102416.5(d)(1) · Staffing Ratio/Capacity(d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time...(1) Twelve children, no more than four of whom may be infants... The regulation was not met as evidenced by The licensee agrees operate within the terms of their license by ensuring the maximum number of children who care may be provided at any one time, is 12 children, no more than 4 of whom may be infants or, No more than 3 infants are cared for during any time when more than 12 children are being cared for. Based on LPA observation, interview and record review, the facility exceeded the terms of the license with 5 infant/toddler children under 24 months of age present and in care, which is a potential risk to the health and safety of children in care. The licensee agrees to submit a statement of understanding the regulation 102416.5(d)(1) and submit a plan for managing the care and supervision of children enrolled at the daycare that ensures the licensee will not exceed the requirements for ratio & capacity, by fax, mail or e-mail. SUPERVISOR'S NAME Kimberly Williams

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, the licensee did not comply with the section cited above in LPA observed poisons, toxins, drinking alcohol, medications in open areas of the garage open to daycare children; kitchen knives and clorox spray cleaners and wipes in lower kitchen cabinets, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/19/2024

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102370(d) · Criminal Record Clearance (d) 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

Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in 2 staff present and working with children did not receive a criminal record clearance prior to working with children, 3 additional staff not present are subject to a criminal record review, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/19/2024

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

102417(g)(3) · 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: (3) Where children are less than five years old are in care, stairs shall be fenced or barricaded.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in the licensee by admission stated they removed equipement to barricade stairs in the home, where 9 children under 5 years of were present at the facility which poses posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/22/2024

Open Not marked corrected in the state record

Category: ratio. 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, the licensee failed to ensure 4 play yards for 4 infants present and in care were free from blankets and toys, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/19/2024

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 record review, the licensee did not comply with the section cited above in the licensee failed to obtain the LIC627 Medical Consent from the authorized representative of a child in care which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/22/2024

Open Not marked corrected in the state record

Category: ratio. 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 licensee failed to maintain sleep logs for infants under 24 months of age, enrolled at the facility which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/22/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.