102425(b) · Infant Safe Sleep (b) Cribs or play yards shall be free from all loose articles and objects.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 1 out of 4 infants sleeping was covered with a blanket which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/15/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(g) · Infant Safe Sleep An infant’s head shall not be covered while sleeping.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 2 out of 4 infants sleeping had blankets covering the strollers they were sleeping in which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/15/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(i) · Infant Safe Sleep If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 4 out of 6 infants observed sleeping had not been moved to a crib or play yard which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/15/2024

Open Not marked corrected in the state record

Category: health medication. 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 an interview, the licensee did not comply with the section cited above. The licensee has not conducted a fire and disaster drill within the last 6 months which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(j)(2) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following

Deficient Practice Statement Based on an interview, the licensee did not comply with the section cited above in 4 out of 4 child where the licensee stated she and her assistants do not document the required 15 minute safe sleep which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102425(j)(2)(A) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Labored breathing.

Deficient Practice Statement Based on an interview, the licensee did not comply with the section cited above in 4 out of 4 child where the licensee stated she and her assistants do not document labored breathing which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102416(c) · Personnel Requirements (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.

Deficient Practice Statement Based on an interview the licensee did not comply with the section cited above in 3 out of 3 persons which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.1(d) · Personnel Records (d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review.

Deficient Practice Statement Based on an interview, the licensee did not comply with the section cited above in 3 out of 3 persons which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.2(a)(2) · Reporting Requirements (a) The licensee shall report the following information the Department by telephone or fax within the Department's next business day and during normal working hours (8am to 5pm). (2) Any change in household composition including adults moving in or out of the home and anyone living in the home who reaches his or her 18th birthday.

Deficient Practice Statement Based on an interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 record review, the licensee did not comply with the section cited above in 6 out of 6 persons which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024

Open Not marked corrected in the state record

Category: health medication. 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 6 out of 6 persons which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102419(d) · Admission Procedures and Parental and Authorized Representative's 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).

Deficient Practice Statement Based on record reviews, the licensee did not comply with the section cited above in 3 out of 6 persons which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024

Open Not marked corrected in the state record

Category: health medication. 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 reviews, the licensee did not comply with the section cited above in 2 out of 6 persons which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024

Open Not marked corrected in the state record

Category: ratio. 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 reviews, the licensee did not comply with the section cited above in 2 out of 6 persons which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024

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 reviews, the licensee did not comply with the section cited above in 2 out of 6 persons which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102423(a)(2) · Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 2 out of 6 persons which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g)(8) · (8) Each family chid care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.

Deficient Practice Statement Based on an interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g)(4)(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: (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. (A) Storage areas for poisons, firearms and other dangerous weapons shall be locked.

Deficient Practice Statement Based on LPA's observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Licensee neglected to lock the cabinet contaiining oisons located in the garage POC Due Date: 10/28/2022

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 LPA's interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. The licensee failed to conduct a fire and disaster drill within the last 6 months. POC Due Date: 11/25/2022

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416.1(a)(10) · Personnel Records (a) Personnel records shall be maintained on each employee and shall contain the following information: (10) A signed and dated copy of the Notice of Employee Rights [LIC 9052, (Rev. 03/03)] as required by Section 102416(a) and Section 102417.

Deficient Practice Statement Based on staff record reviews, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/25/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102416.1(a)(11) · Personnel Records (a) Personnel records shall be maintained on each employee and shall contain the following information: (11) A signed statement regarding their criminal record history as required by Section 102370(c).

Deficient Practice Statement Based on staff record reviews, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/25/2022

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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 children record reviews, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/25/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102417(g)(8) · Operation of A Family Child Care Home (8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.

Deficient Practice Statement Based on LPA's interview with the licensee, the licensee did not comply with the sectin cited above which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/25/2022

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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. Licensee will submit to LPA Mendez a plan of correction by 8/24/22. How licensee she will properly supervise children. Licensee will notifiy enrolled families and have them sign LIC 9224 and be kept in their files.

as evidenced based on interviews. Licensee left child unsupervised not ensuring that an adult was present with child

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102417(5)(A) · Operation of a Family Child Care Home: All licensees shall ensure the inaccessibility of pools through a pool cover or by surrounding the pool with a fence. Fences shall be at least five feet high and shall be constructed so that the fence does not obscure the pool from view. The licensee agrees to submit a plan of correction on how she will construct the fence so that it does not obscure the pool from view. The plan of correction shall be submitted to CCLD on or before 8/24/2022.

The licensee installed a solid block wall around the pool which obscures the pool from view. A window from the play area and a sliding glass door from the bedroom lead diectly into the pool area.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102370(d)(1) · Criminal Record Clearance: 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 obtain a California clearance or a criminal record exemption as required by the Department. The licensee agrees to submit a written statement indicating that she will not allow A1 to return to work prior to obtaining a California clearance as well as how she will ensure not allowing a person to work at the facility prior to obtaining a clearance.

The licensee failing to obtain a clearance on A1 prior to working at the facility The

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

102416.3(a)(3) · Alterations to Existing Buildings or Grounds Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed change(s), including, but not limited to installation of in-ground or above The licensee agrees to submit a written plan of correction as to how she will ensure to notify the Department prior to making any alterations to the existing buildings or grounds. ground swimming pools, spas, fish ponds, decorative water feature, fountains or other bodies of water.

The licensee failing to notify the Department prior to installing an in-ground pool The

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102425(i)(j) · i) If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible. (j) The provider shall supervise infants while they are sleeping and adhere to the following requirements Licensee will go through safe sleep regulations and will ensure that all infants are sleep in a crib or play yard. Licensee will submit in writing that she has read through safe sleep regulations and inform her assistants. Plan of correction is due 5/16/22.

as evidenced based on LPA Mendez's observation. LPA Mendez observed one infant in care sleeping in the swing. Licensee did not ensure infants were provided safe sleep equipment.by allowing them to sleep in swings

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

102425(j)(d) · (j) The provider shall supervise infants while they are sleeping and adhere to the following requirements: Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following a. Date. b. Infant’s name. c. Time of each 15-minute check. Licensee will start documenting for every infant every 15 minute check and have documentation available for licensing. Plan of correction will be submitted by 5/16/22.

as evidenced based on LPA Mendez observation and review. Licensee does not have documentation for 3 infants in care regarding 15 minute check SUPERVISOR'S NAME: Megan Aviles

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.