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. This requirement is not met as evidenced by: Based on record review, two children (C1 and C5) are missing the signed Affidavit Regarding Liability Insurance form, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 10, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102417(m)(3) - 102417(m)(3)
Official code
102417(m)(3)
Higher concern: Sleep safety
Report finding
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: This requirement is not met as evidenced by: Based on interview, the licensee has not been documenting 15 minute infant sleep checks for infants up to 24 months, which poses a potential health, safety or personal rights risk to persons in care.
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. This requirement is not met as evidenced by: Based on record review, the last emergency drill was conducted on 4/1/24, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 13, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102417(g)(9)(A) - 102417(g)(9)(A)
Official code
102417(g)(9)(A)
Higher concern: Sleep safety
Report finding
Infant Safe Sleep (b) Cribs or play yards shall be free from all loose articles and objects. This requirement is not met as evidenced by: Based on observation, two infants were sleeping in pack-n-plays with blankets, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 13, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102425(b) - 102425(b)
Official code
102425(b)
Medium concern: Health or food records
Report finding
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. This requirement is not met as evidenced by: Based on record review, immunizations were not transferred for all children, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 13, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102418(g) - 102418(g)
Official code
102418(g)
Low concern: Recordkeeping
Report finding
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). This requirement is not met as evidenced by: Based on record review, the consent form (LIC627) is missing from C4's file, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 13, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102421(b) - 102421(b)
Official code
102421(b)
Medium concern: Recordkeeping
Report finding
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. This requirement is not met as evidenced by: Based on record review, the signed Identification and Emergency form (LIC700) was not in C4's file, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 13, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102417(g)(7) - 102417(g)(7)
Official code
102417(g)(7)
Medium concern: Parent rights
Report finding
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). This requirement is not met as evidenced by: Based on record review, a signed Parents Rights Form (LIC995A) was not in C4's file, which poses a potential health, safety or personal rights risk to persons in care.
Correction / follow-up note
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). This requir...
Correction status
Plan of correction due by December 13, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102419(d)(1) - 102419(d)(1)
Official code
102419(d)(1)
Higher concern: Sleep safety
Report finding
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. This requirement is not met as evidenced by: Based on record review, C4 does not have a completed infant sleep plan (LIC9227) on file, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 13, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102425(c) - 102425(c)
Official code
102425(c)
Higher concern: Sleep safety
Report finding
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: This requirement is not met as evidenced by: Based on record review, the licensee does not have proof of infant 15 minute sleep checks being maintained, which poses a potential health, safety or personal rights risk to persons in care.
102416.5(a) Staffing Ratio and Capacity - (a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. This requirement is not met as evidenced by: Based on observation, LPA observed 13 children (3 infants and 10 preschoolers), which poses an immediate health and safety risk to children in care.
Inspector notes
This requirement is not met as evidenced by: Based on observation, LPA observed 13 children (3 infants and 10 preschoolers), which poses an immediate health and safety risk to children in care.
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: This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above as 15 minute sleep checks are not being maintained for infants under 24 months, which poses a potential health, safety or personal rights risk to persons in care.
Administration of Child Day Care Licensing (1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by: Based on 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.