPA Pittman observed in the infant classroom that Child 1 was sleeping on their stomach in the crib. Additionally, there was a blanket in the crib with the infant; however, there was no fitted sheet on the mattress. LPA Pittman interviewed Staff 1 to inquire why the infant was sleeping on their stomach and Staff 1 stated they believed that the child could sleep on their stomach because the infant could roll over. LPA reviewed Child 1's file and determined they are not 12 months old. Staff 2 admitted that they believed the infant could sleep on their stomach because they could roll over as completed on the LIC 9227 Form. LPA inquired of the fitted sheet for the mattress and the blanket from Staff 2. Staff 2 stated that they believed the child could have the blanket and that the sheets were being washed and were being dried and believed they could place the sheet once they were finished being laundered. LPA Pittman informed the Staff 1 and Staff 2 of the policy regarding infants and sleeping equipment, fitted sheets, and blankets; also, when children are able to not sleep on their back and utilize cots and blankets. Staff 2 immediately removed the blanket from Child 1's crib, placed a fitted sheet over the crib's mattress, and placed the infant on the mattress with a fitted sheet. This is a Type B violation, see the LIC 809D for the details. Additionally, technical assistance was provided for the technical violation of there not being a physical separation between the infant sleeping area and the indoor activity space. Technical assistance was provided for ensuring blankets are not in the infant's cribs and fitted sheets are on the crib mattresses that go to the bottom of the mattress and cannot be dislodged. As a result of the inspection, the facility was found to be in noncompliance with Title 22 Regulations and has been cited one Type B deficiency, see the LIC 809D for the details. All licensing reports are recommended to be kept for 3 years. An exit interview was conducted, and a copy of this report was read and provided to the Licensee along with the Notice of Site Visit and Appeal Rights.