Vasquez-Narez, Ana Maria

102418(g)(1) · 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. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home.

Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in Child 2 (C2) and Child 4 do not have CDPH 286 Immunizaiton record completed which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/28/2025

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102416(a) · Personnel Requirements The licensee shall provide each employee with a copy of the Notice of Employee Rights (LIC 9052 (4/88)) form furnished by the Department. A copy of the signed notice form shall be retained in the employee's personnel record. LPA provided Assistant, Jessica Ruvalcaba a copy of the LIC 9052; Jessica completed the form and was instructed to keep the top portion of the form for her records. Deficiency cleared during today's inspection.

LPA reviewed employee file; the Employee Rights form (LIC 9053) is not in the file

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102416(c) · The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

Upon review of CPR & First Aid completion certificate or card- approved by Emergency Medical Services Authority (EMSA) couse shall be taken in person and not online. Licensee to submit proof of completion by November 18, 2021. Assistant's file; LPA learned that the CPR & First Aid course she completed was done online. SUPERVISOR'S NAME: Mary Segura

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