102417(a) · (a)The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day Licensee stated she is not accepting younger infants as they require more attention. Licensee stated she will pull the curtain to be open while the children are awake.

L1 is not ensuring children are supervised at all times while awake and crying in cribs in the bedroom, while sitting in their cubbies in the kitchen and having a curtain hang in the doorway blocking sight to the playroom which poses an immediate health, safety or personal rights risk to persons in care. Request Denied

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102423(a)(4) · (a)Each child receiving services from a family childcare 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 stated she will stop using the cubbies as a place for children to sit when they need to calm down. L1 also stated she will not use cribs for the infants when crying. L1 also stated she will wait until parents arrive to pick so they can assist their children in putting on their shoes.

L1 is placing children in cribs and cubbies as a way to calm down for 5-10 minutes as well as a place to wait for their guardians to pick them up which poses an immediate 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.

102423(a)(1) · (a)Each child receiving services from a family childcare 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: (1) To be treated with dignity in his/her personal relationship with staff and other persons. Licensee stated she will no longer video children who are crying and will comfort children when upset. L1 stated they will hold the children and encourage them when they are upset.

Based on evidence received staff are not providing children with attention or comforting children which poses an immediate health, safety or personal rights risk to persons in care. Request Denied

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102419(e) · (e)Upon presenting identification, the parent or authorized representative of a child in care has the right to enter and inspect the family childcare home without advance notice during the family childcare home's normal operating hours. Licensee stated she will remove the sign on the front door that states "Drop off and pick up at outside door only". L1 will send a photo to LPA at melinda.mohr@dss.ca.gov

Based on interviews staff do not allow parents entry into the facility at drop off or pick up which poses an immediate 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.

102359(a) · (a) Licensees shall reveal each facility license number in all advertisements, publications, or announcements made with the intent to attract clients. Licensee stated she will add her facility number to her website immediately and will email LPA that the number has been added.

Based on review L1 website does not contain the facility number as required, which poses an immediate health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Leslie Lepori

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102425(j)(5) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in which one room did not have the door open while two infants C1 & C11 were sleeping inside, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/04/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 in which the bathroom had disinfecting wipes on the sink which was accessible to children which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/10/2024

Open Not marked corrected in the state record

Category: ratio. 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 in which 2 children (C1 & C7) did not have up to date sleep logs available for review, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/17/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102416.5(e) · Staffing Ratio and Capacity (e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above. Upon LPA's arrival the Licensee was not home and the assistant was supervising 11 children alone for approximately 25 minutes, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/10/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102425(j)(5) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in which two room had doors completely closed with three infants C3 -C5 sleeping in them which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/21/2023

Open Not marked corrected in the state record

Category: supervision. 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 in which children are allowed to use the front yard as an area to play which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/11/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102423(A4) · 102423(A4) Personal Rights. (a) (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. Licensee denies that this happened but will keep crying children with her at all times in the room where the crying occurs. 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… This was not met as evidenced by Multiple adults observing the Licensee placing crying children in a booster seat and leaving them alone in the room until they stopped crying. This poses/posed a immediate health, safety and/or personal rights risk to the children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.