102417(d) · Operation of a Family Child Care Home 102417(d). The home shall provide safe toys, play equipment and materials.

Licensee will read regulations 102417 and write statement acknowledging that Licensee understand the regulations. Licensee will also sign up for the United states consumer product safety commission to be notified of any recalls on purchased equipment and send proof of subcription to LPA Sims by 1/22/25 Based on observation, interviews and record review, the licensee did not comply with the section cited above where a child fell out of a swing that was not age appropriate and sustained a fractured leg and severe hematoma on the head which poses an immediate health, safety or personal rights risk to children in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416.2(b)(3)(B) · Reporting Requirements (b) 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. (3) Health and Safety Code Section 1597.467(b)(1) provides in part (B) Any injury to any child that requires medical treatment.

Licensee will review regulations 102416.2 and write statement showing that the Licensee understands the reporting requirments and agrees to follow the regulations. Based on interviews and record review, the licensee did not comply with the section cited above in which an unusual incident was not reported to the Department as required.

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 record review, the licensee did not comply with the section cited above in Licensee missing documentation of fire drill log which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/04/2024

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102418(g)(1) · Immunizations (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. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in two out of four children's files missing immunization records which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/04/2024

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 two out of two children's files missing LIC 627-Consent for medical treatmentwhich poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/04/2024

Open Not marked corrected in the state record

Category: health medication. 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, having posions accessible to children in unlocked shed and cleaning compunds accessible to children underneath bathroom sink which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/28/2023

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 in 1 count of not documenting 15 minute checks for infant while sleeping which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/01/2023

Open Not marked corrected in the state record

Category: supervision. 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 record review, the licensee did not comply with the section cited above, Licensee has not conducted fire drill which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/06/2023

Open Not marked corrected in the state record

Category: ratio. 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 2 counts of childrens' files missing LIC995 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/06/2023

Open Not marked corrected in the state record

Category: health medication. 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 in 1 count of not maintaing individual infant sleep plan for enrolled infant which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/06/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.