Sharma, Nancy

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 observation, interview and record review, the licensee did not comply with the section cited above fro assistant, S2 which poses a potential health, safety or personal rights risk to persons in care. Licensee has not maintained the required forms, proof of immunizations and training for staff S2. Licensee stated that S2 started working at this facility in November and has an appointment at the end of this month to obtain her immunization's and tuberculosis test. Licensee stated that she and S2 are on a waitlist for the Mandated Reporter Training that is administered through Childcare Providers United. POC Due Date: 02/06/2026

102418(a) · (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.

Licensee to submit a written

102417(g)(7) · (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 to obtain Consent for Emergency Medical Treatment form (LIC 627) for one child (C10) and submit a written

102416.5(e) · (e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

Licensee to review regulations and submit a written plan of understanding to LPA by

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

Licensee to complete a current roster and submit to LPA by

102425(j)(2)(D)(c) · 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.

Licensee to review Safe Sleep regulations and conduct 15 minute nap checks on all sleeping infants. Licensee to submit proof of 15 minute check to LPA by

102417(g)(7) · (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 to obtain Consent for Emergency Medical Treatment form (LIC 627) for three children (C1 and C2 and C15) and submit a written

102418(a) · (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.

Licensee to submit a written

102416.5(e) · Staffing Ratio and Capacity (e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care. Upon arrival at 12:50pm, LPA observed licensee with 13 children including 3 infants and 10 preschool age and no assistant was present. Licensee stated that assistant is out for lunch. Assistant arrived at 2:45pm. POC Due Date: 08/21/2024

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

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above for one child which poses a potential health, safety or personal rights risk to persons in care. LPA observed one child napping inside the crib with a stack of folded blankets on the side and covered with one blanket. POC Due Date: 09/03/2024

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 observation, interview and record review, the licensee did not comply with the section cited above for assistant (S2) which poses a potential health, safety or personal rights risk to persons in care. Licensee did not have any required forms for staff, S2. POC Due Date: 09/03/2024

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 observation, interview and record review, the licensee did not comply with the section cited above for three children (C3, C8 and C14) which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/03/2024

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 observation, interview and record review, the licensee did not comply with the section cited above for eight children (C2, C4, C5, C8, C10, C11, C12 and C14) which poses a potential health, safety or personal rights risk to persons in care. All children are missing the LIC 627- Consent for Emergency Medical Treatment form. POC Due Date: 09/03/2024

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 observation, interview and record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Licensee has not maintained a facility roster. POC Due Date: 08/21/2024

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 observation, interview and record review, the licensee did not comply with the section cited above for two infants (C1 and C12) which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/03/2024

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 observation, interview and record review, the licensee did not comply with the section cited above for three infants (C1, C12 and C14) which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/03/2024

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 LPA Hernandez observed the Licensee's incomplete Roster ( missing complete names, birthdates, addresses, and phone numbers. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/03/2022