102416.5(e) · Staffing Ratio and Capacity (e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above. Licensee was providing care and supervision for eight children (one infant, one school age, six preschoolers), without an assistant. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/17/2024

Open Not marked corrected in the state record

Category: supervision. 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 files, child #7 did not have the required records on file for review by the Department. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/30/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102421(b) · Child's Records (b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required in Section 102417(g)(7).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. In reviewing children files, child #7 did not have the required records/forms (LIC 700/ID and LIC 627/Consent) on file for review by the Department. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/30/2024

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 record review, the licensee did not comply with the section cited above. In reviewing children files, child #7 did not have the required form (LIC 9227 Sleep Plan) on file for review by the Department. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/30/2024

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 record review, the licensee did not comply with the section cited above. Licensee was not logging the 15 minute checks conducted while the infant was sleeping/napping. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/30/2024

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. During the walk through of the backyard, LPA observed a small citrus tree that has thorns on the branches. Due to extreme weather the children are currently not playing outdoors. Therefore, this poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/22/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g)(9)(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: (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.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. According to the facility log, the last drill was conducted on 12/5/2022. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/22/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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, the licensee did not comply with the section cited above. The licensee provided an expired CPR/1st card for review. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.3(a)(6) · Alterations to Existing Building or Grounds (a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. The licensee began to place children to nap/sleep in a room that was previously listed as "off limits". This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2022

Open Not marked corrected in the state record

Category: supervision. 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 record review, the licensee did not comply with the section cited above. In reviewing children records, there were two infants (Child #5 & #10) in care that did not have a Sleep Plan (LIC 9227) available for review. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2022

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 record review, the licensee did not comply with the section cited above. In reviewing children records, there were three infants (Child #5, #10, & #12) in care that did not have a Sleep Log/Chart available for review. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.2(b) · Reporting Requirements: The licensee shall report to the Department any of the events as specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home. Licensee agrees to submit an LIC 624B (unusual incident report) regarding the incident that occurred on 5/18/2022. Licensee agrees to submit the report to the Riverside Child Care Regional office by 5/27/2022. This requirement was not being met as evidenced by the licensee not reporting an incident that occurred at the facility. This poses an potential risk to the Health and Safety of the children in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g)(8) · Operation of a Family Child Care Home: Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. Licensee agrees to submit a copy of the facility roster to the Riverside Child Care Regional office by 5/27/2022. This requirement was not being met as evidenced by the licensee not being able to produce a roster for review. This poses an potential risk to the Health and Safety of the children in care. SUPERVISOR'S NAME Aaron Ross

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102417(g)(9)(A) · (g) The home shall ... include ... (9) ... a written disaster plan of action prepared (A)family child care home shall conduct fire drills and disaster drills at least once every six months. 1. The licensee shall document the drills

Licensee shall conduct fire and earthquake drill and submit proof to LPA by 7/23/21. Based on observation and interview, the licensee did not ensure fire/earthquake drill were conducted, which poses a potential 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.