102421(b) · (b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required in Section 102417(g)(7).

Licensee agreed to send proof of file to LPA by POC due date. Based on observation, interview, and record review, the licensee did not comply with the section cited above. During children file reviews, LPA observed 2 out of 8 children present did not have a file which poses/posed a potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(j)(2)(D) · Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following

Licensee agreed to document infant safe sleep every 15 minutes and submit prooof to LPA by POC due date. Based on observation,and record review, the licensee did not comply with the section cited above. During children file review, LPA observed children in care were missing LIC 700 Identification and Emergency Information which poses/posed a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Thuy Ho

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102425(c) · Infant Safe Sleep Plan An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file. The Individual Infant Sleeping Plan The Department for review. This regulation was licensee will provide copy of infant safe sleep plan for C3 shall be maintained in the infant’s file and shall be available to not met as evidenced by interview with Licensee who could not locate lic 9227 for C3mother stated she completed form this is a potential personal rights and safety hazard to children in care. SUPERVISOR'S NAME Rina Lopez

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101423(a)(2) · 102423 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. Licensee agreed to submit a diaper changing policy and procedures to LPA by POC Due date. LPA observed child (C1) to have a saggy diaper upon arrival. At 11:26 AM informed licensee of C1 diaper and licensee stated C1 diaper was wet. At 11:26 AM, LPA observed assistant (S1) starting to change childrens diaper on the changing table located inside the living room area. LPA observed assistant change five childrens diapers. Out of the five diapers changed, three were soiled. LPA also observed assisant using the same gloves in between diaper changes and not sanitizing the changing mat after each child.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above.Assistant present did not have a file available for review which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/22/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.5(b)(1) · Staffing Ratio and Capacity (b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following: (1) Four infants; or

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. Upon arrival at 9:25 AM LPA observed assistant caring for eight (8) children. Out of the eight (8) children, five (5) were infants which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/08/2022

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(d)(1) · Operation of A Family Child Care Home (d) The home shall provide safe toys, play equipment and materials. (1) Fixtures, furniture, and equipment that have been banned or recalled by the United States Consumer Product Safety Commission shall not be used for children in care or accessible to children in care.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above.LPA observed a saucer chair inside the childrens play room which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/22/2022

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g)(9)(A) · 1 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: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home.

Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above. Licensee was unable to provide LPA with a fire/disaster drill log which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/22/2022

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(j)(5) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. While touring the home, LPA observed four (4) infants inside a bedroom with the door closed placed inside crib which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/08/2022

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102419(b) · Admission Procedures and Authorized Representatives Rights (b) The licensee shall post the PUB 394 (8/02), Family Child Care Home Notification of Parents’ Rights Poster in a prominent, publicly accessible area in the family child care home at all times children are in care.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. While touring the home, LPA observed licensee did not have PUB 394 Notification of Parent Rights posted which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/08/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102421(b) · Child's Records (b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required in Section 102417(g)(7).

Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above. During children file reviews, LPA observed 2 out of 8 children present did not have a file which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/22/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g)(8) · Operation of A Family Child Care Home (8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.

Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above. During record review, LPA observed eight (8) children present were not on the roster which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/22/2022

Open Not marked corrected in the state record

Category: ratio. 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 observation and interview, the licensee did not comply with the section cited above. During children file review, licensee was unable to provide LIC 9227 Individual Infant Sleeping plan form for infants in care which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/22/2022

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 was unable to provide documentation of an infant safe sleep log showing infants are being checked every 15 minutes during nap time which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/22/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102423(a)(4) · 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: (4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. At 11:26 AM, LPA observed assistant (S1) starting to change childrens diaper on the changing table located inside the living room area. LPA observed assistant change five childrens diapers. Out of the five diapers changed, three were soiled. LPA also observed assisant using the same gloves in between diaper changes and not sanitizing the changing mat after each child which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/22/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.