102417(g)(9) · 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.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in which Licensee could not produce emergency disaster plan, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/27/2023

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 in which Licensee could not produce updated fire drill log, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/27/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102418(a) · Immunizations (a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 2 counts out of 7 children's files did not have immunization records and/or updated immunization records, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/27/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102419(d) · Admission Procedures and Parental and Authorized Representative's Rights (d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 3 out of 7 chldren's files did not have signed parents rights forms, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/27/2023

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 3 out of 7 children's files did not have completed LIC700 forms completed, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/27/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g)(7) · Operation of A Family Child Care Home (7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.

Deficient Practice Statement Based on record review], the licensee did not comply with the section cited above in 4 out of 7 children's files reviewed did not have consent for medical treatment forms, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/27/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102419(d)(1) · Admission Procedures and Authorized Representatives Rights (d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). (1) The licensee shall request the child's parent or authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06), which acknowledges that the parent or authorized representative has received and read the LIC 995A. The bottom portion of this form must be kept in the child’s file as proof that the parent or authorized representative has been notified of his or her rights and received a copy of the Caregiver background Check Process, LIC 995E (6/05), and the Family Child Care Consumer Awareness Information, LIC 9212 (10/05).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 3 out of 7 children's files were missing Parent Right forms, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/27/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(m)(3) · Operation of A Family Child Care Home (3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 4 out of 7 children's files did not have signed Liability Insurance form, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/27/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102423(a)(1)(4) · This is an amended report. 102423 Personal Rights (a)(1)(4) (a) Each child receiving services from a family child care home shall have certain rights... These rights include, but are not limited to, the following: (1) To be treated with dignity in his/her personal relationship with staff and other persons. Licensee and Licensee's assistant (S1) agrees that at no time may staff roughly handle or yell, shout or demean children in care. LPA will provided information and video link for a training regarding licensing expectations and requirements concerning personal rights of children. LPA received a written statement from S1 stating he understands violation. (4) To be free from corporal or unusual punishment, infliction of pain....

On an unknown date S1 grabbed the arm of C1 and dragged C1 across the floor to time out. S1 also hollers/yells at day care children when they misbehave. This poses an immediate risk to the health and safety to the children in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102370(d)(1) · 102370 Criminal Record Clearance (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility (1) Obtain a California clearance or a criminal record exemption as required by the Department. Licensee stated that she understand that A1 must be fingerprint clear before helping with the children. LPA received a written statement that A1 won't be helping with the kids. Licensee will ask A1 to obtain fingerprints.

Licensee admitted to have her adult unfingerprinted daughter (A1)helping with the care and supervision of the daycare children ocassionally.This is a requirements that if not corrected poses an immediate risk to the health and safety of the children in care. SUPERVISOR'S NAME: Bettina Engelman

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.