Primrose School at Rancho Sienna

745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone · High

During an inspection, a caregiver was observed in a classroom with children that did not have a background check submitted. This was corrected when the caregiver left the operation.

746.3803(b) - Medication Authorization Expires on First Anniversary · Medium High

746.3803(b) - Medication Authorization Expires on First Anniversary

746.603(a)(4) - Children's Records - Immunizations · Medium

Two children did not have current immunization records.

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for · High

Observed two classrooms that did not know how many children that they had in care. One classroom stated that they had 15 children but actually had 16 children in care. Another classroom caregiver stated that they did not know how many children they had in the classroom, Licensing counted the children and there was 17 children.

746.2427(a) - AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant · High

Observed a caregiver place a sleeping infant on their stomach in the crib. I spoke to the caregiver about always laying infants on their backs and if the infant can roll to their stomachs then they can leave them in that position. The infant was turned around on their back. An administrative penalty will be recommended as a result of this citation, per HRC ?42.078.

746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device · High

I observed two infant classrooms that had infants sleeping in bouncy seats. One classroom had one infant sleeping in a bouncy and the teacher got up and removed the infant as they seen licensing walk in the room. The second classroom had two infants sleeping in bouncy seats. I asked the caregivers to place the infants in their cribs and this was completed during inspection. I explained to all infant caregivers that infants cannot sleep in bouncy seats and that they are used for play and not sleeping.

746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months · High

The last fire inspection was completed on 4/14/2022. The operation has scheduled an inspection for 4/15/2023.

745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605 · High

Observed a person over the age of 14 in a classroom with access to the children in care without a cleared background check.This was corrected when the person left the operation and a background check was put in. An administrative penalty will be recommended as a result of this citation, per HRC ?42.078.

746.603(a)(1) - Children's Records - Enrollment Agreement · Medium

Observed a child in care under the age of 14 years old at the operation without being enrolled at the operation. This was corrected when the child left the operation.

746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For · High

During my walk through, a caregiver stated that there were 21 children present in the classroom, but there were 25 children in the classroom.