102417(g)(4)(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: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. (A) Storage areas for poisons, firearms and other dangerous weapons shall be locked.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as LPAs observed several poisons/toxins as well as several "keep out of reach of children" labeled items in the on-limits restroom which was accessible to children in care which posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/01/2025

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 as LPAs observed that C1, C2, C5, and C6 were missing proof of immunizations which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/01/2025

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 interview and record review, the licensee did not comply with the section cited above as LPAs observed that C1 and C5 were missing proof of the completed Consent For Emergency Medical Treatment - Child Care Centers Or Family Child Care Homes (LIC627) and C2's Identification And Emergency Information Child Care (LIC700) was missing a parent signature which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/01/2025

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102369(b)(9) · (b)(9) Evidence of a current tuberculosis clearance, not more than one year prior to or seven days after initial presence in the home, for any adult in the home during the time that children are under care.

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above as LPAs observed that S2 was missing proof of Tuberculosis (TB) clearance which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/01/2025

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

102419(d)(1) · Admission Procedures and Authorized Representatives 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). (1) The licensee shall request the child's parent or authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06), which acknowledges that the parent or authorized representative has received and read the LIC 995A. The bottom portion of this form must be kept in the child’s file as proof that the parent or authorized representative has been notified of his or her rights and received a copy of 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 interview and record review, the licensee did not comply with the section cited above as LPAs also observed that C2 and C5 were missing proof of the Family Child Care - Notification Of Parents' Rights (LIC995A) which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/01/2025

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g)(4) · 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: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as LPAs observed two accessible ground level citrus trees with numerous thorns in backyard of facility with daycare children playing near trees in a plastic play structure which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/29/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416.5(d)(1) · Staffing Ratio and Capacity (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants; or

Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above as LPAs observed 10 daycare children present, five of whom were infants, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/29/2023

Open Not marked corrected in the state record

Category: ratio. 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, the licensee did not comply with the section cited above as LPAs observed two daycare children in highchairs for approximately 10 minutes without food and LPAs observed one of the two daycare children fall asleep in the high chair for approximately 10 minutes which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/29/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.2(a) · Reporting Requirements (a) The licensee shall report the following information the Department by telephone or fax within the Department's next business day and during normal working hours (8am to 5pm).

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above as LPAs observed flood damage to the daycare children's bathroom which was never reported to the department which poses 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.

102418(a) · Immunizations (a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above as C5 was missing proof of immunizations which poses 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.

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

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above as LPAs observed that C2 was missing from the roster which poses 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: ratio. Open / not marked corrected.

102419(d)(1) · Admission Procedures and Authorized Representatives 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). (1) The licensee shall request the child's parent or authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06), which acknowledges that the parent or authorized representative has received and read the LIC 995A. The bottom portion of this form must be kept in the child’s file as proof that the parent or authorized representative has been notified of his or her rights and received a copy of 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 record review, the licensee did not comply with the section cited above as C5 is missing proof of the completed Family Child Care Home Notification of Parent's Rights (LIC995A) which poses 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.

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 and record review, the licensee did not comply with the section cited above as C2, an infant under the age of one year old, was missing proof of the Individual Infant Sleeping Plan (LIC 9227) which poses 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.

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 interview and record review, the licensee did not comply with the section cited above as all infants present were missing proof of the 15 minute sleep checks which poses 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.

102417(a) · 102417(a) Operation of a Family Child Care Home(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. ... the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Licensee agrees to provide this report, and cited deficiency issued by the department to the parent(s) of children in care within 24 hours or the next time in care; this includes all newly enrolled children over the next 12 months. Based upon LPA interviews conducted Licensee did not provide adequate care and supervision at all times. This posed an immediate health and safety risk to children in care. Licensee agrees to submit proof of the signed acknowledgment(s) (LIC9224) to the department by POC due date 10/21/21. **AN IMMEDIATE CIVIL PENALTY HAS BEEN ASSESSED FOR $500.00.***

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102416(d)(1) · 102416(d)(1) Personnel Requirements d) Prior to employment or initial presence in the child care home, all employees and volunteers subject to a criminal record review shall: (1) Obtain a California clearance or a criminal record exemption...

Licensee agrees to submit a written statement stating she understands the regulation that all individuals shall obtain a criminal record clearance prior to initial presence in the home to LPA Carbullido by POC due date 10/16/2021 Based on LPA's interviews and per Licensee's own admission- Licensee did not have proof of criminal record clearance for adult niece working at the facility since September 2021. This poses an immediate health and safety risk to the children in care. A $500.00 civil penalty was issued SUPERVISOR'S NAME: Gilbert Sena

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.