102417(g)(4) · (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 & other items which could pose a danger if readily available to children shall be stored where Immediately, licensee removed all listed hazards and sharps. they are inaccessible to children.

LPA observed knives in the kitchen sink, multiple botles of laundry detergent on the floor in the garage, baking powder in a cabinet of the garage accessible to children. In the on-limit outdoor area of the home, 3 cracked play houses. Tools like a rake and shovel near the playhouses for the children in care, 3 cracked tubes to a water table, an unlocked shed containing muliple hazards and sharps, a cooler of beer on the ground, accessible to children, and dog feces on the floor. SUPERVISOR'S NAME: Kimberly Williams

Open Not marked corrected in the state record

Category: supervision. 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 observed a pillow, 2 blankets, baby sandals and two head wraps in the attachment to the crib the infant was sleeping in. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/20/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(d) · Operation of A Family Child Care Home (d) The home shall provide safe toys, play equipment and materials.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. Upon LPA's arrival, an infant was seen sleeping in an attachment to a crib. Attachments to cribs are prohibited per title 22 regulations. The warning label states in large letters: "SUFFOCATION HAZARD INFANTS HAVE SUFFOCATED".. LPA also observed a swing with a warning label stating it was unsafe for infants, due to being a strangulation hazard. This item was not being used at the time. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/20/2023

Open Not marked corrected in the state record

Category: ratio. 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 LPA observed cleaners like Lysol Mold and Mildew remover, Cloralen with Bleach and accessible sharps like knives, tools including a screwdriver, and a wine bottle opener in the on-limits kitchen area. Numerous body lotions and sprays in the on-limits restroom. Laundry detergent was accessible in the on-limits garage area. There were also multiple cabinets without locks that contained more cleaning supplies, sharps and plastic bags. The shed in the backyard contained multiple poisons and hazards also did not have a lock on it. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/20/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(a)(3) · Infant Safe Sleep (a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

Deficient Practice Statement Based on observation, 1 out of 2 of the cribs did not have a tight fitted sheet on the mattress. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/20/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.5(a) · Staffing Ratio and Capacity (a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

Deficient Practice Statement Upon LPA's arrival, LPA counted 17 children in care. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/20/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416(c) · Personnel Requirements (c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

Deficient Practice Statement Based on record review, 1 staff was missing CPR/first aid and the other 2 had expired certificates. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/02/2023

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. There were no 15 minute sleep logs for any of the infants in care. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/28/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.