Hernandez, Lorena

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 inspection of the home, LPAs identified adult care products (razors, rubbing alcohol, and self care products) in the bathroom, and knives on the kitchen counter which were accessible to children which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/22/2024

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 inspection of the on limit family room, LPA observed nail products and acetone that wer accessible to children, and observed in the backyard that anit-freeze and gasoline bottles were accessible to children which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/27/2024

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 of child C1's file, child was missing Individual Infant Sleep Plan LIC 9227 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/27/2024

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 records review for child C1's file, child was missing 15 minute check log poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/27/2024

102425(b) · 102425 Infant Safe Sleep (b) Cribs or play yards shall be free from all loose articles and objects.

Licensee immediately removed the blanket and other objects from the infant inside the crib. Licensee will review Infant Safe Sleep Regulations and submit a statement of understanding regarding ensuring cribs or play yards shall be free from loose articles at all times. Based on observation, Licensee did not comply with the section cited above. LPA and LPM observed an infant in care (C1) was swaddled, had blanket on also had other pillows and toys during naptime inside the infant play yard which posed a potential health, safety or personal rights risk to persons in care.

102425(j)(2D) · 102425 Infant Safe Sleep (j) The provider shall supervise infants while they are sleeping and adhere to the following requirements (2)The provider shall check and document the following (D) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following a. Date. b. Infant’s name. c. Time of each 15-minute check.

Licensee will submit Infant safe sleep checks every 15-minutes. LIcensee will review Infant Safe Sleep Regulations and submit a statement of understanding regarding infant's file to be maintained regarding supervision. Based on observation, Licensee did not comply with the section cited above. Licensee did not maintain documentation of sleep check for C1 which posed a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Diana Stephenson

102425(c)(1)(2) · 102425 Infant Safe Sleep (c) An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file. (1) This plan shall be signed and dated by the infant’s authorized representative. (2) 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.

Licensee will review Infant Safe Sleep Regulations and submit LIC 9227 for child C1 and a statement of understanding regarding infant's file to be maintained regarding supervision. Based on observation, Licensee did not comply with the section cited above. Licensee did not maintain LIC9227 Infant Sleeping Plan for C1 which posed a potential health, safety or personal rights risk to persons in care.

102417(8)(A) · 102417 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. (A)Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician.

Licensee will submit to LPA Cruz an updated and completed child care roster by POC due date. Licensee will also submit a statement of understanding that a current child care roster will be maintained and available to the licensing agency upon request Based on observation, Licensee did not comply with the section cited above. Licensee did not maintain a current child care roster with complete information of children in care which posed a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Diana Stephenson