102425(j)(2)(D) · 102425 Infant Safe Sleep (j)The provider shall supervise infants while they are sleeping and adhere to the following requirements: (2)The provider shall check and document the following:(D)Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following (Date, Infant’s name, Time of each 15-minute check)

Licensee began to document a sleep log for infant C2 while LPA was present. Licensee stated that he keeps track of the 15 minute checks by keeping a timer on his phone, checks on the infant(s) when the timer goes off, logs the sleep check, resets the timer and repeats. Licensee agreed to continue safe sleep logs for all infants, ages 0-24 months in care, stating he will file the logs in each infants file when the log is full. Licensee will email LPA copies of sleep logs for C1 and C2 on 05/03/2024 to amy.strother@dss.ca.gov. Based on interview and record review, Licensee stated at 12:13pm that he did not have current sleep logs for infants C1 & C2 and must have lost them. A review of records indicated that the last sleep on file was dated 02/22/24 for C1 and 03/06/24 for C2. The licensee did not comply with the section cited above for two out of two infants present during the visit, which poses a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Alexis Hollon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102417(a) · (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

Licensee will return tomorrow. Licensee is requested to submit a written statement to LPA Strother at amy.strother@dss.ca.gov stating how the Licensee will meet the requirement for absences not to exceed 20 percent of the hours that the facility is providing care per day in the future. Based on interview with S1, the licensee did not comply with the section cited above. Assistants S1 and S2 stated that Licensee is on vacation and has not been present today and will not be present during the hours of operation today, which poses a potential health, safety, or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102425(b) · 102425 Infant Safe Sleep(b)Cribs or play yards shall be free from all loose articles and objects.

Based on observation, at 10:25am LPA observed infant C6 sleeping in a play yard covered with a blanket. SUPERVISOR'S NAME: Alexis Hollon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102416.5(d)(1) · Staffing Ratio and Capacity: For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time... shall be either:(1) Twelve children, no more than four of whom may be infants; or...

L1 sent infants C2, C3 and C7 home during the inspection, bringing the facility into compliance. Licensee stated he will talk with the families to ensure there are no more than 4 infants present whenever there are up to twelve children in care, or three infants when there are 14 children, two of which are at least 6 years old and one enrolled in TK or Kindergarten. Based on observation and interview the licensee did not limit ratio and capacity to only 4 infants at any one time, 7 infants (C1-C7) were observed in care, with 6 preschool age children, for a total of 13 children, which poses an immediate Health and Safety risk to the children in care. The Licensee will produce and submit a written statement indicating how he will arrange the children's schedules to demonstrate how the facility will comply with the ratio requirements. Licensee intends to submit his written statement to the Department by 02/29/24 via email. Email to: amy.strother@dss.ca.gov

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(b) · 102425 Infant Safe Sleep(b)Cribs or play yards shall be free from all loose articles and objects.

L1 stated he will remove all loose objects from play yards used by infants. L1 will review the Infant Safe Sleep regulations along with his assistants submitting a signed statement from L1, S1 and S3 that they understand and will follow the regulations and submit to LPA at amy.strother@dss.ca.gov by 09/28/23. Based on observation, at 1:09pm LPA observed infant C7 sleeping in a play yard, inside of the play yard, C7 slept on a loose play mat with a toy bar arched over head, which poses a 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(i) · 102425 Infant Safe Sleep(i) If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible.

L1 stated that if an infant falls asleep in a swing or any other located other than a play yard they will be placed in the play yard. L1 will review the Infant Safe Sleep regulations along with his assistants submitting a signed statement from L1, S1 and S3 that they understand and will follow the regulations and submit to LPA at amy.strother@dss.ca.gov Based on observation,beginning at 1:08pm LPA observed infant C1 asleep in an infant swing in the living room and C3 was observed sleeping in infant swing in the bedroom, which poses a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Alexis Hollon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102370(d) · Criminal Record Clearance (d) 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

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in one out of three staff working at the facility during today's visit. S2 did not have their criminal record clearance associated to the Licensee's facility, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/30/2023

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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 interview with S1 and record review, the licensee did not comply with the section cited above in that the last disaster drill was recorded 06/15/2022 and S1 was unclear when they last conducted a disaster drill which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/19/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(a) · Operation of A Family Child Care Home (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above. Assistant (S1) stated that L1 is not present on Tuesday, Wednesday and Thursday from 9:00am - 1:30pm (4.5 hours). The facilities days/hours of operation listed on file are from 6:00am - 8:00pm, M-F. L1's absences are exceeding the 20% of the hours that the facility is providing care per day which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/19/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 interview and record review, the licensee did not comply with the section cited above in. No staff present had a current pediatric first aid/CPR certificate which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/19/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 record review, the licensee did not comply with the section cited above in five out of five children's files reviewed. C1-C5 did not have proof of immunization or current immunizations on file and did not have form CDPH 286 onl file, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/19/2023

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 record review, the licensee did not comply with the section cited above in 5 out of 5 children's files. C1-C5 did not have a signed copy of LIC282 on file and does not have a current liability insurance policy on file, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/19/2023

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 record review, the licensee did not comply with the section cited above in 1 out of 1 infant under 12 months files. C1, an infant under 12 months did not have form LIC9227 on file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/19/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g)(6) · Operation of a Family Child Care Home (g)…Safety precautions shall include but not be limited to: (6) Outdoor play areas shall be either fenced, or outdoor play shall be supervised by the licensee or caregiver.

Licensee stated the park will be used during the hours of 10:30am-12:00pm, only when two staff are able to go to the park. Children will hold a rope to walk to and from the park with one staff in front and one in back. One staff will always be positioned at the edge of the park Based on interviews and record review, the licensee did not supervise children while exiting the home or playing at the neighborhood park allowing access to the street which poses an immediate health, safety, or personal rights risk to the children in care. closet to the street for supervision and blocking children from entering the street.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102423(a)(2) · (a)Each child...shall have certain rights that shall not be waived...regardless of consent or authorization from the child's authorized representative. ...not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Licensee stated that he no longer uses the feeding chairs beyond feeding time. Infants are placed in feeding chairs after washing hands, they are fed and then taken out of feeding chair. Licensee stated a play yard will be used as a safe area that an infant can be placed Based on interviews and record review Child 1 (C1) was observed to be in a feeding chair for at least 9 minutes and not being fed, therefore restraining the child, which poses an immediate health, safety, or personal rights risk to the children in care. while staff are cleaning up lunch and getting older children outside. Once lunch is cleaned up, staff will remove infant(s) from play yard to join the group.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g)(6) · 102417 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 be limited to: (6) Outdoor play areas shall be either fenced, or outdoor play shall be supervised by the licensee or caregiver. Licensee (L1) stated that the backyard will be off limits effective today 2/3/22. L1 will submit an updated LIC999A Yard Sketch to LPA by 02/04/22 by text or email to 707-599-1479 or amy.strother@dss.ca.gov. L1 stated that the fence will be replaced or repaired as needed as soon as possible.

interviews conducted and evidence reviewed corroborate that children were playing in the backyard while fence boards were broken, without direct supervision, which poses an immediate health and safety risk to the children in care L1 stated he has an appointment with a repair person today, 02/03/22 at 2:00pm. L1 stated once the backyard is fully fenced and in good repair, L1 will submit an updated LIC999A yard sketch requesting LPA to inspect the backyard to place it back on-limits.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102417(g)(8) · 102417 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 be limited to: (8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. Licensee (L1) will submit an updated LIC9040 to include C1-C3, all children currently enrolled and the date left for any chidlren not currently enrolled by 02/17/22. LIC9040 can be emailed to LPA at amy.strother@dss.ca.gov.

the roster provided to LPA was not current. Based on record review and interview of S1, C1-C3 were in care and not listed form LIC9040, which poses a potenial health and safety risk or personal rights risk to the children in care SUPERVISOR'S NAME: Alexis Hollon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102370(d)(1) · 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 as required by the Department. L1 stated that S1 and S2 will complete the LiveScan fingerprint process tomorrow 07/14/21 and will not return to the facility to work until L1 confirms with the Department that S1 and S2 are criminal record cleared and associated to the facility.

Based on interviews conducted and fingerprint record review, the licensee did not ensure A1 and A2 were fingerprint background cleared or have an approved criminal record exemption prior to employment or presence in the home, which poses an immediate health and safety risk to children in care L1 provided LPA with a written statement on 07/13/21 acknowledging that all adults living or working in the home will have a criminal record clearance prior to living or working at the facility. SUPERVISOR'S NAME: Alexis Hollon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.