Alvarez, Gloria

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 interview, the licensee did not comply with the section cited above: Infant in care did not have their safe-sleep logs, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/25/2026

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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. LPA observed shampoos and conditioners in children's bathroom accessible to children which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/22/2023

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102417(g)(5) · 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: (5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed two large garbage cans in the front yard where children play filled with water. One garbage can had 23 inches of water and the other 25 inches of water which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/22/2023

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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, the licensee did not comply with the section cited above. Upon arrival, LPA observed licensee's son Ramon Rocha in front of the home. Licensee stated he must have stopped by to visit but left which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/23/2023

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102423(a)(2) · Personal Rights (a) 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 or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. The infant was on a bed surrounded by blankets and one blanket covering infant which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/23/2023

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102425(j)(4) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall be near enough to the sleeping infant to be able to hear them wake up.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. Licensee and assistant were not near to hear child wake up. Licensee was in the kitchen and assistant was in the day care room which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/29/2023

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102425(j)(5) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. Licensee closed the door where infant was sleeping which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/29/2023

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102425(j)(5)(A) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times. The provider shall be able to visually observe the infant without moving the door.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed an infant sleeping in an off limits bedroom with the door open about two inches which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/29/2023

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102416.3(a)(6) · Alterations to Existing Building or Grounds (a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed an infant sleeping in an off limits bedroom with the door open about two inches which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/22/2023

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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 Child 5 does not have immunization records which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/29/2023

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102425(c)(2) · 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. The Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be maintained in the infant’s file and shall be available to the Department for review.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. Child 5 is missing LIC9227 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/29/2023

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

child 1 was not listed on the roster Licensee completed roster during visit. Deficiency cleared today. This poses a potential risk Health, Safety Personal Rights risk to children in care. SUPERVISOR'S NAME: Mary Segura

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102417(g)(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. Licensee will submit LIC627 for child 1 to CCLD by POC date.

child 1 is missing LIC627. This poses a potential risk Health, Safety Personal Rights risk to children in care

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102419(d)(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). Licensee will submit LIC995 for child 1 to CCLD by POC date.

child 1 is missing LIC995. This poses a potential risk Health, Safety Personal Rights risk to children in care

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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, the licensee did not comply with the section cited above. Child 10 did not have current immunization records which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/11/2022

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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. Child 8 and 10 are missing LIC627 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/18/2022

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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. LPA observed Clorox Wipes, ointments and alcohol wipes that state keep our of reach of children located near the front door accessible to children. In the front yard, LPA observed potting soil, liquid Drano and Fabuloso accessible to children. which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/12/2022

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102417(b) · Operation of A Family Child Care Home (b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed left over food out, paperwork all over the kitchen table, a bug zapper full of bugs inside it and on the kitchen counter were food and drinks are located for children which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/18/2022

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102417(g)(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: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed two wall heaters that did not have barricades properly attached which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/11/2022

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102417(g)(10) · 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: (10) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846(b) and (c).

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed a baby walker and saucer in the day care room and another baby walker in the front yard were children play which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/11/2022

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102425(a)(3) · Infant Safe Sleep (a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed play yards and cribs had several blankets and the play yard did not have a fitted sheet. Licensee stated she places all the blankets in them to make it soft and comfy for the children which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/11/2022

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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 interview, the licensee did not comply with the section cited above. LPA did not observe a Safe Sleep log for child 10 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/18/2022

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