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, the licensee did not comply with the section cited above as one child (Ref#2) was missing documentatino of immuizations, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/14/2024

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 as one child (Ref#2) was missing a completed LIC 9227, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/14/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(j)(2)(D) · 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

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as one child (Ref#2) did not have 15-minute sleep checks on file, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/14/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102370(d)(1) · Criminal Record Clearance (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or

Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above in obtaining a finger print clearance for Adrian Garcia, Licensee's Grand son who resides at the facility and was present during the visit on 09/28/22 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 09/29/2022

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

102416.1(a)(6) · Personnel Records (a) Personnel records shall be maintained on each employee and shall contain the following information: (6) Documentation of completion of training on preventative health practices as required by Section 102416(c).

Deficient Practice Statement Based on record review, licensee did not comply with the section cited above in completing the training for Preventive Health Practices for the two Assistants who were present when LPAs arrived. Licensee was not present when LPAs arrived which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/14/2022

Open Not marked corrected in the state record

Category: health medication. 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 completing PM 286 for all the children who were present during the visit today which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/14/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(a) · 102417 Operation of a Family Child Care Home (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times..... Licensee stated she will ensure all children are provided care and supervision at all times.

as evidency by: Children left the home unsupervised on more than one occasion without the knowledge of the licensee and were playing ding dong ditch in the neighborhood Licensee will submit a written statement stating she has reviewed CCR 102417 (a) and will ensure all children in care are provided proper supervision at all times. The statement shall have a signature and will be sent to CCL by POC due date.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102416.5(c) · Staffing Ratio and Capacity (c) The total licensed capacity for a Small Family Child Care Home shall not exceed eight children.

Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above. LPA's confirmed there was 15 children at one point during the morning at the facility which poses an immediate health, safety risk to children in care. POC Due Date: 12/14/2021

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g) · 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

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. Bedroom #3, which is accessible to children, has several holes on the wall which have not been repaired. Licensee, LPM and LPA confirmed a total of 4 holes on the walls. A light switch in the hall way was broken which poses a potential health, safety risk to children in care. POC Due Date: 12/20/2021

Open Not marked corrected in the state record

Category: ratio. 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 observation and record review, the licensee did not comply with the section cited above. The Licensee did not have records of fire and disaster drills conducted which poses a potential health, safety risk to children in care. POC Due Date: 12/20/2021

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. Children #6-15 did not have an LIC 995A on file which poses a potential health, safety risk to children in care. POC Due Date: 12/17/2021

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.1(d) · Personnel Records (d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. Licensee and Staff #2 did not have a completed personnel file at the home which poses a potential health, safety risk to children in care. POC Due Date: 12/27/2021

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g)(7) · Operation of A Family Child Care Home (7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. The licensee did not have on file an LIC 627 for Children #8-15 which poses a potential health, safety risk to children in care. POC Due Date: 12/17/2021

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, the licensee did not comply with the section cited above. Children #1-5 and #8-15 did not have immunization records on file which poses a potential health, safety risk to children in care. POC Due Date: 12/17/2021

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102421(b) · Child's Records (b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required in Section 102417(g)(7).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. Children #8-15 did not have an emergency information card on file which poses a potential health, safety risk to children in care. POC Due Date: 12/17/2021

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g)(8) · Operation of A Family Child Care Home (8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. Licensee did not have a current updated child roster with all children attending which poses a potential health, safety risk to children in care. POC Due Date: 12/14/2021

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102368(b) · 102368 License (b) The license shall not be transferred to other individuals or locations. Licensee stated she will move back into the licensed home by POC due date. Licensee will submit a written statement with a signature, stating she will be residing at the licensed home and submit pictures of what room she will be living in.

Based on interviews conducted, surveillance video obtained, and own admission the Licensee is living across the street and not in the licensed home CCR

Open Not marked corrected in the state record

Open / not marked corrected.

102402(a)(1) · The Department shall have the authority to suspend or revoke any license for the following reasons: Violation by the licensee of any of the laws, rules and regulations governing family child-care homes. The Licensee agreed to cease any services being provided at the unlicensed home immediately. In addition, the Licensee is to provide all parents with >>>

LPA’s confirmed that the Licensee did not reside in the address that the license was issued for. This is an immediate threat to the children in care >>>LIC9224- “Acknowledgement of Receipt of Licensing Reports” to all parents and submit copies to CCL by POC due date (12/10) SUPERVISOR'S NAME: Carlos Martinez

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.