Child's Records (a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d). This requirement is not met as evidenced by: Based on observations and file review, interview the licensee did not comply with the section cited above . During file review, LPA observed one child missing file, three other files missing signatures on the form, which poses/posed a potential health, safety or personal rights risk to persons in care.
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 and interview, the licensee did not comply with the section cited above as assistant does not have an employee file. File is missing LIC 9052 Emplyee Rights, LIC 9108 Statement Acknowledging Requirement to report child abuse which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by November 18, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102416.1(a) - 102416.1(a)
Official code
102416.1(a)
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 and interview, the licensee did not comply with the section cited above as proof of assistant's immunizations were not provided during inspection which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 6, 2024
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
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. 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 as licensee does not have a current roster for licensing to observe which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by November 18, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102417(g)(8) - 102417(g)(8)
Official code
102417(g)(8)
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 observation and record review, the licensee did not comply with the section cited above as 5 out of 5 children did not have LIC 995A and LIC 627 completed and signed by child representative 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 November 22, 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 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 observation and interview, the licensee did not comply with the section cited above as sleep logs for infants were not available to be observed during inspection which poses/posed a potential health, safety or personal rights risk to persons in care.