102417(g)(5) · 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: (5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed water table with approximately three inches of water and a small trash can filled to the top with water which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/16/2023

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, the licensee did not comply with the section cited above. LPA observed and additional mattress was placed in play yard which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/17/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(c) · Infant Safe Sleep An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. Child 5 is missing LIC9227 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/30/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(j)(2)(D) · 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

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above. Licensee did not have a Safe Sleep Log for all infants in care which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/30/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102423(a)(2) · Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed a child sleeping on the couch in the living room which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/30/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.