102425(a)(3) · 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. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

Deficient Practice Statement Based on the observation the licensee did not comply with the section cited above, LPAs observed Infants 1 and 2 were observed napping in 2 separate playpens without fitted sheet but with a blanket covering the bottom of the playpen instead which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/10/2024

Open Not marked corrected in the state record

Category: health medication. 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 record review and interview], the licensee did not comply with the section cited above, licensee acknowledged that she was checking napping infants but did not documents these checks which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/10/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102416.3(a)(6) · Alterations to Existing Building or Grounds (a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (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 children in care.

Deficient Practice Statement Based on , the licensee did not comply with the section cited above LPAs observed napping infants in a bedroom that is supposedly inaccessible to children in care which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/10/2024

Open Not marked corrected in the state record

Category: supervision. 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 record review, the licensee did not comply with the section cited abovel licensee did not document the immunization record of the children on PM 286 form which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/10/2024

Open Not marked corrected in the state record

Category: health medication. 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 record review and interview, the licensee did not comply with the section cited above, Infants under 12 months have no LIC 9227, Individual Safe Sleep Plan completed and signed by the parent which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/10/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.