102417(g)(4) · 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: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

Deficient Practice Statement Based on LPA observation, LPA observed cleaning compounds in the childrens restroom under sink behind door which is not locked. Items such as Glass Cleaner, Ajax, other compounds, see photo, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 04/18/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(a) · 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.

Deficient Practice Statement Based on observation, Child #4 - does not have a crib or play yard to nap, see photo, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102370(d) · Criminal Record Clearance (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility

Deficient Practice Statement Based on observation and record review in Guardian, Staff #2 who is also licensee daughter, moved back in the home in September 2022. The background process was not completed with clearances before working, living at the home (since 09/2022), the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 04/18/2023

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

102416(c) · Personnel Requirements (c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

Deficient Practice Statement Based on observation, record review, Licensee and two staff have expired CPR cards -03/08/23, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2023

Open Not marked corrected in the state record

Category: health medication. 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 and record review, the last drill was conducted on 0919/2022 (today is 04/18/23) , the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/21/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(j)(1) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.

Deficient Practice Statement Based on observation and record review, Child #4 did not have a sleep chart created and has been enrolled since January 8, 2023. the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/28/2023

Open Not marked corrected in the state record

Category: supervision. 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 record review and observation, licensee does not have completed files for staff or licensee with required documents, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2023

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 record review and observation, Child #2 was missing immunization records, including the immunization records that need to be printed out from the phone and placed in the files, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102421(c) · Child's Records (c) In any case in which the licensee cares for an additional child pursuant to Section 102416.5(b) for a Small Family Child Care Home or Section 102416.5(d) for a Large Family Child Care Home, the licensee shall maintain, in the child’s record, a copy of documentation verifying the child’s enrollment and attendance at kindergarten, including transitional kindergarten, or elementary school as required in Section 102416.5(g).

Deficient Practice Statement Based on record review and observation, Child #2 needs proof of enrollment, , the licensee did not comply with the section cited above] which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(m)(3) · Operation of A Family Child Care Home (3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.

Deficient Practice Statement Based on record review and observation, the files did not have an affidavit for liability insurance. the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2023

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 record review and observation, Child #4 did not have LIC9227 in file, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2023

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 record review and observation, no sleep chart for Child #4, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/05/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.