• Type A

  102418(g) · The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.

  The licensee will send LPA copies of immunization records for all children enrolled by the POC due date. Records can be sent by email to matthew.gallo@dss.ca.gov Based on interview and record review, the licensee did not comply with the section cited above due to 7 out of 10 children's files lacking documentation of immunizations. 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.

• Type B

  102416.2(b)(1) · 102416.2(b)(1) The licensee shall report to the Department any of the events as specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home.

  Licensee will provide LPA a signed written acknowledgement of Title 22 reporting requirements by the POC due date. Written acknowledgement can be provided by email to matthew.gallo@dss.ca.gov or by text to 916-208-3734 Based on interview, the licensee did not comply with the section cited above by not reporting an injury to a child that required treatment by a medical professional. This poses a potential health, safety, or personal rights risk to persons in care. Mai Lor NAME OF LICENSING PROGRAM MANAGER: Matthew Gallo NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/19/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Disposition: Substantiated