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 LPAs observation LPA observed in the children's bathroom, bedroom #1 and bedroom #3, Listerine, deodorant, prescription medications, lotion, razors and personal hygiene accessible to children in care. LPA observed on the right side of the house oil filter, oil pan, edger, box spring, lawn mower and tools, accessible to children, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/22/2022

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 LPAs observation and interview with licensee C1 strapped in the car seat, with the bottle propped up. The licensee advised LPA that C1 also sleeps in the car seat, per mother's request, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/22/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 LPA observed two smoke detectors at the time of the inspection, but neither one of the smoke detectors were functioning at the time of the inspection, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/28/2022

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(j)(2) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following

Deficient Practice Statement Based on interview with licensee and record review, revealed that licensee does not check or document infant sleep every 15 minutes, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/28/2022

Open Not marked corrected in the state record

Category: supervision. 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 interview with licensee and record review, revealed C1 & C3 files did not have an individual infant sleep plan (LIC 9227), which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/28/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.