Inspector’s narrative
What the inspector wrote
On November 25, 2024, George Mingle, Regional Manager (RM), Lady King-Lewis, Licensing Program Manager (LPM), and Kendal Zirbes, Licensing Program Analyst (LPA), held an informal office meeting with Licensee Lisa Burtner to address the Department's concerns regarding the facility's history of non-compliance and overall operation.
The following deficiencies were discussed during the meeting:
Facility Compliance History:
April 11, 2024:
Annual/Random Inspection:
Five technical violations issued: 101220.1 (a) Immunizations, 101220 (a)
Child's Medical Assessments, 101239(n) Fixtures, Furniture, Equipment and Supplies, 101238.2(d)(1) Outdoor Activity Space, 101239.1 (d) Napping Equipment
One technical advisory notice issued: 101238.2(e) Outdoor Activity Space,
Case Management – Deficiencies
Type A
(Repeat, Civil Penalty assessed) 101230(c) Activities.
February 26, 2024:
Complaint Investigation
Staff handled day care child in a rough manner – Unsubstantiated.
Staff did not meet day care child's diapering needs – Unsubstantiated.
Staff did not report an outbreak to children’s authorized representatives. Unsubstantiated.
August 31, 2024:
Case Management - Other
Type A
- 101230(c) Activities.
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November 22, 2022:
Case Management – Other
Type B - 101216.2(e) Teacher Aide Qualifications and Duties.
Type B - 101216.3 (a) Teacher-Child Ratio.
Case Management - Deficiencies
Type A
- 101216.1 (b)(1) Teacher Qualifications and Duties.
Type B - 101212 (d) Reporting Requirements
October 21, 2022:
Complaint Investigation
Staff do not intervene when day care child self-harms while in care. -
Substantiated: Type A
- 101229 (a) Responsibility for Providing Care and Supervision
Staff do not seek medical attention for day care child while in care. – Unsubstantiated
September 20, 2022:
Required One Year Inspection
One technical violation: 101217(a), Personnel Records
September 12, 2022:
Complaint Investigation:
Staff handled children in a rough manner – Unsubstantiated.
August 25, 2021:
Complaint Investigation:
Daycare child sustained unexplained injuries while in care – Unsubstantiated.
Staff do not provide adequate supervision to the daycare children – Unsubstantiated.
During this meeting, RM discussed and provided copies of the following Title 22 regulations to licensee:
1. Personnel Requirements: Title 22, 101216
2. Reporting Requirements: Title 22, 101212
3. Accountability: Title 22, 101214
4. Administrator Qualifications and Duties: Title 22, 101215
5. Personnel Requirements: Title 22, 101216
6. Teacher Qualifications and Duties: Title 22, 101216.1
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7. Teacher Aide Qualifications and Duties: Title 22, 101216.2
8. Teacher-Child Ratio: Title 22, 101216.3
9. Personnel Records: Title 22, 101217
10. Personal Rights: Title 22, 101223
11. Discipline: Title 22, 101223.2
12. Observation of the Child: Title 22, 101226.3
13. Buildings and Grounds: Title 22, 101238
14. Limitations on Capacity: Title 22, 101161
15. Staff-Infant Ratio: Title 22, 101416.5
16. Capacity Determination: Title 22, 101179
The Department has requested the following from the Licensee:
1. A written statement addressing how the Licensee will meet the discussed requirements and maintain compliance with Title 22 regulations at all times.
2. Licensee or site directors will attend a refresher training on Operations and Records Keeping and Child Care Center Orientation. Upon completion certificates will be submitted to the Department.
3. For the following 24 months the Licensee will provide on the job training monthly to staff and maintain documentation of the training for review by Department staff. The training can be from outside resources such as a Child Care Resource and Referral Agency, California Early Childhood Online, California Teaching Pyramid or staff and volunteers can watch the California Department of Social Services child care center videos on:
https://ccld.childcarevideos.org/
. Documentation of the completed training will be submitted to the Department monthly.
4. The licensee agrees to sign up for the department's Child Care Advocates mailing list to received provider information notices (PIN)s and the department Quarterly update with important information and changes within the department. Licensee can make the request by contacting the Childcare Advocates: email address at CDSS
ChildCareAdvocatesProgram@dss.ca.gov
.
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5. On the first business day of every month, the Licensee/Administrator will meet with all teachers who are working in the capacity of a teacher and have not completed the required 12 educational units. During the meeting, the Licensee/Administrator will obtain current documentation from the college verifying the teacher is still enrolled in the required course. In the event the teacher has disenrolled from the course, a new duty statement shall be signed, and the teacher’s role shall be updated on the LIC 500. The teacher shall immediately work in the capacity of a Teacher Aide and cannot be left alone with the children and must work under the direct supervision of a fully qualified teacher. An updated LIC 500 will be submitted to the Department by 5:00pm on the second business day of the month. The Center shall maintain documentation verifying the monthly meetings are taking place.
The above-mentioned written statements must be submitted to the department
on or before January 10, 2025,
and must address all topics outlined in this agreement.
The licensee was advised to contact the duty officer, LPA, or LPM whenever she has questions about any of the requirements to prevent non-compliance.
The Department will monitor the licensee's compliance with this plan over the next 24 months, which may expire on or before 11/25/2026, to ensure compliance with Title 22 Regulations
.
During this meeting the Licensee provided copies of training completed by the staff.
The licensee has been advised and agrees that the Department is implementing a comprehensive compliance plan. The licensee agrees to maintain the facility in compliance with all Title 22 laws and regulations. If any legal action is taken, nothing in this plan precludes the department from including the above issues.
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The Licensee has been advised that failure to complete the above agreed upon actions by the dates will result in this Department taking the following action(s):
1. Noncompliance Conference
2. Administrative action against both the Family Child Care License and the Child Care Center Licenses.
Licensee is further advised that copies of this office conference document be provided to all parents of enrolled children in care and any newly enrolled children for the period of one year from this date. Licensee was provided with the Acknowledgment of Receipt of Licensing Reports (LIC 9224) for parents to sign, indicating that they received copies of this document. Acknowledgment of Receipt of Licensing Reports (LIC 9224) was provided to licensee during this conference meeting.
Exit interview conducted and report was reviewed with the Licensee Lisa Burtner.