102416.5(e) · Staffing Ratio and Capacity. If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). The

Per licensee, will make sure there are 2 assistants present and will continue to reduce enrollment to ensure compliance. Upon arrival at 11:00am, LPAs observed assistant was alone with 13 children, 3 of whom are infants and 10 are of preschool-age. This poses an immediate risk to the health & safety of children in care. This is 4th time citation is issued within a 2 month period

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101425(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. The

Upon entry to facility, LPAs observed a 5 month old infant napping on the sofa Per licensee, will ensure infant sleep in playpen and will remind staff. Infant was placed to sleep in playpen during visit. This poses an immediate risk to the health and safety of children in care. SUPERVISOR'S NAME: Ana Chico

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102416.5(e) · Staffing Ratio and Capacity. If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). The

Per licensee, in the process of disenrolling children starting today and hiring another assistant. Per licensee will submit written statement including the number and name of children disenrolled and submit documents for the new assistant by 2/17/2023. Upon arrival at 1:07pm, LPAs observed assistant was alone with 17 children, 5 of whom are infants and 12 are of preschool-age. This poses an immediate risk to the health & safety of children in care. This is the 3rd citation issued within 1 month.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101416.3(a)(6) · Alterations to Existing Buildings or Grounds. Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: Any changed from an area of the family child care home previously identified as Per licensee, will talk to assistant to not use areas the are off limits to children to ensure compliance "off limits" to an area where care and supervision will be provided to children in care. The

LPA observed an infant was left alone laying on bouncer chair in an off limits bedroom. This poses an immediate risk to the health and safety of children in care SUPERVISOR'S NAME: Ana Chico

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102417(a) · Operation of a Family Child Care Home. The licensee shall be present in the home and shall ensure that children in care are supervised at all times. ie.... The

LPA observed an infant was left alone in the off limits bedroom and 7 preschool age children were left unattend in front of the home by the side gate. s Per licensee, children were suppose to be playing in the fenced backyard and does not know why children were left outside if the front by themselves. Licensee will address issues with assistant and wlll hire 2 more assitants to ensure compliance and a baby was left unattended in the off llimits bedroom. This poses an immediate risk to the health and safety of children in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102423(a)(2) · Personal Rights. Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: to receive safe, healthful Per licensee, will remove bouners chairs and put them in the garage that is off limits to children. will also talk to asisstant to not use bouncer chairs. To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. The

LPA observed 5 bouncer chairs on the premise. This poses an immediate tisk to health and safety of children in care SUPERVISOR'S NAME: Ana Chico

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102416.5(e) · Staffing Ratio and Capacity. If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). The

Upon arrival at 12:30pm, LPA observed assistant was alone with Licensee returned to facility at at 12:38pm,. Per licensee, in the process of hiring another assistant to ensure compliance and will not leave facility unless ratio is met Deificency corrected during visit. 8 children 2 of whom are infants and 6 of whom are preschool-age. Licensee if over ratio by 2 children. This poses an immediate risk to the health and safety of children in care. SUPERVISOR'S NAME: Ana Chico

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102425(g) · Infant Safe Sleep An infant’s head shall not be covered while sleeping.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in which upon, entry, LPA observed infant napping in carseat and carseat was entirely cover with wind protection cover which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/31/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(h) · Infant Safe Sleep Car seats shall only be used for transportation purposes and shall not be used for sleeping.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in which, upon LPA's entry to facility LPA observed an infant napping in carseat and carseat was on the living room sofa, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/31/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.5(d) · Staffing Ratio and Capacity (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either

Deficient Practice Statement Based on observation], the licensee did not comply with the section cited above in upon LPA;s arrival, LPA observed assitant was alone with 12 children which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/31/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416.5(d)(1) · Staffing Ratio and Capacity (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants; or

Deficient Practice Statement Based on observation,, the licensee did not comply with the section cited above inj upon LPA's arrival, LPA observed assistant was alone with 12 children and 7 of whom are infants, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 02/01/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416.5(d)(2) · Staffing Ratio and Capacity (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (2) More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in, during the inspection,LPA observed 13 children in care, 7 of whom are infant and 6 are preschool-age, none of the children are of school-age which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/31/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416.5(e) · Staffing Ratio and Capacity (e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in upon LPA's arrival, LPA observed assistant was alone with 12 children. which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/31/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416.1(d) · Personnel Records (d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review.

Deficient Practice Statement Based on observation , the licensee did not comply with the section cited above in licensee does not maintain employee file as required this poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/06/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.3(a)(6) · Alterations to Existing Building or Grounds (a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in licensee has added 1 bedroom for day care use and did not notify the Department this poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/02/2023

Open Not marked corrected in the state record

Category: supervision. 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 LPA observed 2 of the children files lack the Consent to Emergency Medical Care which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/02/2023

Open Not marked corrected in the state record

Category: ratio. 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 record review, the licensee did not comply with the section cited above in roster is not current/updated which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/02/2023

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 record review], the licensee did not comply with the section cited above in LPA observed the plan was not completed for 1 infant which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/02/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(j)(2)(D)(c) · 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: Time of each 15-minute check

Deficient Practice Statement Based on record review)], the licensee did not comply with the section cited above in the 15 minute sleep has not been documented for infants as required which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/31/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.