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 observation, the licensee did not comply with the section cited above in that licensee had several bottles of chemical cleaning compounds, poisons, medications, and liquid detergents in the kitchen/dinning room area accessible to children which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/03/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g)(9) · 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.

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above, LPA did not observe a written disaster plan. Per licensee she does not have one and she needs to update the disaster plan which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/04/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 observation and interview, the licensee did not comply with the section cited above in 1 out of cribs which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/04/2023

Open Not marked corrected in the state record

Category: health medication. 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 observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 off limit bedrooms which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/03/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102417(g)(7) · Operation of A Family Child Care Home (7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.

Deficient Practice Statement Based on observation record review, the licensee did not comply with the section cited above in 1 out of 2 children's files which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/04/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 observation, the licensee did not comply with the section cited above, LPA observed cleaning compounds accessible to children in the hallway bathroom and kitchen area which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/08/2022

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102417(g)(9) · 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.

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above, LPA did not observe a written disaster plan. Per licensee she does not have one and she needs to update the disaster plan which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/22/2022

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.