102402(a)(3) · Violation

Open Not marked corrected in the state record

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 in that the home has a fire extinguisher that was last serviced on 3/31/23 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/10/2025

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g)(9)(A) · 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: (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. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that the licensee does not have documentation of fire drills conducted at the Family Child Care Home. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/10/2025

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102419(b) · Admission Procedures and Authorized Representatives Rights (b) The licensee shall post the PUB 394 (8/02), Family Child Care Home Notification of Parents’ Rights Poster in a prominent, publicly accessible area in the family child care home at all times children are in care.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that the licensee did not have PUB 394 posted in a prominent, publicly accessible place. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/10/2025

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 in that the licensee did not have emergency information on file for C1, this poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/10/2025

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102419(d)(1) · Admission Procedures and Authorized Representatives Rights (d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). (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).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that C1 does not have a 995A (Parent's Rights) on file, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/10/2025

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(m)(3) · Operation of A Family Child Care Home (3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that C1 does not have LIC282 on file, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/10/2025

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 observation, interview and record review, the Licensee did not comply with the section cited above as Licensee failed to provided immunization records for C1, C2 and C3 iwhich poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/24/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102418(g)(1) · 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. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home.

Deficient Practice Statement Based on observation, interview and record review, the Licensee did not comply with the section cited above as Licensee failed to provided immunization records for C1, C2 and C3 iwhich poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/24/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102421(b) · Child's Records (b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required in Section 102417(g)(7).

Deficient Practice Statement Based on observation, interview and record review, the Licensee did not comply with the section cited above as Licensee failed to provided emergecy information cards for C1, C2 and C3 iwhich poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/24/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 as Licensee failed to provided contact information for C1, C2 and C3 iwhich poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/24/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102419(d)(1) · Admission Procedures and Authorized Representatives Rights (d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). (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).

Deficient Practice Statement Based on observation, interview and record review, the Licensee did not comply with the section cited above as Licensee failed to provided Notification of Parent's Rights for C1, C2 and C3 iwhich poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/24/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(m)(3) · Operation of A Family Child Care Home (3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.

Deficient Practice Statement Based on observation, interview and record review, the Licensee did not comply with the section cited above as Licensee failed to provided affidavit for liability insurance for C1, C2 and C3 iwhich poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/24/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 as Licensee failed to provided Sleep plan for C3 iwhich poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/24/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 observation, interview and record review, the Licensee did not comply with the section cited above as Licensee failed to provided infant file for C3 iwhich poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/24/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.