(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive .... an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by: Record review for Staff assistant immunization records incopmplete for: TDAP, MMR and Influenza shot or declination letter not in file. Per Licensee Staff assistant still needs to obtain immunization records.
Correction status
Plan of correction due by December 12, 2025
More details
Official CA class
Type B deficiency
Report section
HSC 1597.622(a)(1) - 1597.622(a)(1)
Official code
1597.622(a)(1)
Low concern: Recordkeeping
Report finding
(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: On 11/13/25 Child #4 and Child #5 still missing form- Affidavit regarding Liability Insurance LIC282
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. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged. This requirement is not met as evidenced by: Based on observation by LPA Calderon play yard did not have a firm mattress and fitted sheets, the licensee did not comply with the section cited above in [1] out of [1] play yard for infant which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by June 16, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102425(a)(3) - 102425(a)(3)
Official code
102425(a)(3)
Medium concern: Staff training
Report finding
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 LPA Calderon during record review observed Mandated Reporter for Licensee expired 4/15/25, the licensee did not comply with the section cited above in [1] out of [1] mandated reporter child care provider certfiication not valid which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by June 16, 2025
More details
Official CA class
Type B deficiency
Report section
HSC 1596.8662(b)(1) - 1596.8662(b)(1)
Official code
1596.8662(b)(1)
Medium concern: Staff training
Report finding
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. This requirement is not met as evidenced by: Based on record review Licensee was not able to provide a Pediatric 1st aid and cpr and Staff assistant 1st aid and cpr expired 1/17/25, the licensee did not comply with the section cited above in [2] out of [2] Pediatric 1st aid and cpr certificates which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by June 16, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102416(c) - 102416(c)
Official code
102416(c)
Medium concern: Health or food records
Report finding
General Provisions and Definitions (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by: Based on record review staff assistant immunization records for TDAP, MMR and Influenza shot or declination letter not in file, the licensee did not comply with the section cited above in [1] out of [1] immunization records for a staff which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by June 16, 2025
More details
Official CA class
Type B deficiency
Report section
HSC 1597.622(a)(1) - 1597.622(a)(1)
Official code
1597.622(a)(1)
Medium concern: Health or food records
Report finding
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. This requirement is not met as evidenced by: Based on record review Child #1 and Child #2 did not have immunization records in file, the licensee did not comply with the section cited above in [2] out of [5] immunization records for children which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by June 16, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102418(a) - 102418(a)
Official code
102418(a)
Medium concern: Parent rights
Report finding
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). This requirement is not met as evidenced by: Based on record review LPA Calderon did not see Child #1 ,Child #2 and Child #3 reciept of Parnet Rights- LIC955 in file, the licensee did not comply with the section cited above in [3] out of [5] Parnet Rights- LIC955 in file for children which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by June 16, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102419(d) - 102419(d)
Official code
102419(d)
Medium concern: Incident records
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 Child #1 and Child #2 do not have a file Emergency Information LIC700 and LIC627 Consent for medical treatment form was not provided to LPA Calderon, the licensee did not comply with the section cited above in [2] out of [5] Child records regarding Emergency Info form which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by June 16, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102421(b) - 102421(b)
Official code
102421(b)
Low concern: Recordkeeping
Report finding
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 affidavit regarding Liability Insurance LIC282 Child #1- Child #5 files did not have form in place, the licensee did not comply with the section cited above in [5] out of 5] children file which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by June 16, 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: Time of each 15-minute check This requirement is not met as evidenced by: Based on record review Child #1 is an infant and did not have a 15 min sleep log, the licensee did not comply with the section cited above in [1] out of [1] infant which poses a potential health, safety or personal rights risk to persons in care.
Inspection Authority of the Department (d) The licensee shall permit the Department to inspect, audit, and copy children's records or other family child care home records upon demand during normal business hours. Records may be removed if necessary for copying. This requirement is not met as evidenced by: Based on observation, interview, record review, the licensee did not comply with the section cited above. During children's file review, LPA did not observe child #3 file. Licensee stated child #3 is missing a file. This poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 25, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 102391(d) - 102391(d)
Official code
102391(d)
Medium concern: Health or food records
Report finding
General Provisions and Definitions (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above. During file review, LPA did not observe immunization records for Licensee assistant and LPA did not observe measles for Licensee. Per Licensee she does not have an immunization record for assistant and she is missing her measles. This poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by June 5, 2023
More details
Official CA class
Type B deficiency
Report section
HSC 1597.622(a)(1) - 1597.622(a)(1)
Official code
1597.622(a)(1)
Low concern: Recordkeeping
Report finding
Personnel Records (a) Personnel records shall be maintained on each employee and shall contain the following information: This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above. During file review, LPA did not observe a file for assistant. Per Licensee state that she has not created a file for assistant. This poses a potential health, safety or personal rights risk to persons in care.