102416.5(e) · 102416.5 Staffing Ratio and Capacity(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, arrived within 10 minutes of inspection. Per Licensee, they will not leave assistant out of ratio. Licensee and Assitant will watch ratio and capacity video at ccld.childcarevideos.org they will submit a decleration on what they've learned and plan moving forward to LPA by 10/23/2024 Based on observation and interview, the licensee did not comply with the section cited above in that LPA's observed assistant by herself with 8 children 3 being infants, which poses an immediate health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Brandi VanOosten

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102417(g)(7) · 102417(g)The home shall be free... conditions which might endanger a child. Safety precautions shall include but not be limited to:(7)An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of Per Licensee, they will request complete files for children # 7&8 and have them available for department review by POC due date of 10/27/2023 a parent or other responsible adult to be contacted in an emergency...

Based on record review, the licensee did not comply with the section cited above in that Child # 7 & 8 are missing complete files, which poses/posed 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.

102416.3(a)(6) · 102416.3 (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 Per Licensee, they will submit an updated outdoor sketch updating areas used for children in care by POC due date of 10/27/2023 "off limits" to an area where care and supervision will be provided to children in care.

Based on interviews and record review, the licensee did not comply with the section cited above in that the off-limits front yard has been used for daycare use without notifying the department, which poses/posed a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Brandi VanOosten

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102425(h) · Infant Safe Sleep Car seats shall only be used for transportation purposes and shall not be used for sleeping.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in that at 9:25 am Child # 1 was observed to be sleeping in car seat. Per Licensee, child had arrived at 9:00am, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/30/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g)(10) · 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: (10) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846(b) and (c).

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that LPA observed a baby walker in the activity room (garage) which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/06/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(a) · 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.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that LPA observed 1 play pen used back to back by two different infants- without bedding being changed which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/06/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(j)(1) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in that there was not sleep log documentation for 3 infants present and others enrolled which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/30/2023

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 and record review, the licensee did not comply with the section cited above in LIC 9227 was not on file for the 3 infants present and others enrolled which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/07/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.