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 and interview, the licensee did not comply with the section cited above with both the kitchen and garage area which were accessible to children and which maintained various poisons and hazards such as construction tools, toxins, and knives. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/02/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(i) · Infant Safe Sleep If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above as LPAs and LPM observed a child to be sleeping in a stroller at the beginning of the visit. Licensee stated that the infant slept in the stroller because the infant refused to sleep in a play yard or crib. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/02/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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, the licensee did not comply with the section cited above as one infant was observed to be sleeping in a play yard with a loose blanket which posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/15/2023

Open Not marked corrected in the state record

Category: health medication. 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 record review, the licensee did not comply with the section cited above with four infants enrolled at the facility who did not have proof of the 15 minutes sleep checks on file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/15/2023

Open Not marked corrected in the state record

Category: supervision. 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 as one child who was present, C2, during the visit did not have a file or any documentation present at the facility which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/15/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.