101226(e)(3)(A) · Health-Related Services (3) Prescription medications may be administered if all of the following conditions are met: (A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician.

Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above 3 of 5 stored medications had expiration dates that had passed, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/03/2024

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101170(e)(1) · 101170-Criminal Record Clearance:(e) 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.

Per Director, a exemption request packet was mailed on March 25, 2020 however, will follow up on 05/16/2023 with the DPSS-Caregiver Background check Bureau to obtain an update regarding exemption approval or denial to ensure Staff #1 is cleared to be at the facility. During LPA's visit at 2:45 pm, staff #1 left the facility. LPA's record review and Director interview disclosure that Staff #1- Alexandra Ragos has criminal record exemption needed since February 21, 2020. This poses an immediate risk to the health and safety of children in care.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

101216(i)(2) · Personnel Requirements-Prior to employment or initial presence in the child care center, all employees and volunteers subject to a criminal record review shall: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f).

During LPAs inspection, during records review LPA observed the LIC 9182 & LIC 508 forms complete for Staff #2 & Staff #3, however no proof was provided that documents were submitted to the department for processing. During LPA's inspection LPA called the Regional Office and determined through DSS Guardian Background Check System and Licensing Information System (LIS) that Staff #2 & Staff #3 are both fingerprint cleared; however, they are not associated to the facility. This poses an immediate risk to the health and safety of children in care. LPA was provided assistance via telephone from regional office to associate Staff #2 and #3 during this inspection. Per Director moving forward she will ensure staff are associated to the facility prior to employment. SUPERVISOR'S NAME: Brandi VanOosten

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101216(g)(2) · Personnel Requirements (2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in two out of nine staff file review which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/18/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101170(e) · Criminal Record Clearance (e) 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 record review, the licensee did not comply with the section cited above in one out of nine staff file review which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 02/04/2022

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

101170(e)(2) · Criminal Record Clearance (e) 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: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f) or

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in one out of nine staff file review which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/04/2022

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.