Tashiro, Narumi

102425(a)(4) · 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. (4) Mattresses shall be made specifically for the size crib or play yard in which they are placed.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above for two out of five play yards which poses a potential health, safety or personal rights risk to persons in care. Two out of three cribs were also obseved to be torn and LPA observed blankets covering the sides of some play yards and blankets inside some. No children were observed to be napping during the inspection. POC Due Date: 07/03/2026

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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 interview and record review, child C2 was missing immunization record which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/11/2025

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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 interview, and record review], child C1 was missing infant sleep plan LIC 9227 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/11/2025

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102416.3(a)(6) · Alterations to Existing Buildings or Grounds(a)Prior to making alterations... the licensee shall notify the Department of the proposed change...(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 Licensee will submit an updated facility sketch indicating any changes or alterations to the facility and off limit and off limit areas. Licensee will submit plan of correction to LPA by 02/15/2024. children in care.

LPA observed 2 infants and 1 preschooler napping in crib in the off limit master bedroom which poses a potential health, safety or personal rights risk to persons in care

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102425(j)(5) · Infant Safe Sleep (j) (5)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.

LPA provided Licensee with Safe Sleep regulations PIN 20-24-CCP and informed her that when infants are napping in a separate room the door shall remain open at all times and licensee should visually be able to observe the children without moving the door. LPA observed that 2 infants and 1 preschooler was asleep in the master bedroom with the door closed while Licensee was in the living room which poses a potential health, safety or personal rights risk to persons in care. Licensee will submit a letter stating understanding of regulations to LPA by

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102425(c) · 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.

Licensee will have parents/authorized representatives complete required form and submit proof to LPA by

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102425(f) · Infant Safe Sleep An infant shall not be swaddled while in care.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above. LPA observed licensee swaddle infant before placing them to sleep which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/12/2023

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102417(g)(9)(A) · 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: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.

Deficient Practice Statement Based on observation, record review and interview, the licensee did not comply with the section cited above. Last fire drill was conducted and logged on 5/14/2021 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/25/2023

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102416(c) · Personnel Requirements (c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above. Licensee does not have a current pedriatric CPR/first aid certification which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/25/2023

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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 observation, interview and record review, 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. POC Due Date: 08/25/2023

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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 in one out of one infant which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/25/2023

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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 and record review, the licensee did not comply with the section cited above for one infant which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/25/2023

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102417(g)(4) · (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 garden fertilizer and sanitizer near the front entrance within children's reach. LPA observed mouth wash, lens solution, lysol wipes and other cosmetics under bathroom sink which is not secured with a child lock and garden tools and hammer in the backyard in areas accessible to children which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/12/2023

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102417(g)(10) · (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 and interview, the licensee did not comply with the section cited above. LPA observed two baby bouncers in the on limit family room and Licensee placed infant in bouncer while LPA was present. This poses an immediate health, safety or personal rights risk to persons in care. Licensee placed the bouncers in an off limit area while LPA was present. POC Due Date: 08/12/2023

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102416.5(a) · 102416.5 Staffing Ratio and Capacity The capacity specified on the Licensee shall be the maximum number of children for who care can be provided. The Licensee will submit a Plan on how she will be in capacity ratio compliance in the future by the POC date. This was not by: During today's visit, LPA observed 7 children (C1-C7) in care approximately at 9:40am. C1-C3 are infants. Licensee was alone until assistant(s) arrived at 10:00am. This poses an immediate, Health, Safety risk to the children in care. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

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102425(h) · Infant Safe Sleep 102425(h):Car seats shall only be used for transportation purposes and shall not be used for sleeping.

by Licensee will submit a plan of how she will be in Infant Safe Sleep compliance in the future by the POC date. Based on interview, Licensee confirmed allowing children to sleep and stay in their car seats. This poses an immediate, Health, Safety risk to the children in care. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

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