102370(d)All individuals subject to a criminal record review...shall prior to working, residing...in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f)...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 in that Licensee did not ensure Staff #3 who has been a staff in the facility for about 2 weeks and is not associated to this facility, which poses an immediate health, safety or personal rights risk to persons in care.
Report comments
Based on observation, interview, and record review, the licensee did not comply with the section cited above in that Licensee did not ensure Staff #3 who has been a staff in the facility for about 2 weeks and is not associated to this facility, which poses an immediate health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by July 28, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102370(d)(2) - 102370(d)(2)
Official code
102370(d)(2)
Medium concern: Health or food records
Report finding
1597.622 (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, the licensee did not comply with the section cited above in not having available immuniztions for Staff #3, which poses a potential health, safety or personal rights risk to persons in care.
Report comments
Based on record review, the licensee did not comply with the section cited above in not having available immuniztions for Staff #3, which poses a potential health, safety or personal rights risk to persons in care.
Infant Safe Sleep If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above in not placing C1 in a crib or play yard as soon as possible, which poses an immediate health, safety or personal rights risk to persons in care. C1 sleep log began at 12:50 PM and LPA observed sleeping infant on a rocking chair with Staff #1 rocking him on or about 2:10 PM.
Correction status
Plan of correction due by May 19, 2025
More details
Official CA class
Type A deficiency
Report section
CCR 102425(i) - 102425(i)
Official code
102425(i)
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, the licensee did not comply with the section cited above in not having available immuniztions for Licensee and Staff #2, which poses a potential health, safety or personal rights risk to persons in care by email by 5/30/25.
Correction status
Plan of correction due by May 30, 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: 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 not providing an LIC995A in childrens files, which poses 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 May 30, 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: This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in not providing a completed safe sleep log for infants in care, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 23, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102425(j)(2)(D) - 102425(j)(2)(D)
Official code
102425(j)(2)(D)
Higher concern: Staff-to-child ratio
Report finding
Staffing Ratio and Capacity (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants; or 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 caring for 5 infants at the time of this inspection, which posed a potential health, safety or personal rights risk to persons in care.