Williams, Symone Fcch

102417(a) · (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. Licensee returned home at 2:52pm, correcting the deficiency. Melinda Mohr NAME OF LICENSING PROGRAM MANAGER Dianne Allee NAME OF LICENSING PROGRAM ANALYST LICENSING PROGRAM ANALYST SIGNATURE DATE 06/03/2026 I acknowledge receipt of this form and understand my appeal rights as explained and received.

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 and interview, the licensee did not comply with the section cited above in that she did not have a crib or play yard in the facility which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/13/2026

102418(a) · Immunizations (a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in two out of two children's records. LS did not have immunization records available for C1-C2 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/05/2026

102421(b) · Child's Records (b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required in Section 102417(g)(7).

Deficient Practice Statement Based on interview the licensee did not comply with the section cited above. LS did not have records for children C1-C2, including LIC700, LIC995A, LIC627, LIC282, and LIC9150 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/05/2026

102425(j)(2)(D) · 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

Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above in 2 out of 2 infant files. L1 did not have sleep logs for infants C1 and C2 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/05/2026