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: This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above in 1 out of 2 window air conditioning units to be accessible to children in care, which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by June 26, 2026
More details
Official CA class
Type B deficiency
Report section
CCR 102417(g) - 102417(g)
Official code
102417(g)
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 and interview, the licensee did not comply with the section cited above in 1 out of 1 play yard had foam cushions under mat, which poses/posed a potential health, safety or personal rights risk to persons in care.
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 observation and record review, the licensee did not comply with the section cited above in LPA observed child 4 (C4) does not have a completed LIC 9227 which poses a potential health, safety or personal rights risk to persons in care.
Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in 2 infants do not have a sleeping log which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 3, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102425(j)(1) - 102425(j)(1)
Official code
102425(j)(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, the licensee did not comply with the section cited above in Child #6 did not have current immunizations which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 2, 2024
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, the licensee did not comply with the section cited above in Child #1 and Child #6 do not have a signed LIC995A which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 9, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102419(d) - 102419(d)
Official code
102419(d)
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 licensee did not comply with the section cited above in Child #1 and Child #6 did not have an emergency informations card which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 9, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102421(b) - 102421(b)
Official code
102421(b)
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, the licensee did not comply with the section cited above in Child #1 and Child #6 do not have a signed LIC995A which poses/posed 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 9, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102419(d)(1) - 102419(d)(1)
Official code
102419(d)(1)
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, the licensee did not comply with the section cited above in Child #1 and Child #6 do not have a signed affidavits which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 9, 2024
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 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, the licensee did not comply with the section cited above in Child #6 does not have a signed LIC9227 which poses/posed a potential health, safety or personal rights risk to persons in care.