102423(a)(2) · (a) Each child receiving services from a family child care home shall have certain rights... These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Licensee agrees to submit a written implementation plan on how Licensee will ensure the safety of children in care as it pertains to the Licensee's pet dogs. Based on interview and record review, the licensee did not comply with the section cited above as it was reported by the Licensee that a day-care child received a minor scratch from the Licensee's dog which poses a potential health, safety or personal rights risk to persons in care. Licensee agrees to submit proof of the

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102418(g)(1) · 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. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home.

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above as LPA observed that C2 was missing updated immunizations and C4 was missing proof of immunizations which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/13/2024

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 LPA observed that C1 and C3 had the Identification And Emergency Information form (LIC700) present but the LIC700s were incomplete. Additionally, LPA observed that C1 was missing proof of the Consent For Emergency Medical Treatment (LIC627) which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/13/2024

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 interview and record review, the licensee did not comply with the section cited above as LPA observed that C1, C3, and C4 were missing proof of the Family Child Care - Notification Of Parents' Rights form (LIC995A) which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/13/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102421(d)(1) · (d) 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, proof of parent notification that the facility is caring for an additional child as required in Section 102416.5(h). (1) The licensee shall maintain a completed and signed LIC 9150 (Rev. 8/14) Parental Notification Additional Children in Care, which is incorporated by reference, for this purpose.

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above as LPA observed that C1 was missing proof of the Parent Notification Additional Children in Care form (LIC9150) which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/13/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.2(f)(1) · 102416.2(f)(1) Any injury suffered by a child in care shall be reported to that child's parent or authorized representative regardless of treatment by a medical professional. Licensee agrees to immediately develop a plan for reporting unusual incidents and or injuries to the parents of children in care. Licensee agrees to provide a copy of the developed plan to LPA via email by COB 11/20/2023. **This is an amended document, original report 11/16/2023**

Based on interviews and record review, Licensee did not inform the parents of a child in care that their child was nipped by their dog, resulting in a minor injury, which poses an potential Health and Safety, Personal risks to persons in care

Open Not marked corrected in the state record

Category: health medication. 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 record review, the licensee did not comply with the section cited above. In reviewing children's files, LPA did not observe immunization records for child 1 and child 2. Which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/29/2023

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 record review, the licensee did not comply with the section cited above. LPA observed the children roster incomplete and missing required missing information. Which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/29/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g)(9)(A) · 1 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. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home.

Deficient Practice Statement Based on record review, LPA observed the drill log, but the drill log did not document the drill. Licensee stated a drill was conducted at beginning of summer. 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: 08/29/2023

Open Not marked corrected in the state record

Category: ratio. 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 record review, the licensee did not comply with the section cited above. Licensee does not have a infant sleep log and has not logged the 15 minute sleep check. Which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/29/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.5(b)(3) · Staffing Ratio & Capacity:For a Small FCCH, the max number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following:More than 6 and up to 8 children, without an additional adult attendant.

Licensee agrees to read regulation 102416 in it's entirety and submit a letter of understanding as well as an update of children's schedules with days and times listed. Licensee also agrees to submit an updated roster. Licensee agrees to send this to licensing by COB 07/29/2022. .Licensee was operating over capacity with 9 children in care. LIcensees maximum capacity cannot exceed eight children. This poses an immediate health and safety risk to chidlren in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(b) · Operation of a Family Child Care Home The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.

Licensee agrees to do a deep cleaning on the home and write a letter of understanding that she agrees to keep the home clean and orderly, Licensee agrees to send pictures of all on-limit areas of the daycare to licensing by the POC date. LPAs observed the home to be in disarray and cluttered with items such as toys, loose papers, books, debris, food crumbs and droppings. used towels, uneaten food and other items. The backyard was also observed to have dog feces. This poses a potential health and safety risk to chidlren in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.