Miller, Betty Family Day Care

102416.5(a) · Staffing Ratio and Capacity (a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/06/2025

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102425(b)(1)(A) · Infant Safe Sleep (b) Cribs or play yards shall be free from all loose articles and objects. (1) Pacifiers shall be allowed in the crib or play yard if the following provisions are in place: (A) There shall not be anything attached to the pacifier.

Deficient Practice Statement Based on observation Infant #1 had an attachment on pacifer and their clothing while sleeping in crib in the nurserey, the licensee did not comply with the section cited above in [1] out of [2] infants sleeping with attachment which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2025

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102425(b)(3) · Infant Safe Sleep (b) Cribs or play yards shall be free from all loose articles and objects. (3) There shall be no objects hanging above or attached to the side of the crib.

Deficient Practice Statement Based on observation there were 3 colorful plastic rings hanging on the ledge of crib where infant #1 was sleeping , the licensee did not comply with the section cited above in [1] out of [1] hanging objects on crib which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2025

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102425(j)(1) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.

Deficient Practice Statement Based on record review Infant #1 and Infant #2 15 min logs were inconsistent, did not have time of 15 min checks logged on document, the licensee did not comply with the section cited above in [2] out of [2] infant 15 min sleep log which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2025

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102425(j)(5) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in [1] out of [1] closed door where infants are sleeping which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2025

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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 record review Pediatric First Aid and CPR for Licensee, Staff #1 and Staff #2 expired 2/27/25, picture taken of certificates; the licensee did not comply with the section cited above in [3] out of [3] expired Pediatric First Aid and CPR which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2025

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102417(g)(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: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in fire extinguisher not being serviced since August 2022 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/14/2024

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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, the licensee did not comply with the section cited above based on Child #1, an infant under 12 months of age was missing the LIC 9227 in the file which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/27/2022

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102421(a) · Child's Records (a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 out of 6 files were not available. Child #2 was missing file, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/20/2022

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