102417(a) · The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. Licensee will submit a statement to CCLD by POC stating she understands she must be present in the home 80% of the day during business hours.

licensee was out of state starting 10/08/2024 and returned on 10/14/2024 leaving her assistants alone with children during day care hours. This poses a potential risk Health, Safety Personal Rights risk to children in care

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102425(j)(2)(D) · 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

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. LPA did not observe a Safe Sleep log for all infants in care which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/07/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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. Child 4 is missing LIC995 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/07/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102418(g)(1) · This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home. Licensee will submit updated immunizations for child 1 and 3 to CCLD by POC date.

Child 1 and 3 immunization records need to be updated. This poses a potential risk Health, Safety Personal Rights risk to children in care SUPERVISOR'S NAME: Susy Cervantes

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102417(g)(8) · Operation of A Family Child Care Home (8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.

Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in Child C3 missing from current roster, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/22/2023

Open Not marked corrected in the state record

Category: ratio. 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, interview and record review, the licensee did not comply with the section cited above in, aerosol can of Lysol, Clorox spray bottle, liquid Cleaner degreaser in accessible unlocked kitchen sink cabinet and hand soap in unlocked on limit bathroom cabinet which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/21/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416.5(b)(2) · Staffing Ratio and Capacity (b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following: (2) Six children, no more than three of whom may be infants; or

Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above, Licensee was alone with 4 infants and 8 preschool age children until 9:52 AM when assistant A1 arrived to assist which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/21/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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, interview and record review, the licensee did not comply with the section cited above in fire extinguisher was purchased on 07/05/21 and has not been serviced, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/04/2023

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 observation, interview and record review, the licensee did not comply with the section cited above in Provider did not have documentation of conducting fire and disaster drills every 6 months, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/24/2023

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, interview and record review, the licensee did not comply with the section cited above, fitted sheets were not being utilized on mattress with sleeping infant C3, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/24/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(e) · Infant Safe Sleep No infant shall be forced to sleep, to stay awake, or to stay in the designated sleeping area.

Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in infant C1, was left in infant room crying with door almost fully closed, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/21/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.5(b) · 102416.5(b) Staffing Ration and Capacity- For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time... (1) Four infants; or (2) Six children, no more than three of whom may be infants; or (3) More than six and up to eight children, without an additional adult attendant...

Licensee will submit written statement of understanding the regulations for capacity and ratio for a small FCCH. Licensee will pause services for two infants until they are licensed for a large FCCH. Based on record review and observation: Present were licensee and their assistant Diana with 6 children in care: 5 infants and 1 preschool. This poses an immediate risk to the health and safety of the children in care. Written statement is due by close of business on 08/26/2021 SUPERVISOR'S NAME: Mary Segura

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.