Complaint·March 2, 2023

during their interviews did state that they are occasionally left out of ratio during the morning time until additional staff arrives. Staff stated that if children need to be taken to the restroom, which is located down the hall of the classroom or have to use the restroom themselves, they have been out of ratio. During the visit LPA observed children in a classroom located by the restrooms, which was empty and unsupervised, and children were wandering outside of staff\342\200\231s view. During the course of the investigation, LPA conducted records review and found that S2 does not have on file any certificate or transcripts indicating S2 is a fully qualified teacher. During the course the visit, LPA observed S2 alone with 2 children right before nap time with a few children sill eating lunch and, in the restroom, changing a child and with 2 other children. Based on the qualification of S2 and S3, the maximum number of children that could be supervised is 15 and during LPA's initial census found they had 16 children in care. Therefore, the facility was found that they were operating out of ratio on the day of inspection. Nap time Activities: LPA conducted interviews and S3 disclosed of a child who uses a sleeping sack during nap time and described the arms are restricted. LPA was able to observe sleeping sack and obtain photos, which clearly restrict movement of child when napping, as sleeves are zipped up to be removed but was confirmed by staff, that child sleeps with them zipped-up. LPA advised Staff that a doctor's note would be needed for medical reason and exemption would be requested to the Department for prior approval. Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiency is being cited (see attached 9099D). LPA explained that a copy of any licensing report that documents a Type A citation(s) must be provided to the parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. LPA provided one copy of the Acknowledgement of Receipt of Licensing Report (LIC 9224), which requires parent signature or other written statement, must be placed in the child's file for verification. The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Exit interview was conducted with Teacher, Yolanda Mena, copy of this report given along with appeal rights were provided.