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 observation, the licensee did not comply with the section cited above due to LPA observing that in order for children to access the pay room children have to walk through Licensee's bedroom. Licensee's bedroom had medicines and ointments that a child can have access to which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/01/2021

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 due to not having a fire and/or disaster drill documenting drills within the last 6 months not even the last 12 months, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/01/2021

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(i) · Infant Safe Sleep If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above due to LPA observing that Child #6 was not placed in a crib or play yard as soon as they fell asleep and were left on the sofa which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/01/2021

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(j)(2) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following

Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above due to not having documentation and admitting to not documenting that they are checking for labored breathing, signs of distress which includes but is not limited to flushed skin color, increase in body temperature and restlessness, and the date and times of 15 minute checks which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/01/2021

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.