Thondapu, Lakshmi

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 observation, the licensee did not comply with the section cited above in that the backyard wooden fence has broken down in the left corner of the yard; panels have fallen out providing access to a neighbor's yard which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/31/2023

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102416.1(a)(11) · Personnel Records (a) Personnel records shall be maintained on each employee and shall contain the following information: (11) A signed statement regarding their criminal record history as required by Section 102370(c).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that assistants and volunteers do not have a signed Criminal Record Statement LIC508 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/15/2022

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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 6 out of 12 files reviewed did not contain form LIC627 Consent for Emergency Medical Treatment which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/15/2022

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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 (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). (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 bottom portion of this form must be kept in the child’s file as proof that the parent or authorized representative has been notified of his or her rights and received a copy of the Caregiver background Check Process, LIC 995E (6/05), and the Family Child Care Consumer Awareness Information, LIC 9212 (10/05).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 out of 12 children's files was missing the signed receipt of the LIC995A which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/15/2022

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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.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 2 out of 12 children's files were missing the signed receipt of the LIC282 form Notice of No Liability Insurance which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/15/2022

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