Kidz Konnection

102423(a)(4) · 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 eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning. Licensee shall immediately discontinue the use of the bathroom “time out room” or any enclosed isolation area as a form of discipline. Licensee shall submit a written plan to the Department by 06/23/26 detailing how age appropriate, non-punitive guidance and redirection methods will be implemented to ensure compliance with personal rights regulations.

Based on interviews and video evidence, the licensee and assistant placed children alone in a small enclosed “time out room” within the bathroom for several minutes. Children were observed crying, screaming, and striking the door while attempting to exit. This is an immediate threat which poses an immediate health, safety or personal rights risk to persons in care

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102419(d) · Admission Procedures and Parental and Authorized Representative's Rights (d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05).

Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above. The licensee does not have LIC 995 Parent's rights in 3 children's file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024

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102421(c) · Child's Records (c) In any case in which the licensee cares for an additional child pursuant to Section 102416.5(b) for a Small Family Child Care Home or Section 102416.5(d) for a Large Family Child Care Home, the licensee shall maintain, in the child’s record, a copy of documentation verifying the child’s enrollment and attendance at kindergarten, including transitional kindergarten, or elementary school as required in Section 102416.5(g).

Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above. The licensee does not have LIC 9150 Additional Children in Care in 3 children's file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024

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102417(g)(7) · Operation of A Family Child Care Home (7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.

Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above. Licensee could not find 1 child's file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024

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102417(m)(3) · Operation of A Family Child Care Home (3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.

Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above.2 out of 3 children's file did not have LIC 282 in their file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024

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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 observation, interview, and record review, the licensee did not comply with the section cited above. Licensee stated she physically checks on the infants while there asleep but does not log it which pose a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024

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102417(g) · 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

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that a spring on the trampoline was loose and needs to be replaced as well as the play structure slide appears to have been chewed has sharp edges which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/01/2023

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102418(g) · Immunizations (g) 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.

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in that three children did not have immunization records on file, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/01/2023

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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 record review and interview, the licensee did not comply with the section cited above in that a child under 12 months in care did not have the required LIC 9227 Infant Sleeping Plan form on file for the child which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/01/2023

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