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 touring the home, LPA observed a razor, in a drawer located in the bathroom assigned to the children in care. The drawer did not have a locking mechanism therefore making it accessible. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/05/2023

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. In touring the backyard, LPA observed a trampoline that was not in good repair, dog feces in several areas, and holes on the ground that are tripping hazards. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/15/2022

Open Not marked corrected in the state record

Category: ratio. 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 record review, the licensee did not comply with the section cited above. Based on records reviewed, the last drill was conducted on 7/27/2021. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/28/2022

Open Not marked corrected in the state record

Category: ratio. 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 record review, the licensee did not comply with the section cited above. In reviewing children records, Child #8 did not have a completed LIC 627 form (Consent for Emergency Medical Treatment) on file. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/21/2022

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102418(g) · 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.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. In reviewing children records, Child(ren) #4-#6, did not have immunization records on file for review. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/21/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102419(d)(1) · Admission Procedures and Authorized Representatives Rights (d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). (1) The licensee shall request the child's parent or authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06), which acknowledges that the parent or authorized representative has received and read the LIC 995A. The bottom portion of this form must be kept in the child’s file as proof that the parent or authorized representative has been notified of his or her rights and received a copy of the Caregiver background Check Process, LIC 995E (6/05), and the Family Child Care Consumer Awareness Information, LIC 9212 (10/05).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. In reviewing children records, Child #8 did not have a completed LIC 995A form on file for review. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/21/2022

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 reviewing children files, Child #8 did not have a completed LIC 282 form on file. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/21/2022

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 reviewing children records, Child #5 did not have a completed LIC 9227 form on file for review. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/21/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(j)(2)(D)(c) · Infant Safe Sleep Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. In reviewing children files, Child #6 did not have an Infant Sleep Log available for review. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/21/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.