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Home › CA › Petaluma › Machado, Cynthia Family Child Care Home
Petaluma CA 94952 · License #493002923 · Home-based · Family Day Care Home
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
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, child 2 (C2) did not possess an emergency information card which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/22/2024
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 facility roster of children in care did not contain record of child 2 (C2) and child 4 (C4) which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/22/2024
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
102417(g)(4)(C) · 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. (C) Ammunition shall be stored and locked separately from firearms.
Deficient Practice Statement Based on observation, firearms and ammunition are locked in a safe which, while inaccesible to children, were stored together which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/22/2024
Generated from this facility's specific inspection record
Data synced from California DSS, Community Care Licensing Division on Jul 8, 2026 · Source records · Report an error
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 record 15 minute sleep checks for child 2 (C2) for which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/22/2024
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
102418(g) · 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.
Deficient Practice Statement Based on record review, child 2 (C2) did not possess record of immunizations which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/22/2024
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,child 2 (C2) did not possess a copy of the signed Notification of Parent's Rights which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/22/2024
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, child 2 (C2) did not possess a complete LIC9227 Individual Infant Sleeping Plan which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/22/2024
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
102416.5(a) · Staffing Ratio and Capacity (a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.
Deficient Practice Statement Based on observation, at 9:15 AM, child 4 (C4) was dropped off at the home bringing the total number of children to 15 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/22/2024
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.