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 agrees to submit a written plan detailing how the FCCH will ensure that it is complying with the capacity requirements for the license and will submit the written plan by the end of business day on 10/13/23 via email to Francisca.Velazquez@dss.ca.gov Based on LPAs observations and record review it was revealed Licensee was out of ratio from 7:45am until 7:56am. During this time, FCCH had 7 children of which 3 were infant age which is an immediate risk to the health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Maria Mueller

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102421(a) · Child's Records - (a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).

Licensee agrees to update all children files and submit proof by the end of business day on 10/19/23 via email to Francisca.Velazquez@dss.ca.gov Children record review revealed C1, C2, C3, C7, C8, C9, C11, C13, C14, C15 and C16 had incomplete child records for review in the facility. In addition, C4, C5 and C6 did not have a file for review during inspection which poses/posed an potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(c) · (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.

Licensee agrees to ensure all infant age children have LIC 9227 and submit proof by the end of business day on 10/19/23 via email to Francisca.Velazquez@dss.ca.gov Based on record review C9 and C14 did not have LIC 9227 for review which poses/posed an potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Maria Mueller

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102423(a)(2) · 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: To receive safe Licensee will submit a written plan of correction on how licensee will prevent future incidents to CCLD by 09/27/2023, email to Martina.Jimenez@dss.ca.gov healthful, and comfortable accommodations, furnishings, and equipment.

Licensee stated that licensee Isolate or send children with head lice other children in care. This poses an potential Health and Safety risk to children in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102423(a)(2) · 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: To receive safe Licensee will submit a written plan of correction on how licensee will prevent future incidents to CCLD by 07/06/2023, email to Martina.Jimenez@dss.ca.gov healthful, and comfortable accommodations, furnishings, and equipment.

Licensee stated that licensee Isolate or send children with head lice other children in care. This poses an potential Health and Safety risk to children in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.2(f) · As soon as possible but no later then the same business day, the licensee shall notify a child's parent or authorized representative regardless of the injuries or acts that affect that child as specified in Health and Safety Code Section 1597.467(a).

Licensee will submit a written

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102370(d)(1) · The following CCR, Title 22, Division 12 regulation was cited: 102370 (d)(1) Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption.... Ms.Dulce Livier Escobar-Aguilar mst get a criminal record clearance and submit all documents to the Community Care Licensing (CCL by 6/28/2023. A $500 civil penalty was assessed Department or

Based on LPA's review of the facility, interviews, the licensee and Ms. Escobar-Aguilar, stated that Ms. Escibar-Aguilar, has been assisting in the FCCH since June 2022, and has not obtained a criminal record clearance. This poses an immediate risk to health and safety of children in care SUPERVISOR'S NAME: Maria Mueller

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102423(a)(2) · 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: To Licensee removed the two (2) pack N plays with the mattress permanently raised above the foundation of the pack N play from the FCCH, during the inspection. receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

LPA observed C15 in a pack N play with the mattress permanently raised above the foundation of the pack N play. This poses an potential Health and Safety risk to children in care SUPERVISOR'S NAME: Maria Mueller

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 and record review, the licensee did not comply with the section cited above in that Licensee reported 15 mintue nap check for infants under the age of two (2) years which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/23/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102423(a)(2) · Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged ...These rights include, but are not limited to, the following...(2)To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

the following Licensee agrees to conduct wellness checks upon arrival. Licensee agrees to document any unusual incident to have accurate details about what occurred. Licensee agrees to send a short summary of how this will be done and submit via email to francisca.velazquez@dss.ca.gov by 8/11/22. Based on medical records and interviews with complainant, licensee and assistants it was determined that C1 had an injury at the facility that required C1 to get picked up to be able to get medical attention. This is an immediate risk to the health and safety of children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.2(3)(b) · 1597.467(b)(1) provides in part: "A report shall be made to the Department…following the occurrence during the operation of a family day care home of any of the following events: (B) Any injury to any child that requires medical treatment.

Licensee agrees to train all assistants on reporting requirements. Licensee states that moving forward, she will ask the individual who observes the incident to call it in right away to Community Care Licensing. Licensee will still be responsible to sending in written report. Licensee agrees to submit a short summary via email Based on medical records, interview with complainant, Licensee and two (2) assistants, it was determined facility staff were aware C1 received medical attention and did not report this incident to Community Care Licensing. This is a potential risk to the health and safety of children in care. to francisca.velazquez@dss.ca.gov by 8/17/22. SUPERVISOR'S NAME: Maria Mueller

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.