102423(a)(2) · Personal Rights: To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Licensee agrees to submit letter of understanding of Regulation: 102423(a)(2); including an outline of reporting injuries to the department and notifiation of parents. This is due to licensing no later than POC due date. Based on interviews conducted and licensees own admission, it was disclosed a child sustained multiple injuries (laceration/cut on back of head, scratch near their eye and redness on cheek) while at the facility. This poses an immediate health and safety risk to children in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416.2(f)(1) · Reporting Requirements: 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 will submit a step by step written plan of action outlining notitfication to parents for child accidents and inuries by POC due date. Licensee confirmed these incidents occurred, but had no evidence that parents were notified. This poses an immediate health and safety risk to children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102423(a)(4) · Personal Rights: To be free from corporal/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/toileting; or withholding shelter, clothing, medication Licensee agrees to cease this form of 'discipline' immediately. Licensee must submit proof of understanding of CCR 102423(a)(4) to licensing no later than POC due date. or aids to physical functioning.

Disclosure that licensee engages in giving children who do not listen “Pow Pow’s”. Licensee explained that a “Pow Pow” is a “smack on their hand or butt” This poses an immediate health and safety risk to children in care SUPERVISOR'S NAME: Kimberly Williams

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

LIcensee removed blaket and pillow during the investigation and agrees to read safe sleep PIN and send a written understanding of what safe sleep looks like regarding what is required of a Daycare with infants. During the tour on a complaint investigation, it was observed that an infant was sleeping in a crib with a blanket as well as a pillow; the crib was located in the day care area of the home. This poses an immediate Health and Safety Risk to children in care. SUPERVISOR'S NAME: Kimberly Williams

Open Not marked corrected in the state record

Category: supervision. 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 in 3 out of 3 objects, which poses an immediate health, safety or personal rights risk to persons in care. No children were in care, but LPA observed one of the safety locks to be broken and accessible to children. POC Due Date: 07/01/2022

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 in 2 out of 2 infants in care, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/14/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.