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Home › CA › Lake Forest › Uthayakumar, Suba
Lake Forest CA 92679 · License #304314038 · Family Day Care Home
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
102417(g)(9)(A) · 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.
Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above. Licensee was unable to provide LPA with documentation showing a disaster drill has been conducted at least once every six months which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/04/2024
Open Not marked corrected in the state record
Disposition: Unsubstantiated
Generated from this facility's specific inspection record
Data synced from California DSS, Community Care Licensing Division on Jul 8, 2026 · Source records · Report an error
Category: ratio. Open / not marked corrected.
102416.1(a) · Personnel Records (a) Personnel records shall be maintained on each employee and shall contain the following information
Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above. Licensee was unable to provide LPA with a file for Mamata which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/04/2024
Open Not marked corrected in the state record
Category: health medication. 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 observation, interview, and record review, the licensee did not comply with the section cited above. While reviewing the children files at 10:30 a.m. LPA observed four out of nine children were missing immunization records which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/04/2024
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 interview, the licensee did not comply with the section cited above. Licensee was unable to provide LPA with a current roster for children in care which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/04/2024
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
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 observation, interview, and record review, the licensee did not comply with the section cited above. While reviewing the children files at 10:30 a.m. LPA observed six out of nine children were missing LIC 995A Notification of Parents' Rights which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/04/2024
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
102425(j)(2)(D)(c) · 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: Time of each 15-minute check
Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above. Licensee was unable to provide LPA with documentation for child #1 (C1) showing she is checking on infants (24 months and under) every 15 minutes during nap time which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/04/2024
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.