Bergendahl, S. Annette

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 record review, the licensee did not comply with the section cited above in that no sleep logs are being used to document infants safe sleep, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/16/2023

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, the licensee did not comply with the section cited above in that licensee CPR and first aid certificate expired in June 2023 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/31/2023

101425(c) · 101425(c) An Individual Sleeping Plan {LIC9227 (3/20)} shall be completed for each infant up to 12 month of age the provider has in care and mianatined at the facilty in the infants file.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that LIC9227 Infant Safe Sleep Plan was not completed and available in the child's file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/25/2023