102419(d)(1) · Admission Procedures and Authorized Representatives Rights - (d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A…(1) The licensee shall request the child's parent or authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06), which acknowledges that the parent or authorized representative has received and read the LIC 995A….

The licensee states she will submit proof of completed LIC 995A Parent's Rights to the Department via email or in-person by 5/14/24. Based on records review, 8 of 16 children's records reviewed were missing LIC 995A which poses/posed a potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. 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). The licensee states she will submit proof of completed children's emergency information form to the Department via email or in-person by 5/14/24. Based on records review, 8 of 16 children's records reviewed were missing emergency information card which poses/posed a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME Joelle Redding

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102417(m)(3) · Operation of A Family Child Care Home (3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.

The licensee states she will submit proof of completed signed affidavit by parents to the Department by 5/14/24. Based on records review, 12 of 16 children's records reviewed were missing signed affidavit by parents which poses/posed a potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: ratio. 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.

The licensee states she will submit proof of missing children's immunizations via email or in-person by 5/14/24. Based on record review, the licensee did not comply with the section cited above as 8 of 16 children did not have an immunization card on file. This poses a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Joelle Redding

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102425(c) · 102425(c) INFANT SAFE SLEEP (c) An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file.

The licensee states that she will submit completed Infant Sleep Plan, LIC9227 for child C16 to LPA via email or in-person by 5/14/24. Based on record review and licensee statement, the licensee did not comply with the section cited above in 1 out of 1 infant under 12 months, child C16 did not have a completed Infant Sleep Plan (LIC9227) on file. This poses a potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(j) · 102425 (j) INFANT SAFE SLEEP (j) The provider shall supervise infants while they are sleeping and adhere to the following requirements: (2) The provider shall check and document the following: (D)Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: c. Time of each 15-minute check.

LPA reviewed Safe Sleep Log documentation with the licensee. The licensee states that she will submit completed15-minute sleep documentation for C16 to LPA via email or in-person by 5/14/24. Based on record review and licensee statement, the licensee did not comply with the section cited above in 1 out of 1 infant’s files, child C16, reviewed do not contain 15 minute sleep documentation. This poses a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Joelle Redding

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102417(g)(4)(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: (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. (A) Storage areas for poisons, firearms and other dangerous weapons shall be locked.

Licensee removed all items that might endanger a child. Licensee states she will install latches to the four kitchen drawers. Photo proof of correction will be submitted to licensing via email or in-person by 5/14/24. Based on LPA's observations, the licensee did not comply with the section cited above in that household tools (screwdrivers) and medications were accessible in several kitchen drawers; This poses an immediate health and safety risk to children in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g)(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: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

The licensee stated that she will obtain a fire extinguisher (Size 2A10BC) no later than 5/10/2024. She will submit a photo of the fire extinguisher and a store receipt as proof of correction via email to the LPA. Based on observation, the licensee did not comply with the section cited above. The fire extinguisher present in the home was on “empty” and indicated that it needed "recharging". This posed a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Joelle Redding

Open Not marked corrected in the state record

Category: supervision. 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.

The licensee states that she will submit a completed children's roster, LIC9040, to LPA via email by 5/14/24. Based on record review and licensee statement, the licensee did not comply with the section cited above. The licensee does not maintain a children's roster. This poses a potential health, safety or personal rights risk to persons in care SUPERVISOR'S NAME: Joelle Redding

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.