102421(a) · Child's Records (a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in missing children's documentation from 4 children's files, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/21/2023

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 record review, the licensee did not comply with the section cited above per Licensee does not currently have a 15 minute log for children under 24 months, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/16/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102423(a)(4) · PERSONAL RIGHTS 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...These rights include, but are not limited to, the following: To be free from corporal or unusual punishment, infliction of pain... Licensee Graham agrees to have at least two people present when children are present, in addition, staff will write the steps they will take for progressve discipline as well as write a statement that they understand that they cannot inapproriately discipline children though use of their hands (e.g. smacking/covering their mouth/slapping/tapping, etc.) LIcensee will

three of five children interviewed corroborated that children are occasionally smacked/slapped by an open palm or a water bottle by staff. *This poses an immediate risk to the health and safety of children in care.* provide thie written statements to LPA Bell by the COB on 07/12/22. CCR

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102423(a)(4) · PERSONAL RIGHTS 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...These rights include, but are not limited to, the following: To be free from corporal or unusual punishment, infliction of pain... Licensee Graham agrees that her and her assistant will watch the "Personal Rights" video on the ccld.ca.gov web site and will write a summary of the video and what they learned from it and what they will do differently going forth. Licensee will provide the summaries to LPA Bell by the COB on 07/21/22.

one adult and one child interviewed corroborated that the mouths of children are occasionally covered in order to stop them from crying. *This poses a potential risk to the health and safety of children in care.*

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(i) · INFANT SAFE SLEEP 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.

upon LPA's arrival, LPA observed an infant sleeping in a rocker (photo was taken.) Licensee Graham stated that she will ensure that she puts the play yard in the play room or sets up a mat on which the infant can nap before she leaves to pick up school-age chidlren Licensee Graham stated that she will write a statement attesting to this. * This poses an immediate health, safety or personal rights risk to the children in care.* SUPERVISOR'S NAME: Claudia Guangorena

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.