102425(g) · Infant Safe Sleep An infant’s head shall not be covered while sleeping.

Deficient Practice Statement Based on observation , the licensee did not comply with the section cited above in LPA obseved 2 infants ( one napping and one was awake) covered with blanket in a carseat which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/11/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(h) · Infant Safe Sleep Car seats shall only be used for transportation purposes and shall not be used for sleeping.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above 2 infants, Infant 1 and Infant 2 were observed in a car seat covered with blankets which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 09/30/2024

Open Not marked corrected in the state record

Category: health medication. 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, the licensee did not comply with the section cited above, upon LPA's arrival at the FCCH, LPA observed four (4) infants, and five (5) children over 2 years old were present under the care of licensee alone which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 09/30/2024

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g)(9) · 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.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above, Emergency Disaster Plan is not posted and cannot be found which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/07/2024

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 interview and record review,the licensee did not comply with the section cited above Licensee stated that she cannot find the fire and disaster log which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/07/2024

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 record review, the licensee did not comply with the section cited above, infant sleep log is not updated which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/30/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102416.3(a)(1) · &(2) 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 (1) Conversion of a garage (either attached or detached) into a "child care" room. (2) Room additions to the family child care home.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above, LPA observed that a wall was constructed in the garage in between a pre- existing room to create an additional room being used by children to play. Licensee stated that the unpermitted construction was performed in 9/2022, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/07/2024

Open Not marked corrected in the state record

Category: ratio. 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, the licensee did not comply with the section cited above the created room and the supposed off limit room are beig used by day care children which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/07/2024

Open Not marked corrected in the state record

Category: supervision. 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, the licensee did not comply with the section cited above Infant 1 and 3 who were enrolled before 12 months old did not have Individual the Safe Sleep Plan which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/07/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102423(a)(2) · 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: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above infants 3 and 4 were observed in a crib while awake which poses/posed a pote ntial health, safety or personal rights risk to persons in care. POC Due Date: 10/07/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.