102423(a)(2) · Personal Rights.(2)To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

observation and interview Today, Licensee replaced both play pens with clean play pens. Licensee removed the stained play pens from being accessible. Licensee undertands that the Department should be able to verify that all equipment is in good clean condition upon inspection. Deficiency cleared. LPA Ocegueda observed that there were two mini style play pens located in the hallway being used by infants today which were stained all over. Licensee confirmed the observation. This poses a potential risk to the health, safety and or personal rights risks to children in care. SUPERVISOR'S NAME: Susie Fanning

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102423(4) · (4) Personal Rights.To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning. Licensee stated she would not use any off-limit bedrooms or areas that were also hazardous for any type of care and supervision or for the use of discipline as this could be intimidating to children in care. Licensee has since purchased cots that children were observed to use today. Top latches were observed on all bedroom doors.

Based on observation and interview, licensee did not comply with the section cited above. LPA observed children sleeping directly on a blanket and area rug causing children to be unconfortable and interfering with their sleep. Interviews revealed that a highly cluttered room is used for children to go to during "time out" for misbehaving. Today, Licensee confirmed that child #1 was inside that room yesterday. This poses a potential risk to the health, safety and or personal rights risks to children in care Today licensee stated she would complete a written statement indicating she understands personal rights. A meeting will be held at the Fresno Regional Office to further address the findings to these allegations. Licensee will submit written statement by POC date 6/21/2023.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102423(a)(2) · (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Based on observation and interview licensee did not comply with the section cited above. Today, LPA observed an accessible play yard that had access to multiple hazardous items (rusted vehicles, sharp metals, building debris, gasoline cans, a deep trench, wiring, plant pruners) and other items. Per interview of licensee and multiple children, the yard and hazardous area was used as recently as this week. LPA took photos Today licensee placed a lock metal on the gate leading to her side yard which immediately prevented access to the hazardous area where the trench and various materials and objects were. Since the direct side yard also had variuos other hazards, licensee stated she would be removing the broken play equipment, remvove any debris, remove any gardening tools and ensure it was safe before use. This posed and poses an immediate risk to the health, safety and/or personal rights risks of children in care. Licensee plans on making hazardous area inaccessible with gates. Licensee understands that she is not to use the play yard until it is inspected and approved by the Department. Today licensee made the side yard inaccessible by placing a lock. Licensee understands that the deficiency will be cleared once the play yard is remedied of all hazards and gates are placed. A meeting at the Fresno Regional Office will be held to discuss this deficiency. SUPERVISOR'S NAME: Susie Fanning

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102417(8)(g) · Roster.Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. Licensee did not comply with the section cited above. On 4/19/2023, during an inspection, Licensee could not provide completed roster. Licensee provided the completed roster on 5/30/2023. Licensee stated she will ensure that she keeps up to date with the facility roster and make it available upon request. Licensee provided the updated roster to LPA on 5/30/2023. Licensee will write a written statement indicating her understanding of this requirement and submit proof to the Department by POC date 6/21/2023. This poses a potential risk to the health, safety and or personal rights risks to the persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.3(a)(6) · Reporting Requirements: 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. Licensee did not comply with section cited above. Today, LPA observed that children had access to the previously identified off limits kitchen. Interviews revealed that children have had access to two previuosly identified off limit bedrooms and play yard. Licensee placed the baby gate to make the kitchen off limits. Currently the bedrooms all have top safety latches. The play yard was made off limits with a lock today. Licensee will also complete a written statement where she explains her understanding of the requirement pertaining to "off limit rooms" and that children should not be allowed to use areas tha that have not been approved for care. This poses a potential risk to the health, safety and/or personal rights of children in care. Proof wil lbe submitted to the Department by POC date 6/21/2023 SUPERVISOR'S NAME Susie Fanning

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102417(b) · The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. Licensee did not comply with the regulation stated above. Today, it was observed that the accessible kitchen had cluttered counters. There was clutter on the furniture in the dining room. In the accessible bathroom, there were multiple toys that were to be discarded and stacked in the tub. The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. Licensee did not comply with the regulation stated above. Today, it was observed that the accessible kitchen had cluttered counters and clutter in the dining area as well as multiple toys in the tub. Today, Licensee cleaned the kitchen and dining area. Licensee removed the toys from the bathroom. This poses a potential risk to the health, safety and or personal rights risks to persons in care. Licensee stated she will complete a written statement where she details how she plans on maintaining her facility clean and orderly. Proof will be submitted to the Department by POC date 6/21/2023. SUPERVISOR'S NAME Susie Fanning

Open Not marked corrected in the state record

Category: supervision. 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 and interview, the licensee did not comply with the section cited above in that there were cleaning products which state "keep out of reach of children" under the kitchen sink, which was not locked, 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: ratio. Open / not marked corrected.

102370(d)(1) · CRIMINAL RECORD CLEARANCE -All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility (1) Obtain a California clearance or a criminal record exemption as required by the Department. Today, adult #1 left the facility. Licensee stated she would not have adult #1 return until he/she obtained Department criminal record clearance and associated to her facility.

record review, interview and observation. Adult #1 was observed cleaning and holding child #6. Licensee indicated; adult was a backup today due to regular assistant having a family emergency. This poses an immediate risk to the health, safety and personal rights to children in care. A $100.00 civil penalty was assessed Licensee completed a written statement today indicating she would not have adult #1 or any uncleared adult present and/or assisting in her facility. Deficiency cleared. SUPERVISOR'S NAME: Susie Fanning

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102417(b) · (b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.

observation. LPA observed that the accessible kitchen table located in the breakfast nook area was covered in clutter Licensee stated she would clean up the kitchen/table area and maintain her facility free of clutter. Licensee will submit proof to the Department by POC date 5/3/2023. Licensee confirmed the observation. This poses a potential risk to the health, safety and personal rights to children in care. SUPERVISOR'S NAME: Susie Fanning

Open Not marked corrected in the state record

Category: supervision. 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 interview and record review, Licensee stated conducts 15 mintue checks and logs information for infant #1 but could not produce log during inspection. Licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/22/2022

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102418(g) · 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.

Deficient Practice Statement Based interview and record review, Licensee did not have copies of immunizations and did not have immunizations documented. LPA Mercado reviewed 4 out of 5 children files and two files did not have immunizations and were not documented. Licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/22/2022

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, LPA Mercado observed infant #1 in a pack in play in the dinning room with blankets while infant #1 was napping. Licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/22/2022

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, LPA Mercado observed a car seat in the middle of the living room with a blanket inside the car seat and children have access to the living room. Licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/05/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g) · 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

Deficient Practice Statement Based on on observation and interview the licensee did not comply with the section cited above. LPA observed dirty dishes that piled the sink, the counters were cluttered and had many crumbs. The kitchen floor and counters were cluttered with food jars and other items making it difficult to properly clean and disinfect. LPA reviewed the requirement above and indicated that although the children did not have access to the kitchen, licensee reported she stores and cooks the children's meals in the kitchen, thus should be kept in a clean and orderly condition. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/17/2021

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g)(5)(B) · 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. (B) Where an above-ground pool structure is used as the fence or where the fence is mounted on top of the pool structure, the pool shall be made inaccessible when not in use by removing or making the ladder inaccessible or erecting a barricade to prevent access to decking. If a barricade is used, the barricade shall meet the requirements of Section 102417(g)(5)(A).

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above. LPA observed that one of the two pool gates did not self latch as required. The licensee uses a key lock to maintan the pool gate closed. The pool gate faces a yard that is inacessble by gate to the children and has been documented to be off limits. Licensee confirmed this observation today. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/06/2021

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.