102423(a)(2) · 102423(a)(2) Personal Rights Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child’s authorized representative. These rights include, but are not limited to, the following (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Licensee stated they will ensure to complete diapering logs daily and check diapers before departure from the facility. Write attestation regarding the needs of children in diapers. Based on interviews and records reviewed staff would leave children in swim diapers, put children in diapers not belonging to the child causing allergic reactions, or diapers were placed on backwards. This poses a potential health and safety risk to children.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(f) · 102417(f) Operation of a Family Child Care Home (f) If food is brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated.

Licensee stated they have implemented using disposable water cups and a refillable water jug. Licensee also stated when children are having difficulty eting while in care they will be more communicative with Guardians via text. Based on interviews, and observations bottles and cups and food are not labeled with the child’s name to identify that food belongs to the child the food was brought for. This poses a potential health and safety risk to children in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416(d)(1) · 102416 (d)(1) Personnel Requirements (d) Prior to employment or initial presence in the child care home, all employees and volunteers subject to a criminal record review shall (1) Obtain a California clearance or criminal record exemption as required by law or Department regulations.

Licensee stated they will ensure all staff are fingerprinted before employment and will write an attestation regarding criminal record clrearance and their understanding of Title 22. Based on interviews and record review 1 of 5 staff did not obtain criminal record clearances prior to working with the children for more than 5 days. This poses an immediate risk to the health and safety of the children in care. A civil penalty of $500.00 will be issued on the LIC 421BG.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

102416.5(d)(1) · Staffing Ratio and Capacity (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants; or

Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in 5 out of 12 children were infants, which posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/11/2025

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416.5(b)(1) · 102416.5 Staffing Ratio and Capacity (b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following:(1) Four infants; or This was not met as evidence by.... Licensee will overlook ratios and capacity and prompt an paragraph with signature ensuring they are aware of licensing reirements and ratios for a small family child care.

Based on interviews and observation Licensee has more than the alotted amount of children in care due to having four infants. This poses a potential health and saftey risk to children in care

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102423(a)(4) · 102423 Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following (4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.

Licensee will begin documenting daily diaper changes for each infant in care. Proof will be provided to LPA via email. Based on confidential interviews 2 of 2 interviews disclosed children were picked up in soiled diapers and parents are not providing diapers as often as they probably should. Interviews also revealed P2's infant came home often with rashes which improved once the infant was removed from LICs care. This poses a potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g)(3) · 102417 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 be limited to (3) Where children less than five years old are in care, stairs shall be fenced or barricaded. On 05/23/2024 LPA's observed the staircase to be accessible to children in care. Licensee has since placed a proper barricaded preventing access to the second floor.

Based on observation on 05/23/2024 Licensee has placed a barricade to prevent access to the second floor. This posed a potential health and saftey risk to children in care

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g)(4) · 102417 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 be 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. This evidence has not been met by.... Licensee has placed all cleaning solutions in a high cabinet above the refrigerator to prevent access to children in care.

Based on observation and confidential interviews staff typically leave cleaning supplies out due to cleaning throughout the day. LPA's also observed cleaning solutions underneath the accessible kitchen sink as well as next to the FCCH changing station. This poses a potential health and safety risk to children in care

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(c) · 102425 (c) Infant Safe Sleep An Individual Infant Sleeping Plan LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file. this was not met as evidenced by.... Licensee will obtain an infant safe sleep plan for child #5, and provide to LPA Peebles via email by 05/30/24.

Based on record review and interview with licensee, one infant did not have an infant safe sleep plan on file at time of inspection. This poses a possible health safey and personal rights risk to children in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(j)(D) · 102425 (j)(D) INFANT SAFE SLEEP; The provider shall supervise infants while they are sleeping and adhere to the following requirements: Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Date, infant’s name, time of each 15-minute check.This was not met as evidenced by.... Licensee will obtain and begin to an infant safe sleeplog and send one week record to LPA Peeble via email by 05/30/24.

Based on record review and interview, the licensee did not have infant sleep log for four infants in care at the time of inspection. This poses a possible health safey and personal rights risk to children in care SUPERVISOR'S NAME: Pauline Beschorner

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102416.1(d) · 102416.1 (d)Personnel Records; All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review. This was not met as evidenced by... Licensee will obtain personnel records for staff hired at the Family Child Care, and send copies of records to LPA Peebles by 05/30/24.

Based on record review and interview licensee does not have personnel records for two out of two staff present at time of inspection. This poses a possible health safey and personal rights risk to children in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102421(a) · 102421(a) Child's Records; The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).this was not met as evidenced by.... Licensee will retreive records for children in care and provide copies of records to LPA Peebles by 05/30/24.

Based on Record review and interview, licensee stated she has the files online, was not able to present all records at time of inspection for three out of six children present at time of inspection. This poses a possible health safey and personal rights risk to children in care SUPERVISOR'S NAME: Pauline Beschorner

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102418(a) · 102418(a) Immunizations; 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. This was not met as evidenced by... Licensee will obtain immunizations for all children in care and submit evidence via email to LPA Peebles.

Based on record review and interview, licensee did not have immunization records for four out of six children in care at the time of inspection. This poses a possible health safey and personal rights risk to children in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416(a) · 102416(a)Personnel Requirements; The licensee shall provide each employee with a copy of the Notice of Employee Rights (LIC 9052 (4/88)) form furnished by the Department. This was not met as evidenced by.... Licensee will have staff complete all records required and submit records to LPA Peebles via email by 05/30/24.

Based on interview and record review, the licensee did not have records for staff present at time of inspection. This poses a possible health safey and personal rights risk to children in care SUPERVISOR'S NAME: Pauline Beschorner

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102419(b) · Admission Procedures and Authorized Representatives Rights (b) The licensee shall post the PUB 394 (8/02), Family Child Care Home Notification of Parents’ Rights Poster in a prominent, publicly accessible area in the family child care home at all times children are in care.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above did not have the required postings available which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/16/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.