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. The Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be maintained in the infant’s file and shall be available to the Department for review. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above as LPA observed that C1 did not have proof of the LIC9227 on file which poses a potential health, safety or personal rights risk to persons in care.
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 and interview, the licensee did not comply with the section cited above as LPA observed that C1 was asleep in a crib that had loose fitting sheets on the mattress which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by January 9, 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: 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. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above as LPA observed that C1, C2, C3, and C4 were missing proof of updated immunizations which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by January 9, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102418(g)(1) - 102418(g)(1)
Official code
102418(g)(1)
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 interview and record review, the licensee did not comply with the section cited above as LPA observed that C4 was missing proof of the Consent For Emergency Medical Treatment - Child Care Centers Or Family Child Care Homes (LIC627) which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by January 9, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102417(g)(7) - 102417(g)(7)
Official code
102417(g)(7)
Medium concern: Health or food records
Report finding
(9) Evidence of a current tuberculosis clearance, not more than one year prior to or seven days after initial presence in the home, for any adult in the home during the time that children are under care. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above as LPA observed that S1 was missing proof of Tuberculosis clearance 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. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above as the last firedrill, conducted 01/20/2023, was not conducted within the required six month time frame which poses a potential health, safety or personal rights risk to persons in care.
Inspector notes
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. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited a...
Correction status
Plan of correction due by October 4, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 102417(g)(9)(A)1 - 102417(g)(9)(A)1
Official code
102417(g)(9)(A)1
Medium concern: Health or food records
Report finding
Administration of Child Day Care Licensing (c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above as S2 was missing proof of the Tuberculosis vaccine and Pertussis vaccine while S3 was missing proof of the MMR vaccine which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by October 4, 2023
More details
Official CA class
Type B deficiency
Report section
HSC 1597.622(c) - 1597.622(c)
Official code
1597.622(c)
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 interview and record review, the licensee did not comply with the section cited above as both C1 and C3 were missing proof of the AFFIDAVIT REGARDING LIABILITY INSURANCE FOR FAMILY CHILD CARE HOME (LIC282) which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by October 4, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 102417(m)(3) - 102417(m)(3)
Official code
102417(m)(3)
Low concern: Recordkeeping
Report finding
(d) In any case in which the licensee cares for an additional child pursuant to Section 102416.5(b) for a Small Family Child Care Home or Section 102416.5(d) for a Large Family Child Care Home, the licensee shall maintain, in the child's record, proof of parent notification that the facility is caring for an additional child as required in Section 102416.5(h). (1) The licensee shall maintain a completed and signed LIC 9150 (Rev. 8/14) Parental Notification Additional Children in Care, which is incorporated by reference, for this purpose. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above as both C1 and C3 were missing proof of the PARENT NOTIFICATION ADDITIONAL CHILDREN IN CARE (LIC9150) which poses a potential health, safety or personal rights risk to persons in care.