102416.1(d) · All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review.

the licensee not maintaining complete staff records The LPA previously mailed copies to the licensee of what was available in the Fresno CCL file. The licensee understands that files must be maintained at the home and agrees to have staff complete required forms and get at the home. This is a possible risk to the health, safety or personal rights of children in care. required documents. The LPA reviewed with the licensee, a list that was previously given to her, of what information is required to be in each assistants files. A return visit will take place to clear this deficiency. SUPERVISOR'S NAME: Juvenal Moctezuma

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 Upon inspection, the LPA observed the hall bedrooms to be open and accessible to children. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/26/2022

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 During the inspection, the LPA observed cleaning supplies and alcohol under the kitchen sink, batteries in one bottom drawer and sharp knives in the small drawer next to the dishwasher. Laundry soap and bleach were also on a lower shelf in the laundry room that could be accessible to older children. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/26/2022

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, the licensee did not comply with the section cited above as the licensee did not have fitted sheets for the infant cribs. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/19/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(j)(1) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as the licensee was not logging 15 minute checks for infants in care. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/12/2022

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102418(a) · Immunizations (a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as the licensee did not have proof of immunizations for children in the files. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/26/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102418(g)(1) · 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. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in the licensee did not have documentation of transcribed immunizations for children not enrolled in school. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/26/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.2(b) · Reporting Requirements. The licensee shall report to the Department any of the events as specified in Health and Safety Code Section 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home. The licensee agrees to review the reporting requirements training on the CCL website and submit a statement of what those requirements are, along with an Unusual Incident Report to the Fresno CCL office no later than 7/8/22.

the licensee having an outbreak of influenza in her home day care, that she did not report to CCL. This is a possible risk to the health, safety or personal rights of children in care SUPERVISOR'S NAME: Juvenal Moctezuma

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.