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 the record review, the Licensee did not meet the above regulation which poses a health risk to the children in care. During review of staff files the LPA was unable to review immunizations for S2. Additionally, LPA was also unable to review a TB clearance for S2 or S3.
Correction status
Plan of correction due by October 15, 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: Incident records
Report finding
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 the record review, the Licensee did not meet the above regulation which poses a potential health & safety risk to the children in care. During the children’s file review the LPA was unable to review an LIC 627 Consent for Emergency Medical Treatment for C1, C2, C3, C4, C5.
Correction status
Plan of correction due by October 15, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102421(a) - 102421(a)
Official code
102421(a)
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 the record review, the Licensee did not meet the above regulation which poses a potential personal rights risk to the children in care. During the children’s file review the LPA was unable to review an LIC 995 Parents Rights Receipt for C1, C2, C3, C4, C5.
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 October 15, 2025
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 the record review, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. During the children’s file review the LPA review sleep logs for C1, C2, C3 that were timed for every 30 minutes. All sleep logs had set times such as 12:15PM, 12:45PM, 1:15PM, etc.
102370 Criminal Record Clearance (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 102370(j) This requirement is not met as evidenced by: Based on the observation, interview, and record review, the Licensee did not meet the above regulation which poses an immediate Health, Safety & Personal Rights risk to the children in care. LPA observed S2 providing Care & Supervision to the children in care. S2 stated he/she started working at the facility August 15, 2024. Additionally, the Licensee stated R1 is residing in the home. S2 and R1 are not associated to the facility. Proof of request to associate could not be provided.
Correction / follow-up note
Based on the observation, interview, and record review, the Licensee did not meet the above regulation which poses an immediate Health, Safety & Personal Rights risk to the children in care. LPA observed S2 providing Care & Supervision to the children in care. S2 stated he/she started working at the facility August 15, 2024. Additionally, the Licensee stated R1 is residing in the home. S2 and R1 are not associated to the facility. Proof of request to associate could not be provided.
Correction status
Plan of correction due by October 18, 2024
More details
Official CA class
Type A deficiency
Report section
CCR 102370 - 102370
Official code
102370
Low concern: Administrative posting
Report finding
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 the record review, the Licensee did not meet the above regulation which poses a potential safety risk to the children in care. During the review of the fire drill the LPA observed the last fire drill conducted on 3-7-2024.
Correction status
Plan of correction due by October 30, 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)
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 the record review, the Licensee did not meet the above regulation which poses a potential safety risk to the children in care. During review of staff files the LPA was unable to review a Mandated Reporter certificate for S1.
Correction status
Plan of correction due by October 30, 2024
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)
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 the record review, the Licensee did not meet the above regulation which poses a potential safety risk to the children in care. During staff file review the LPA was unable a completed staff file for S1.
Correction status
Plan of correction due by October 30, 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 the record review, the Licensee did not meet the above regulation which poses a health risk to the children in care. During review of staff files the LPA was unable to review immunizations for S2. Additionally, R1 does not have a TB Clearance on file.
Correction status
Plan of correction due by October 30, 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)
Medium concern: Incident records
Report finding
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 the record review, the Licensee did not meet the above regulation which poses a potential safety risk to the children in care. During the children’s file review the LPA was unable to review an LIC 627 Consent for Emergency Medical Treatment for C2 and C3.
Correction status
Plan of correction due by October 30, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102421(a) - 102421(a)
Official code
102421(a)
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 the record review, the Licensee did not meet the above regulation which poses a potential safety risk to the children in care. During the children’s file review the LPA was unable to review an LIC 700 Identification and Emergency form for C5.
Correction status
Plan of correction due by October 30, 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 the record review, the Licensee did not meet the above regulation which poses a potential safety risk to the children in care. During the children’s file review the LPA was unable to review an LIC 995 Parents Rights for C3.
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...
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in [2] out of [5] [Children files on LIC859). (C2 and C3] which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by October 17, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 102425(C)(2) - 102425(C)(2)
Official code
102425(C)(2)
Higher concern: Sleep safety
Report finding
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: a. Date. b. Infant’s name. c. Time of each 15-minute check. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in [2] out of [5] [Records Review (C2 and C3] which poses a potential health, safety or personal rights risk to persons in care.