Mack Family Child Care

102370(d)(3) · Request and be approved for a transfer of a criminal record exemption, as specified in Section 102370.1(p), unless, upon request for a transfer, the Department permits the individual to be employed, reside or be present at the facility.

Deficient Practice Statement Based on record review of Guardian Roster conducted by LPA Calderon: Staff #2(S2) not associated under the facility, LPA Alicia Mooberry who assisted in individual search on Guardian shows (S2) has fingerprinted clearance- exemption and is not associated under the above facility, therefore transfer was not completed properly, LPA Calderon reviewed the incorrect transfer form was completed LIC9182, instead of the exemption transfer LIC9188, deficiency and civil penalty was cited, individual left the facility at approx 10:50am., the licensee did not comply with the section cited above in [1] out of [1] individual with approved and associated exemption for the above facility for staff #2,which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/19/2026

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102391(a) · Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation of, the regulations adopted by the Department governing family child care homes, and in accordance with Section 102396.

Deficient Practice Statement

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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 Child #1 (C1) record was reviewed by LPA Calderon - infant file of C1 during file review did not have an LIC9227 Individual Infant Safe Sleep in file, child is under 12 months old, the licensee did not comply with the section cited above in [1] out of [1] infant who is between 0 months - 24 months did not have document lIC9227 in file, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/23/2026

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102416(c) · Personnel Requirements (c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

Deficient Practice Statement Based on LPA Calderon's observation during record review for Licensee, staff #2 and staff #3, did not see the correct pediatric CPR/First aid that is in compliance with Licensing Title 22 Regulations , the licensee did not comply with the section cited above in [3] out of [3] staff persons which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/08/2024

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