LPA interviewed CCC staff, who indicated that staff consistently monitor children and respond appropriately to children's needs throughout the day. Staff stated that care and supervision practices are guided by the center's policies, procedures, employee handbook, and direction provided by management. LPA also reviewed a document entitled "Staff Acknowledgement of Regulations for Supervision and Care," which identifies 22 expectations regarding the supervision and care of children. The Director stated that all staff are required to review and sign the document to acknowledge receipt and understanding of the CCC's supervision requirements.

Regarding Allegation #2: CCC failed to maintain a safe environment, resulting in one child harming another child.

Parent interviews revealed that parents believe the CCC provides a safe environment for children in care. Parents stated their children have occasionally been involved in minor incidents that are typical in a child care setting; however, none of the incidents described required medical attention. All parents interviewed stated they would recommend the CCC to other families.

LPA also conducted staff interviews. Staff indicated that when a child displays challenging behaviors, the CCC may implement additional supervision measures, including assigning a staff member to provide , one-on-one supervision as needed. Staff further stated that the CCC works collaboratively with families and may refer parents to outside agencies and community resources when additional support services are warranted.

LPA reviewed the CCC document entitled "Staff Acknowledgement of Regulations for Supervision and Care," which includes behavior management expectations and states that staff utilize positive reinforcement and constructive discipline techniques to encourage appropriate behavior and social skill development. The Director further stated that the CCC utilizes the CALM program as part of its behavior management practices.

Regarding Allegation #3: CCC failed to report the incident of a child hitting another child. Continued on LIC 9099-C.

Staff interviews revealed that the CCC's practice is to notify a child's authorized representative of unusual incidents involving a child on the same day the incident occurs. The Director stated that staff are trained on the CCC's reporting procedures and communication expectations. One staff member stated that training videos have been incorporated into staff training during the employment at the CCC.

LPA identified one unusual incident involving two day care children who were involved in a physical incident. According to the Unusual Incident Report, one child displayed aggressive behavior toward the other child. LPA also verified that the Unusual Incident Report (LIC 624) was submitted to the Department within the required time frames outlined in Title 22 of the California Code of Regulations.

Regarding Allegation #4: Inadequate supervision resulted in one child slapping another child in the face.

As previously noted, LPA conducted parent interviews. Parents reported they are satisfied with the care and supervision their children receive and believe supervision at the CCC is appropriate.

LPA also reviewed the Unusual Incident Report regarding the incident involving two day care children. According to the report, one child displayed aggressive behavior toward another child. The report further indicated that at least three CCC staff members were present supervising the children at the time of the incident and that one staff member intervened to stop the aggressive behavior.

Regarding Allegation #5: CCC failed to implement a behavior management plan for a child exhibiting ongoing aggressive behavior.

LPA conducted parent interviews. The interviews revealed that most parents have been provided information regarding family support services and behavioral management resources available through the CCC.

LPA reviewed the Family Handbook/Admission Agreement. On page 22, the document states:

"If a child's behavior is excessively disruptive or harmful to an individual child or the class, or should the teacher and administrative staff concur that additional support and expertise are needed, some or all of the following steps will be required of the family: additional parent/teacher conferences, community resources, schedule adjustment, and counseling." Continued on LIC9099-C

Although the above allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. Appeal rights were provided.

Exit Interview conducted and report was reviewed with Director Tania Pacheco.

Notice of Site Visit and appeal rights were issued.

THE NOTICE OF SITE VISIT NEEDS TO BE POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPPLY.