102418(g)(1) · (g) The licensee shall document each child's immunizations as required by the California Code of Regulations... (1) This requirement includes updating ... PM 286 ... when the child is due to receive required immunizations after enrollment The licensee stated that she will be working with the families to ensure she is receiving the immunizations records for the children enrolled. The licensee will have the records complete by 10/12/2023.

Based on observation, interview and record review, the licensee did not comply with the section cited above by means of not having completed immunization records for C1 and C2 during today's visit SUPERVISOR'S NAME: Patricia Magana

Open Not marked corrected in the state record

Category: supervision. 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 observation, interview, and record review, the licensee did not comply with the section cited above by means of not having an emergeny information card for C4 and C5 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 09/27/2023

Open Not marked corrected in the state record

Category: health medication. 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 and record review, the licensee did not comply with the section cited above by means of not having a roster for children which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/27/2023

Open Not marked corrected in the state record

Category: ratio. 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 observation, interview and record review, the licensee did not comply with the section cited above by means of not having children records for C4 and C5 which poses an immediate health, safety risk to persons in care. POC Due Date: 09/27/2023

Open Not marked corrected in the state record

Category: health medication. 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 N/A licensee had a emergency disaster plan. A consultation was provided to update the form. POC Due Date: 09/27/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g)(9)(A) · 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: (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. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home.

Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above by means of not having documentation for drill logs which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/29/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(j)(2) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following

Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by means of not having sleep logs available for review for infant enrolled which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/27/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102418(g)(1) · 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. (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.

Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by means of not having updated immunization records for children enrolled in the program which poses/posed a potential health, safety or personal rights risk to persons in care. LPA provided a resource to obtain records. CA Vaccination Records website. POC Due Date: 09/27/2023

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 observation, interview and record review, the licensee did not comply with the section cited above by means of not having a complete emergency information cared for C4 and C5 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/27/2023

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 months of age the provider has in care and included in the infant's file at the facility.

Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above by means of not having a LIC 9227 available for review which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/28/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(c)(2) · 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. The Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be maintained in the infant’s file and shall be available to the Department for review.

Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by means of not maintaning a LIC9227 for infants in care which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/27/2023

Open Not marked corrected in the state record

Category: health medication. 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 observation, interview and record review, the licensee did not comply with the section cited above by means of not having an infant file available for review which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/28/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.