102417(g)(5)(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: (5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence. (A)Fences shall be at least five feet high and shall be constructed so that the fence does not obscure the pool from view. The bottom and sides of the fence shall comply with Division 1, Appendix Chapter 4 of the 1994 Uniform Building Code. In addition to meeting all of the aforementioned requirements for fences, gates shall swing away from the pool, self-close and have a self-latching device located no more than six inches from the top of the gate. Pool covers shall be strong enough to completely support the weight of an adult and shall be placed on the pool and locked while the pool is not in use.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that the pool gate did not self-close when tested by LPA which posed an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/19/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 that licensee was caring for 4 infants upon the LPA's arrival which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/19/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g)(4)(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: (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. (A) Storage areas for poisons, firearms and other dangerous weapons shall be locked.

Deficient Practice Statement Based on observation, (interview, the licensee did not comply with the section cited above in that they had poison in the reach of children that were not locked per regulation which posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/03/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(a)(3) · Infant Safe Sleep (a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that LPA observed an infant in a crib with many toys inside which posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/03/2023

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. An emergency information card shall be maintained for each child and shall include ...the parent's authorization for the licensee ...to consent to emergency medical care.

Licensee agrees to submit an LIC 627 for C1 to the Department on or by 8-4-2021. Based on the record review the Licensee did not meet the regulation. C1 did not have an LIC 627 Consent for Emergency Medical Treatment is not available for review during inspection which poses a potential risk to the child's health and safety when an emergency medical treatment becomes necessary.

Open Not marked corrected in the state record

Category: ratio. 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 month of age the provider has in care and maintained at the facility in the infant’s file.

Licensee agrees to submit an LIC 9227 for C2 to the Department on or by 8-4-2021. Licensee also agrees to submit a sleep log for C2. PIN 20-24-CCP was discussed. Based on the record review the Licensee did not meet the Infant Safe Sleep regulation. C2 did not have an LIC 9227 available for review during inspection which poses a potential risk to the child's health, safety & personal rights risk to the children in care. SUPERVISOR'S NAME: Aaron Ross

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.