102417(g)(3) · 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: (3) Where children are less than five years old are in care, stairs shall be fenced or barricaded.

Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. LPA observed the staired gate is not use during the operation, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/28/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 [(observation) (interview) (record review)], the licensee did not comply with the section cited above. LPA observed the last Fire drill and Earthquake was conducted 3/2022, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/06/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(b) · Infant Safe Sleep (b) Cribs or play yards shall be free from all loose articles and objects.

Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. LPA observed 4 cribs and all have pillows and blanket inside the crib. which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/28/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102421(a) · Child's Records (a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).

Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. LPA asked for 4 children's files who attended the facility today. The licensee was unable to provide 3 children's file,which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/06/2023

Open Not marked corrected in the state record

Category: health medication. 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,record revie, thwe licensee did not comply with the section cited above. 4 young children (Infant) do not have any paperwork,which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/06/2023

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 [(observation) (interview) (record review)], the licensee did not comply with the section cited above. LPA did not observed LIC 9227 in the children (Infant's) file, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/06/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.