Lil' Blue Heartwood Preschool

CHILD CARE CENTER DIRECTOR QUALIFICATIONS AND DUTIES

(b) All child care centers shall have a director. This was not met as evidenced by: The previous individual appointed as the site director did not qualify. Currently, there is no site director appointed to this site. This poses a potential risk to he health/safety to children in care.

CHILD'S MEDICAL ASSESSMENTS

(a) Prior to/ w/in 30 calendar days following enrollment of a child, licensee shall obtain a written medical assessment of child. This enables licensee to assess whether the center can provide necessary health related services to the child. A 3rd review of C5's file still does not have the above on file.

(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.

PERSONNEL REQUIREMENTS

(g) All personnel, including the licensee, administrator & volunteers, shall be in good health and be physically& mentally capable of performing assigned tasks. (2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening... On 02/09/26, based on a 2nd record review for S1 and S4, S4 was still missing health screening. LPA was told the appointment was scheduled, however no correction was submitted. This poses a potential health/safety risk to persons in care

(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. (1) Storage areas for poisons shall be locked. This was not met as evidenced by: During the tour, LPA observed 2 gates to a hallway between one preschool classroom to the next, on the side of the kitchen area accessible to children. There were two gates still standing, however, they were not latched on, as the latches were broken. The area contains paint enamel and paint primer cans, which are items that could pose a danger to children,

PERSONNEL REQUIREMENTS

(2) Each person specified in(g) above shall have a health-screening report signed by person performing the screening. This req was not met as evidenced by: Based on a 2nd record reveiw for S1 and S4, S4 is still missing health screening. This poses a potential health/safety risk to persons in care

CHILD'S MEDICAL ASSESSMENTS

(a) Prior to/ w/in 30 calendar days following enrollment of a child, licensee shall obtain a written medical assessment of child. This enables licensee to assess whether the center can provide necessary health-related services to the child. A second review of C5's file still does not have the above on file.

REPORTING REQUIREMENTS

(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.

BUILDINGS AND GROUNDS

During the facility tour, LPA observed 3 containers of disinfecting wipes, and an unlabeled cleaning spray. These were stored in a cabinet with the door closed, but not locked. The shelf they were on was low enough for daycare children to access. Director understands the difference between having 1 item in an inaccessible area for use, vs 'storing' multiple containers, not behind a key lock. This poses/posed a potential health, safety or personal rights risk to persons in care.

DISASTER AND MASS CASUALTY PLAN

Based on directors own admission, the facility did not have any documentation of disaster drills available for review. Director also stated that she 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.

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.

Based on record reveiw,1 out of 4 staff were not on the facility roster. However, their fingerprints have been cleared, they were just never transferred and associated to this facility. This poses/posed a potential health, safety or personal rights risk to persons in care.

OUTDOOR ACTIVITY SPACE

During a tour of the outdoor area, LPA observed a large hole in the ground where a tree used to be. This hole is approximately 3'8" in width in size, and approximately 1 foot deep, if not a little more. This poses an immediate health, safety or personal rights risk to persons in care.

During a tour of the center, LPA noted the following items in an unlocked cabinet, accessible on the most bottom shelf: 1 bag of "Pure Epsom Salt", 1 bag of "Epsom Salt", 8fl Oz bottle of Tide detergent, 2 cans of shaving cream, and 1 64 fl Oz bottle of "Sta-Flo, concentrated liquid starch". This poses an immediate health, safety or personal rights risk to persons in care.

FIXTURES, FURNITURE, EQUIPMENT AND SUPPLIES

During the tour, LPA observed the trash can without a lid having food waste in it. A child was observed with their hand in the trash can. This poses an immediate health, safety or personal rights risk to persons in care.

Based on observation during the tour, LPA noted that none of the plastic play structures outdoors were bolted or weighed down. LPA was able to move them by pushing them with not much force. This poses/posed a potential health, safety or personal rights risk to persons in care.

ARTICLE 2. Administration of Child Day Care Licensing

Based on record review, the licensee did not comply with the section cited above. 1 out of 4 staff (S1) files did not have their Mandated Reporter Training (MRT) for "Child Care Providers" certificate updated. This poses/posed a potential health, safety or personal rights risk to persons in care.

PERSONNEL REQUIREMENTS

Based on record review, 2 out of 4 staff (S1 and S4) did not have a health-screening report (OR LIC503) on file for review during this inspection. This poses/posed a potential health, safety or personal rights risk to persons in care.

RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION

Several(5-10) children in the "cheerioes" classroom were observed running into the restroom by themselves, throughout the day. Staff were indicating to the children to let them know when they're done. Furthermore, during transition from the outdoor area to indoor area, there were approximately 3-7 children indoors, and staff had their back to them until one of the children started to cry. This poses an immediate health, safety/personal rights risk to persons in care.

CHILD'S MEDICAL ASSESSMENTS

Based on record review, 1 out of 6 children (C5) did not have a written medical assessment of the child on file. This poses/posed a potential health, safety or personal rights risk to persons in care.

(e) All individuals subject to a criminal record review pursuant to H&S Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Request a transfer of a criminal record clearance as specified in Section 101170(f) or Request & be approved for a transfer of criminal record exemption as specified in Section 101170.1(r), unless, upon request for a transfer, the Department permits the individual to be employed, reside/be present at facility. This was not met as evidenced by: 2 staff present did not show up on the facility roster. S1 and S2.

(c) All personnel records shall be available to the Department to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This was not met as evidenced by: During the visit, LPA requested some documentation for S3 and S4, which facility representatives were unable to provide. This is a violation of Title 22 Regulations.

REPORTING REQUIREMENTS

(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: Site director was appointed in March 2025, but the department was never notified, nor was the department given a directors packet for the appointed site director. This is a potential health and safety risk to the children in care.

BUILDINGS AND GROUNDS

Based on [(observation) the licensee did not comply with the section cited above in that LPA observed dirt and debris on toilets, sinks, tables, trash cans, door/walls; detached wall siding with peeling paint, dirty carts holding water bottles, air filters with layered dirt/debris, exposed ceiling tile, in operable sinks/ one toilet and ceiling water stains which poses/posed a potential health, safety or personal rights risk to persons in care.

ARTICLE 2. Licensure Requirements

Based on [(observation) and (interview) , the licensee did not comply with the section cited above in that LPA observed no operable carbon monoxide detector for preschool program which poses an immediate health, safety or personal rights risk to persons in care.

PERSONNEL REQUIREMENTS

Based on (record review)], the licensee did not comply with the section cited above in that there was no LIC503 for S4 on file which poses/posed a potential health, safety or personal rights risk to persons in care.

PERSONAL RIGHTS

To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidence by: Per interviews conducted at the facility with staff and children in care, LPA was able to confirm that Child N.1 was spitting (saliva and phlegm) to children and staff in their faces, neck and arms due to health concerns, It was decided by staff to cover child's mouth with a mask to prevent child from spreading germs. Child refused to wear the mask: screamed, cried and run around the classroom making other children scared, sadden and extremely concerned. "This poses an immediate Health and Safety risk to the children in care"