102417(b) · Operation of A Family Child Care Home (b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as the detached garage (child care area) was not kept clean or orderly which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/23/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(d) · Operation of A Family Child Care Home (d) The home shall provide safe toys, play equipment and materials.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as LPA observed prohibited devices (not in-use) inside the child care area (infant rockers and infant rocking bassinets) which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/23/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g)(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: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as the facility has a fireplace that is screened with a fitted glass door that may become hot while the fireplace is in-use, the Licensee did not have documentation available for the fire extinguisher as to when it was purchased or last serviced, and the facility did not have an operable smoke detector inside the detached garage (child care area) which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/23/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 as LPA observed a small water well/water fountain located in the off-limit portion of the backyard that was made accessible to children in care which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/23/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 as Licensee did not have the Criminal Record Statement (LIC 508) available for review which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/23/2023

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

102416.2(a)(2) · Reporting Requirements (a) The licensee shall report the following information the Department by telephone or fax within the Department's next business day and during normal working hours (8am to 5pm). (2) Any change in household composition including adults moving in or out of the home and anyone living in the home who reaches his or her 18th birthday.

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above as Licensee disclosed that two of her adult children are no longer residing in the home/facility and did report this information to the Department which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/23/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.3(a)(1) · Alterations to Existing Building or Grounds (a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (1) Conversion of a garage (either attached or detached) into a "child care" room.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited as LPA observed the off-limit detached garage currently being used for child care and the Licensee disclosing that she did not notify the Department of this change which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/23/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416.3(a)(6) · Alterations to Existing Building or Grounds (a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above as LPA observed the children inside the "off-limit" detached garage and the Licensee disclosed that the inside of the home is currently off-limits to children in care other than 1 bathroom which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/23/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 four (4) children's records (C2, C3, C4, and C5) did not have the Consent for Emergency Medical Treatment (LIC 627) available for review which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/23/2023

Open Not marked corrected in the state record

Category: ratio. 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 record review, the licensee did not comply with the section cited above in 1 child's record (C2) did not have verification of the 15-minute physical checks for when the child is napping available for review which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/23/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.