102416.5(e) · (e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). LS, S1, and S2 will EACH read the regulations and EACH write a summary of how many children can be present with one staff member. Based on LPA observation and interview with S1, the licensee did not comply with the section above in that S1 was left alone with four infants and two children. This will be emailed to LPA at dianne.allee@dss.ca.gov within 24 hours. Melinda Mohr NAME OF LICENSING PROGRAM MANAGER Dianne Allee NAME OF LICENSING PROGRAM ANALYST LICENSING PROGRAM ANALYST SIGNATURE DATE 06/19/2026 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(a) · (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. LS will read this regulation and write a summary, in her own words, what the regulation means. LS will include in the summary a plan or policy that will be in place as to what LS will do during times she must leave for more than 20% of her operating hours. Based on LPA observation and interview with S1 and S2, LS will be away from the facility for more than 20% of the operating hours. Facility did not comply with the section cited above. This poses a potential health, safety, or personal rights risk to the children in care. This plan should be signed by each assistant and placed in each of their files. This will be emailed to LPA: Dianne.Allee@dss.ca.gov

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102423(a)(2) · (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: ...(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. S2 will write a letter stating why arguments, yelling, and raising voices in front of or towards the children in care is not coducive of safe,

Based on observation, S2 did not comply with the section cited above by raising their voice and argueing with LPA in the presence of the children in care. This is a potential health, safety, or personal rights risk to the children in care healthful, and comfortable accommodations for the children. This statement will be emailed to LPA: dianne.allee@dss.ca.gov Melinda Mohr NAME OF LICENSING PROGRAM MANAGER: Dianne Allee NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/19/2026 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(a)(4) · (a)There shall be one crib or play yard for each infant who is unable to climb out tof the crib or play yard. (4)Mattresses shall be made specifically for the size crib or play yard in which they are placed.

Facility will provide training about the importance of allowing children to lay on the mattress while utilizing the crib. This should be documented by a short statement by LS, S1, and S2 acknowledging they understand. LS, S1, and S2 will sign and date their acknowledment of training. On 6/2/24, LPA observed three of five port-a-cribs being used withot a mattress. LS was given a POC of writing a statement on the importance of allowing children to lay on a mattress while using cribs. LS, S1, and S2 were all to sign and date this statement. This POC was not completed by the due date. This will be emailed to LPA: dianne.allee@dss.ca.gov

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

102425(b) · (b)Cribs or play yards shall be free from all loose articles and objects.

LS will write a statement on the proper practice of infant safe sleep, including not allowing infants to sleep with blankets, toys, or bottles in the crib. LS will also conduct a training for all staff to allow them to read and discuss infant safe sleep regulations. LS, S1, and S2 will sign and date an acknowledgement that they have been trained and understand. Based on observation, the licensee did not comply with the ection cited above. On 6/2/26, LPA observed one infant asleep in a port-a-crib wrapped in a blanket and with a stuffed animal and a bottle in the crib. LPA observed three infants with bottles and toys in their crib. POC was not completed by the due date. This will be emailed to LPA: dianne.allee@dss.ca.gov Melinda Mohr NAME OF LICENSING PROGRAM MANAGER: Dianne Allee NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/19/2026 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

102425(b)(3) · (b)Cribs or play yards shall be free from loose articles and objects. (3)There shall be no objects hanging above or attached to the side of the crib.

LS should conduct a training for all staff to allow them to read and discuss infant safe sleep regulations. This training will also have an acknowledgment page signed by LS, S1, and S2 stating they each understand and have been trained. Based on observation, the LS did not comply with the section cited above. On 6/2/26,LPA observed three of five mattresses for cribs hanging over the side of the crib while children were in the crib. POC was not completed by the due date. This shall be emailed to LPA: dianne.allee@dss.ca.gov

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

102423(a)(4) · (a)Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representatitve. These rights include, but are not limmited to, the following: ...(4)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...aids to physical functioning. Facility will provide training to all staff about never utilizing cribs as a sort of restraint for any reason.the training. LPA observed two of five children who were utilizing the cribs climb out of the crib. LS stated they put them in the cribs to help keep control of them. LS agreed to provide training to all staff about never utilizing cribs as a sort of restraint for any reason. LS, S1, and S2 will sign and date acknowledgement of the training. This has not been corrected by the due date. LS, S1, and S2 will sign and date acknowledgement of receiving and understanding the training. This will be sent to LPA: dianne.allee@dss.ca.gov Melinda Mohr NAME OF LICENSING PROGRAM MANAGER Dianne Allee NAME OF LICENSING PROGRAM ANALYST LICENSING PROGRAM ANALYST SIGNATURE DATE 06/19/2026 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

102391(b) · Inspection Authority of the Department (b) The licensee shall permit the Department to inspect the family child care home, and to privately interview children or staff, to determine compliance with or to prevent violations of family child care laws or regulations. The Department shall exercise this authority as specified in Health and Safety Code Section 1596.8535(a).

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in that S1 would not allow LPA to enter facility while children were in care to complete an inspection. LPA was denied entry for 17 minutes until LS came home. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/02/2026

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.5(e) · Staffing Ratio and Capacity (e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above when LS was away from the facility, S1 was left with six infants and 2 preschool aged children which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/02/2026

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(a)(3) · Infant Safe Sleep (a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. At 12pm, LPA observed five out of five port-a-cribs being used by children without sheets which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2026

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(a)(4) · Infant Safe Sleep (a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (4) Mattresses shall be made specifically for the size crib or play yard in which they are placed.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. At 12pm, LPA observed three of five port-a-cribs being used without a mattress.This poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed three of five port-of-cribs being used without a mattress and children were laying/playing on flat wooden boards in the bottom of the cribs. POC Due Date: 06/18/2026

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(b) · Infant Safe Sleep (b) Cribs or play yards shall be free from all loose articles and objects.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. At 12pm, LPA observed one infant asleep in a port-a-crib wrapped in a blanket and with a stuffed animal and bottle in the crib. LPA observed three infants in the port-a-crib with bottles and toys. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2026

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(b)(3) · Infant Safe Sleep (b) Cribs or play yards shall be free from all loose articles and objects. (3) There shall be no objects hanging above or attached to the side of the crib.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. At 12pm, LPA observed three of five mattresses for port-a-cribs hanging over the side of the crib while children were in the crib. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2026

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102423(a)(2) · Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Deficient Practice Statement Based on observation, LPA observed three of five port-of-cribs being used and children were laying/playing on flat wooden boards in the bottom of the cribs, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2026

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102423(a)(4) · Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (4) 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 eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above. LPA observed five children in port-a-cribs who were not sleeping. At 11:13am and 11:48am, LPA observed two of the five of the children climb in and out of the cribs. When LPA asked Licensee about the reasoning, LS stated it was to help keep control of them. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2026

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g)(9)(A) · Operation of A Family Child Care Home (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.

Deficient Practice Statement Based on interview and record review,, the licensee did not comply with the section cited above in which the licensee has not conducted a fire drill within the last 6 months which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/05/2024

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(j)(1) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in which C1 - C4 do not have 15 minute sleep checks, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/12/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102425(c) · Infant Safe Sleep An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

Deficient Practice Statement Based on interview andrecord review, the licensee did not comply with the section cited above in which C3 does not have and Individual Sleep Plan LIC9227, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/12/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.