102417(a) · (a) The licensee shall be present in the home& ensure children in care are supervised at all times. When circumstances require 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. Licensee agrees to submit a written statement of understanding regarding care and supervision of the children. The written statement shall also include licensees plan of how she will meet this regulation. Licensee agrees to submit POC no later than POC due date. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. This was not met as evidenced by: video footage showing licensee leaving the property during the time children were in care. This poses a potential risk to the health and safety of children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102416.5(e) · (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). This was not met as evidenced by: Although the home is licensed as a Large Licensee agrees to submit a list of first and last names of all children enrolled, and their schedules- including days and times of all the children listed, showing no overlap of more than 8 children in care at one time. Licensee agrees to submit POC by POC due date. Family Child Care Home, the licensee did not have a qualified assistant present, but had 9 chidlren present. this poses/posed an immediate risk to the health and safety of children in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(i) · (i) 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. This was not met as evidenced by: LPA observed 2 sleeping infants in swings. This poses/posed an Immediately, licensee removed the infants from the swing and placed them in cribs. Licensee will submit a written understanding of what a safe sleep environment looks like. Licensee is also advised to review all the videos online at ccld.ca.gov and submit a immediate risk to the health and safety of children in care. written understanding of videos. Licensee agrees to submit POC by POC due date. Gilbert Sena NAME OF LICENSING PROGRAM MANAGER Aman Lama NAME OF LICENSING PROGRAM ANALYST LICENSING PROGRAM ANALYST SIGNATURE DATE 05/15/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g)(9)(A) · 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.

Deficient Practice Statement Based on licensees own admission, the above regulation was not in compliance. Licensee has not conducted any disaster drills with the daycare children. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/21/2025

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102418(a) · Immunizations (a) 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.

Deficient Practice Statement Based on record review and licensee own admission, the above regulation was not in compliance. 1 out of 3 children did not have immunizations on file. Licensee stated that parents do not wish to get the child immunized. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/28/2025

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102419(d)(1) · Admission Procedures and Authorized Representatives Rights (d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). (1) The licensee shall request the child's parent or authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06), which acknowledges that the parent or authorized representative has received and read the LIC 995A. The bottom portion of this form must be kept in the child’s file as proof that the parent or authorized representative has been notified of his or her rights and received a copy of the Caregiver background Check Process, LIC 995E (6/05), and the Family Child Care Consumer Awareness Information, LIC 9212 (10/05).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 out of 3 children. C3 did not have a signed LIC995 on file. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/21/2025

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(j)(2)(D)(c) · Infant Safe Sleep Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check

Deficient Practice Statement Based on licensees own admission during record review, the licensee did not comply with the section cited above. Licensee has not been documenting 15 minute sleep checks. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/28/2025

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.