Miranda, Rosalba

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

Deficient Practice Statement Based on obsrevation, the licensee did not comply with the section cited above in 2 out of 2 play yards, which poses an immediate health, safety or personal rights risk to persons in care. Both play yards had loose articles inside during the inspection. One infant was sleeping in one of the play yards with a blanket, a pillow, a bottle, and two children sweaters. POC Due Date: 10/28/2023

102425(i) · Infant Safe Sleep If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible.

Deficient Practice Statement Based on observation & interview with the licensee, the licensee did not comply with the section cited above in 1 of 2 infants, which poses an immediate health, safety or personal rights risk to persons in care. The licensee did not move infant C1 to a play yard after C1 fell asleep. The licensee stated C1 had been sleeping in a bedroom bed for about 15 minutes. POC Due Date: 10/28/2023

102425(j) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements

Deficient Practice Statement Based on observation and interview with the licensee, the licensee did not comply with the section cited above in 2 of 2 infants, which poses an immediate health, safety or personal rights risk to persons in care. The licensee stated that she does not do the 15-minute safe sleep checks. Infant C1 was in the bedroom on a bed. C2 was in a play yard with loose articles. POC Due Date: 10/28/2023

102425(j)(5)(A) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times. The provider shall be able to visually observe the infant without moving the door.

Deficient Practice Statement Based on observation and interview with the licensee, the licensee did not comply with the section cited above in 1 of 2 infants, which poses an immediate health, safety or personal rights risk to persons in care. LPA heard C1 crying in a bedroom. Upon inspection, LPA observed C1 was sleeping in a bedroom where the licensee has no visual from the day care area. POC Due Date: 10/28/2023

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 records review and interview with the licensee, the licensee did not comply with the section cited above in 2 of 2 LIC9227 for infants under 12 months, which poses/posed a potential health, safety or personal rights risk to persons in care. During files review, the licensee stated she did not have an LIC9227 for any of the two infants present. C1 is under 12 months. C2 recently turned 1 years of age. POC Due Date: 11/28/2023

102425(j)(2)(D)(c) · Infant Safe Sleep Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check

Deficient Practice Statement Based on records review, the licensee did not comply with the section cited above in 2 of 2 infants under 24 months, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/28/2023

102417(g)(8) · 102417(g)(8) Operation of a Family Child Care Home. Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.

during this inspection there children's Licensee states will be emailing proof of updated roster by Friday 07/16/21 at yesenia.villa@dss.ca.gov. roster was not updated. The licensee was missing six children and their information on the roster.This poses a potential risk to the safety of the children in care.

102418(g) · 102418(g) Immunizations-The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.

as evidence: Licensee did not have proof of immunizations The licensee states she will send proof of immunizations for all six children to LPA Villa via email at yesenia.villa@DSS.CA.GOV BY FRIDAY 07/16/21. for 6 children enrolled. Child 1-3 and child 5-7 did not have proof of immunization on file. This poses a potential risk to the health of the children in care.