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 3 out of 5 cabinets located in the bathroom had broken child safety locks and in the cabinets were cleaning supplies and hazardous items which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/19/2021

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416.5(e) · 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).

Deficient Practice Statement Based on interview and observation, the licensee did not comply with the section cited above by being alone with 3 infants and 8 preschool age children upon LPA Plumboy's arrival at the facility at 10:15am. At 10:48am, licensee's husband arrived placing the facility back in ratio. The licensee being alone with 10 children places her out of ratio which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/19/2021

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(j)(5) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. At 12:30pm, an infant was observed inside a room in an off limits area which poses an immediate health, safety or personal rights risk to persons in care. The door to the room was closed. POC Due Date: 10/19/2021

Open Not marked corrected in the state record

Category: supervision. 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, the licensee did not comply with the section cited above. At 12:30pm, an infant was observed inside a room which is not licensed to be used by children in care. This area is an off limits area. By childred in care using off limits areas, it poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/19/2021

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.