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

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/posed a potential health, safety or personal rights risk to persons in care. POC Due Date:

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Licensee will ensure all cribs and play yards are free from loose articles and objects. Licensee will review copies provided by LPA of Infant Safe Sleep from California-DSS-Manual Based on observsations on 6/13/25 LPA observed child 1 (C1) sleeping in crib with a pillow which poses a potential health and safety risk to children in care which posed a potential health and safety risk to children in care. Karen Chambers NAME OF LICENSING PROGRAM MANAGER: Tyler Reyes NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/17/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Not marked corrected in the state record