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BAUSLEY, JACKIELYN FCCH

Santa Rosa, CA 95407

Facility:
493009498
Type:
FAMILY DAY CARE HOME
Status:
Licensed
Records checked:
July 17, 2026
Additional info
Source:
California Community Care Licensing Division
District office:
Not listed
License effective:
Not found
Capacity:
14

Inspection snapshot

Recent higher-concern violation

At least one higher-concern violation appears in the last 12 months.

Next: Read reports, examine repeated topics below, look at the broader history, and ask what changed afterward.

Latest inspectionJuly 7, 2026
Latest inspection with no recorded violationsJuly 1, 2026

Summary

This summary covers 29 available inspections for BAUSLEY, JACKIELYN FCCH from December 8, 2021 through July 7, 2026.

23 inspections recorded violations, with 56 recorded violations in total.

The most recent higher-concern violation was on July 7, 2026 and involved background screening, with a due date of July 17, 2026.

That higher-concern topic showed up in two inspections.

The available reports do not include a later inspection with no recorded violations after that violation.

At a glance

Total inspections
29

9 in last 12 months

Recorded violations
56

24 in last 12 months

Higher-concern violations
34

15 in last 12 months

Repeated topics
11

Last 36 months

Local comparison

29 total inspections vs 3 local median in 95407

Compared to 27 local facilities

Recorded violations per inspection

This provider
1.93
Local median
0

Inspections with higher-concern violations

This provider
59%
Local median
0%

Inspections with recorded violations

This provider
79%
Local median
0%

Repeated topics

This provider
11
Local average
0.63

Repeated topics

Topics that appeared in more than one inspection during the last 36 months. They may reveal a pattern worth examining.

Inspection history

Available inspection history. Select a violation topic for more info.

View official report
Higher concern: Background screening
Report finding
The licensee shall provide a copy of the Department Issued Addendum to Notification of Parent's Rights (Regarding Removal/Exclusion) (LIC 995B Rev. 05/03) sent by the Department, that is still in effect, to one parent or authorized representative of every child when the parent or authorized representative arranges for child care services or on the first day the child receives care, whichever is first. This requirement is not met as evidenced by: Based on review of children records, the records for child 1 and child 2 were missing signed copies of Addendum to Notification of Parents’ Rights form LIC 995B. This posed a potential health, safety and/or personal rights risk to children in care.
Correction status
Plan of correction due by July 17, 2026
More details
Official CA class
Type B deficiency
Report section
CCR 102419(h) - 102419(h)
Official code
102419(h)
View official report
Higher concern: Equipment or readiness
Report finding
(g)The home shall be free from defects or conditions which might endanger a child... This requirement is not met as evidenced by: Based on observation the metal security screen door is kept closed and is not in operating condition, and not able to open without using an alternative means, in this case a laminated piece of paper, which poses an immediate health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by June 3, 2026
More details
Official CA class
Type A deficiency
Report section
CCR 102417(g) - 102417(g)
Official code
102417(g)
Higher concern: Hazardous access
Report finding
(g)The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to:(4)Poisons, detergents, cleaning compounds, medicines...which could pose a danger if readily available to children shall be stored where they are inaccessible to children. Based on observation medications were located in an area of the home that is listed as on-limits and accessible to children who are potty trained and use the bathroom on the side of a child safety gate where the medication where observed on a low table, which poses an immediate health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by June 3, 2026
More details
Official CA class
Type A deficiency
Report section
CCR 102417(g)(4) - 102417(g)(4)
Official code
102417(g)(4)
View official report
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. 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 record review, the licensee did not comply with the section cited above. LPA was provided with a disaster drill log documenting the last drill was conducted on 06/19/25, 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 record review, the licensee did not comply with the section cited above. LPA was...
Correction status
Plan of correction due by May 20, 2026
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
Higher concern: Supervision
Report finding
Operation of A Family Child Care Home (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above. Two children C1 and C2 from two separate families were in care today, while Licensee was not present in the home and has not been present in the home since 05/03/26, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 20, 2026
More details
Official CA class
Type B deficiency
Report section
CCR 102417(a) - 102417(a)
Official code
102417(a)
Low concern: Recordkeeping
Report finding
Personnel Records (a) Personnel records shall be maintained on each employee and shall contain the following information: (10) A signed and dated copy of the Notice of Employee Rights [LIC 9052, (Rev. 03/03)] as required by Section 102416(a) and Section 102417. This requirement is not met as evidenced by: Based on interview S1 and S2 do not have access to staff files, the licensee did not comply with the section cited above in that files could not be provided during today's visit, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 20, 2026
More details
Official CA class
Type B deficiency
Report section
CCR 102416.1(a)(10) - 102416.1(a)(10)
Official code
102416.1(a)(10)
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. This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above in 2 out of 2 children's files (C1 & C2). Licensee stated the children's records are locked and not available to S1 and not available for review, which posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 20, 2026
More details
Official CA class
Type B deficiency
Report section
CCR 102418(g) - 102418(g)
Official code
102418(g)
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, the licensee did not comply with the section cited above in 2 out of 2 children's files (C1 & C2). Licensee stated the children's records are locked and not available to S1 and not available for review, which posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 20, 2026
More details
Official CA class
Type B deficiency
Report section
CCR 102417(g)(7) - 102417(g)(7)
Official code
102417(g)(7)
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 interview, the licensee did not comply with the section cited above in 2 out of 2 children's files (C1 & C2). Licensee stated the children's records are locked and not available to S1 and not available for review, which 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 May 20, 2026
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 interview, the licensee did not comply with the section cited above in 2 out of 2 children's files (C1 & C2). Licensee stated the children's records are locked and not available to S1 and not available for review, which posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 20, 2026
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 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 interview and record review, the licensee did not comply with the section cited above. S1 stated she did not have current sleep logs documenting the name of infant C1, the date and the time of each 15 minute check, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 20, 2026
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)
Medium concern: Parent rights
Report finding
(c)(1) A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as set forth in paragraph (1) of subdivision (a) of Section 1596.893b. This requirement is not met as evidenced by: Based on interview with Licensee Child 1 - Child 2 records were not available for review. LPA was not able to verify that C1 and C2's files contain a signed form LIC9224 required after receiving a Type A citation on 03/12/26 and 07/17/25, which poses a potential health and safety risk to the children in care.
Correction status
Plan of correction due by May 20, 2026
More details
Official CA class
Type B deficiency
Report section
HSC 1596.8595(c)(1) - 1596.8595(c)(1)
Official code
1596.8595(c)(1)
View official report
Medium concern: Equipment or readiness
Report finding
Fire Safety Clearance (a) A fire safety clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal shall be required for a large family child care home. This requirement is not met as evidenced by: Based on interview with A1 C2 and L1 the licensee did not comply with the section cited above, as daycare children were brought to the off-limits second floor of the home, which poses an immediate health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by March 13, 2026
More details
Official CA class
Type A deficiency
Report section
CCR 102371(a) - 102371(a)
Official code
102371(a)
View official report
Higher concern: Background screening
Report finding
(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: (1) Obtain a California clearance or a criminal record exemption as required by the Department This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above. Adult S3 provided care and supervision to children in the Licensee’s home without a criminal record clearance or exemption on at least two occasions, which poses an immediate health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by March 13, 2026
More details
Official CA class
Type A deficiency
Report section
CCR 102370(d)(1) - 102370(d)(1)
Official code
102370(d)(1)
Higher concern: Staff-to-child ratio
Report finding
(a)The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. This requirement was not met as evidenced by: Based on interview, the licensee did not comply with the section cited above. L1 stated on 12/29/25 that she has had too many children once a month since August 2025 taking some children to stay with her husband at the park. A1 and C2 stated that children were taken upstairs when an inspector came to the home to hide being over capacity, which poses an immediate health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by March 13, 2026
More details
Official CA class
Type A deficiency
Report section
CCR 102416.5(a) - 102416.5(a)
Official code
102416.5(a)
Higher concern: Child guidance
Report finding
(a)Each child receiving services from a family child care home shall have certain rights...not limited to,...: (4)To be free from corporal or unusual punishment, infliction of pain,... threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by: Based on interview, the licensee did not comply with the section cited above. S1 and S2 have on more than once occasion pulled on children or spanked children with a sandal or their hands, or threatened to call the police on the children which poses an immediate health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by March 13, 2026
More details
Official CA class
Type A deficiency
Report section
CCR 102423(a)(4) - 102423(a)(4)
Official code
102423(a)(4)
Higher concern: Child guidance
Report finding
(a)Each child receiving services from a family child care home shall have certain rights that shall not be waived... These rights include, but are not limited to,...:(2)To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above. Assistants S1 & S2 restrained at least one child, A4, age three+ to a portable crib as a form of discipline on more than one occasion, which poses an immediate Health, Safety or Personal Rights risk to children in care.
Correction status
Plan of correction due by March 13, 2026
More details
Official CA class
Type A deficiency
Report section
CCR 102423(a)(2) - 102423(a)(2)
Official code
102423(a)(2)
Higher concern: Supervision
Report finding
(a)The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. This requirement was not met as evidenced by: Based on interview, the licensee did not comply with the section cited above when L1 was out of the country 10/09/25 to 10/13/25, when L1 is not present on weekends, and potentially during the week while driving to and from locations throughout the day for up to 4.5 hours, leaving children in care with S2 and/or S1, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by March 26, 2026
More details
Official CA class
Type B deficiency
Report section
CCR 102417(a) - 102417(a)
Official code
102417(a)
Medium concern: Incident records
Report finding
(b)The licensee shall report to the Department any of the events as specified in Health and Safety…1597.467(b)(1)(A) through (b)(1)(C)… (3)… "A report shall be made to the Department…following the occurrence…of any of the following events: (C)Any unusual incident or child absence that threatens the physical or emotional health or safety of any child." This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above. The licensee did not submit a report to the Department when a parent arrived to the facility smelling of alcohol, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by March 26, 2026
More details
Official CA class
Type B deficiency
Report section
CCR 102416.2(b)(3)(C) - 102416.2(b)(3)(C)
Official code
102416.2(b)(3)(C)
View official report
Higher concern: Sleep safety
Report finding
102425 INFANT SAFE SLEEP(b) Cribs or play yards shall be free from all loose articles and objects. (3) There shall be no objects hanging above or attached to the side of the crib. This requirement is not met as evidenced by: At 3:12pm LPA observed infant C2 sleeping in a play yard that had a star mobile attached to it. Additionally a a blanket was observed draped over the side of the pack in play, which posed a potential health, safety risk to the infant in care.
Inspector notes
At 3:12pm LPA observed infant C2 sleeping in a play yard that had a star mobile attached to it. Additionally a a blanket was observed draped over the side of the pack in play, which posed a potential health, safety risk to the infant in care.
Correction status
Plan of correction due by November 3, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102425(b)(3) - 102425(b)(3)
Official code
102425(b)(3)
View official report
Higher concern: Sleep safety
Report finding
(a)Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2)To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by: Based on observation at 9:22am, child C3 was observed asleep on top of a train table, which posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by July 24, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102423(a)(2) - 102423(a)(2)
Official code
102423(a)(2)
Higher concern: Hazardous access
Report finding
(g)The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: (4)Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by: Based on observation at 9:39am there was over the counter medication, "advanced scar gel" accessible in the right side bathroom drawer. The medication had warnings regarding calling poison control if ingested, confirming that the item is hazardous to children, which poses an immediate health and safety and personal rights risk to the children in care.
Correction status
Plan of correction due by July 18, 2025
More details
Official CA class
Type A deficiency
Report section
CCR 102417(g)(4) - 102417(g)(4)
Official code
102417(g)(4)
Higher concern: Child guidance
Report finding
(a)Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2)To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by: Based on observation at 9:44am, the backyard had multiple hazards, including: unstable deck steps, loose fence boards, leaning privacy fencing coming loose from the main fence boards, adult size garden tools stored in the children's play house, broken plastic ride on toys with sharp edges, a broken wooden chair; missing a leg and the seat, a roll of wire fencing with sharp ends which poses an immediate health and safety and personal rights risk to the children in care.
Correction status
Plan of correction due by July 18, 2025
More details
Official CA class
Type A deficiency
Report section
CCR 102423(a)(2) - 102423(a)(2)
Official code
102423(a)(2)
Higher concern: Sleep safety
Report finding
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 at 10:51am, LPA observed infant C1 sleeping on a sofa chair, which poses an immediate health and safety and personal rights risk to the children in care.
Correction status
Plan of correction due by July 18, 2025
More details
Official CA class
Type A deficiency
Report section
CCR 102425(i) - 102425(i)
Official code
102425(i)
View official report
Higher concern: Staff-to-child ratio
Report finding
(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above. Upon LPA's arrival the Licensee was not home and the assistant was supervising 11 children alone for approximately 33 minutes, which posed an immediate health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by March 29, 2025
More details
Official CA class
Type A deficiency
Report section
CCR 102416.5(e) - 102416.5(e)
Official code
102416.5(e)
Higher concern: Hazardous access
Report finding
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (3) Where children are less than five years old are in care, stairs shall be fenced or barricaded. This requirement is not met as evidenced by: Based on observation, at 12:51pm, the gate at the base of the homes stair case was open, which posed an immediate health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by March 29, 2025
More details
Official CA class
Type A deficiency
Report section
CCR 102417(g)(3) - 102417(g)(3)
Official code
102417(g)(3)
Higher concern: Child guidance
Report finding
(a)Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by: LPA observed multiple occasions where children were engaging in unsafe behavior with other children and L1 and S1 did not step in to prevent the behavior, which poses an immediate health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by March 29, 2025
More details
Official CA class
Type A deficiency
Report section
CCR 102423(a)(2) - 102423(a)(2)
Official code
102423(a)(2)
Low concern: Recordkeeping
Report finding
(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, record review, the Licensee produced a roster, form LIC 9040 that was not complete. The roster was missing three children that are currently enrolled, including one that was present during today’s visit, C2, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by April 4, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102417(g)(8) - 102417(g)(8)
Official code
102417(g)(8)
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:(D)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 and interview of Licensee, three infants were in care C1, C9 and C11 and Licensee was not completing sleep logs for any of the infants in care, including C1, C9 and C11, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by April 4, 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)
View official report
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 interview and record review, the licensee did not comply with the section cited above. The Licensee's Mandated Reporter Training certificate expired on 12/2023, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 31, 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 observation and interview, the licensee did not comply with the section cited above in 2 out of 2 assistants files. L1 did not have a complete file available for assistants S1 and S2 which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 31, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102416.1(a) - 102416.1(a)
Official code
102416.1(a)
View official report
Higher concern: Child guidance
Report finding
(a)Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by: Based on interview and record reviewed, on 06/08/22 C1 was recorded on video walking back and forth on top of a child size table for 27 seconds without an adult redirecting C1’s behavior, and then jumped onto a couch where another child was sitting. This poses an immediate health and safety and personal rights risk to the children in care.
Correction status
Plan of correction due by November 26, 2024
More details
Official CA class
Type A deficiency
Report section
CCR 102423(a)(2) - 102423(a)(2)
Official code
102423(a)(2)
View official report
Medium concern: Recordkeeping
Report finding
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 has not been met as evidenced by: Based on interview, the licensee did not comply with the section cited above in 5 out of 6 children's files requested. Licensee does not have LIC700's on file for Child 1 – Child 4 and Child 6 (C1-C4 and C6) which poses a potential health, safety or personal rights risk to persons in care. Files for C1-C4 and C6 are missing the following additional forms, LIC627, LIC995A, LIC282.
Correction status
Plan of correction due by August 21, 2024
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
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 has not been met as evidenced by: Based on record review, the were no record of immunizations for children C1-C6 on file, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by August 21, 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
(c)(1) A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as set forth in paragraph (1) of subdivision (a) of Section 1596.893b. This requirement has not been met as evidenced by: Based on interview with Licensee Child 1 - Child 4 and Child 6 (C1-C4 and C6) files did not contain a signed form LIC9224 required after receiving a Type A citation on 05/02/24 and 11/01/23. Child 5 (C5) did not contain a signed form LIC9224 required after receiving a Type A citation on 11/01/23.which poses a potenial health and safety risk to the children in care.
Correction status
Plan of correction due by August 21, 2024
More details
Official CA class
Type B deficiency
Report section
HSC 1596.8595(c)(1) - 1596.8595(c)(1)
Official code
1596.8595(c)(1)
View official report
Medium concern: Parent rights
Report finding
(c)(1) A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as set forth in paragraph (1) of subdivision (a) of Section 1596.893b. This requirement has not been met as evidenced by: Based on interview with Licensee Child 1 - Child 10 (C1-C10) files did not contain a signed form LIC9224 required after receiving a Type A citation on 05/02/24, which poses a potenial health and safety risk to the children in care.
Correction status
Plan of correction due by May 17, 2024
More details
Official CA class
Type B deficiency
Report section
HSC 1596.8595(c)(1) - 1596.8595(c)(1)
Official code
1596.8595(c)(1)
View official report
Higher concern: Sleep safety
Report finding
102423 Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement has not been met as evidenced by: Based on observations made by LPA on 05/15/24 at 2:07pm, the licensee placed two children, C1 and C7 in the same play yard to take a nap. Manufacturer warnings of a similar product state to stop using the product when a child reaches 35 inches in height, weighs more than 30 lbs or is able to climb out. C1 and C7 observed by LPA sleeping side by side in the same play yard weigh over 30 lbs combined, this poses a potential personal rights risk to the children in care.
Inspector notes
Based on observations made by LPA on 05/15/24 at 2:07pm, the licensee placed two children, C1 and C7 in the same play yard to take a nap. Manufacturer warnings of a similar product state to stop using the product when a child reaches 35 inches in height, weighs more than 30 lbs or is able to climb out. C1 and C7 observed by LPA sleeping side by side in the same play yard weigh over 30 lbs combined, this poses a potential personal rights risk to the children in care.
Correction status
Plan of correction due by May 17, 2024
More details
Official CA class
Type B deficiency
Report section
CCR 102423(a)(2) - 102423(a)(2)
Official code
102423(a)(2)
View official report
Higher concern: Sleep safety
Report finding
102425 Infant Safe Sleep (i) 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 was not met as evidenced by: Based on interview and record review, an infant (C1) was observed sleeping in a swing on 12/07/23 for at least 32 minutes, which posed an immediate Health and Safety risk to the infant in care.
Inspector notes
Based on interview and record review, an infant (C1) was observed sleeping in a swing on 12/07/23 for at least 32 minutes, which posed an immediate Health and Safety risk to the infant in care.
Correction status
Plan of correction due by May 3, 2024
More details
Official CA class
Type A deficiency
Report section
CCR 102425(i) - 102425(i)
Official code
102425(i)
View official report
Higher concern: Hazardous access
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: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in 2 areas of the home. LPA observed the cabinets under the sink in the bathroom used by children were not locked and contained cleaning compounds. LPA observed Comet, Lysol spray and carpet cleaner under the sink. Additionally the "off-limits" garage door was unlocked and accessible to children in care. Although there is a child safety gate prior to the garage door, the gate was open and LPA observed child (C9) walk through the gate, past the garage door and into the family room. LPA observed cleaning products, lighters, cigars and an ashtray in the accessible garage, which poses an immediate 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: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in 2 areas of the home. LPA observed the cabinets under the sink in the bathroom used by children were not locked and contained cleaning compounds. LPA observed Comet, Lysol spray and carpet cleaner under the sink. Additionally the "off-limits" garage door was unlocked and accessible to children in care. Although there is a child safety gate prior to the garage door, the gate was open and LPA observed child (C9) walk through the gate, past the garage door and into the family room. LPA observed cl...
Correction status
Plan of correction due by November 2, 2023
More details
Official CA class
Type A deficiency
Report section
CCR 102417(g)(4) - 102417(g)(4)
Official code
102417(g)(4)
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. 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 in that although the licensee stated that the last drill was conducted on 05/10/23, the licensee was not able to produce documentation of drills conducted, 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 November 8, 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
View official report
Higher concern: Sleep safety
Report finding
102425 Infant Safe Sleep(b) Cribs or play yards shall be free from all loose articles and objects. (1) Pacifiers shall be allowed in the crib or play yard if the following provisions are in place: (A)There shall not be anything attached to the pacifier. This requirement was not met as evidenced by: Based on LPA observation, at 2:48pm C1 was asleep on their back in the play yard. LPA observed that C1 had a pacifier in her mouth, the pacifier had a ribbon attached to it and a clip attached to C1's shirt, which poses a potential health and safety risk to the child in care.
Inspector notes
Based on LPA observation, at 2:48pm C1 was asleep on their back in the play yard. LPA observed that C1 had a pacifier in her mouth, the pacifier had a ribbon attached to it and a clip attached to C1's shirt, which poses a potential health and safety risk to the child in care.
Correction status
Plan of correction due by July 29, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 102425(b)(1)(A) - 102425(b)(1)(A)
Official code
102425(b)(1)(A)
View official report
Medium concern: Child guidance
Report finding
Personal Rights (a)Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged.... These rights include, but are not limited to, the following: (1)To be treated with dignity in his/her personal relationship with staff and other persons. This requirement was not met as evidenced by: Based on interview, A1 stated that he will tightly hug a child so they don’t run into the metal screen door when they cry for their parent, which poses a potential Health and Safety or Personal Rights risk to children in care.
Correction status
Plan of correction due by April 18, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 102423(a)(1) - 102423(a)(1)
Official code
102423(a)(1)
View official report
Higher concern: Sleep safety
Report finding
102425 Infant Safe Sleep (i) 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 was not met as evidenced by: Based on record review, one out of three infants observed in infant swings on 02/21/23 were asleep in a swing, which poses a potential Health and Safety risk to infants in care.
Inspector notes
Based on record review, one out of three infants observed in infant swings on 02/21/23 were asleep in a swing, which poses a potential Health and Safety risk to infants in care.
Correction status
Plan of correction due by March 29, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 102425(i) - 102425(i)
Official code
102425(i)
Higher concern: Sleep safety
Report finding
102425(c) 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 interview, Licensee stated that she does not have form LIC9227 for any of the infants (C1-C4) in care. This poses a potential health, safety or personal rights risk to persons in care.
Report comments
Based on interview, Licensee stated that she does not have form LIC9227 for any of the infants (C1-C4) in care. This poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by March 29, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 102425(c) - 102425(c)
Official code
102425(c)
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:(D)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 interview and record review, Licensee stated that she only has sleep logs for C1-C4 for the week of 03/06/23 and does not have record of past sleep logs available for review. This poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by March 29, 2023
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)
Medium concern: Recordkeeping
Report finding
(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, the licensee did not comply with the section cited above in 3 out of 4 children's files requested. Licensee does not have LIC700's on file for C1, C2 & C4 which poses a potential health, safety or personal rights risk to persons in care. Files for C1, C2 and C4 are missing the following additional forms, LIC627, LIC995A, LIC282, Immunization records and LIC9224 for Type A citations issued on 08/11/22.
Correction status
Plan of correction due by March 29, 2023
More details
Official CA class
Type B deficiency
Report section
CCR 102417(g)(7) - 102417(g)(7)
Official code
102417(g)(7)
View official report
Medium concern: Child guidance
Report finding
102423 Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by: based on observations and interviews, the licensee did not follow the swing manufacturers warnings or product information guide and placed multiple children in care (C1-C4), on more than one occasion in the swings that were either beyond the maximum weight of 25 lbs, active and able to climb out and/or did not use the restraint system. This poses a potential personal rights risk or health and safety risk to the children in care.
Report comments
This requirement is not met as evidenced by: based on observations and interviews, the licensee did not follow the swing manufacturers warnings or product information guide and placed multiple children in care (C1-C4), on more than one occasion in the swings that were either beyond the maximum weight of 25 lbs, active and able to climb out and/or did not use the restraint system. This poses a potential personal rights risk or health and safety risk to the children in care.
Correction status
Plan of correction due by September 30, 2022
More details
Official CA class
Type B deficiency
Report section
CCR 102423(a)(2) - 102423(a)(2)
Official code
102423(a)(2)
View official report
Higher concern: Sleep safety
Report finding
102425 Infant Safe Sleep (i) 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 was not met as evidenced by: LPA observed infant C1, to be asleep in an infant swing located in the living room, which poses a potential Health and Safety risk to children in care.
Inspector notes
LPA observed infant C1, to be asleep in an infant swing located in the living room, which poses a potential Health and Safety risk to children in care.
Correction status
Plan of correction due by August 12, 2022
More details
Official CA class
Type B deficiency
Report section
CCR 102425(i) - 102425(i)
Official code
102425(i)
Higher concern: Sleep safety
Report finding
(b) Cribs or play yards shall be free from all loose articles and objects. This requirement was not met as evidenced by: LPA observed infant C1, to be placed in a pack n play that contained a blanket and a pillow, which poses a potential Health and Safety risk to children in care.
Correction status
Plan of correction due by August 12, 2022
More details
Official CA class
Type B deficiency
Report section
CCR 102425(b) - 102425(b)
Official code
102425(b)
View official report
Higher concern: Child guidance
Report finding
(a)Each child receiving services from a family child care home shall have certain rights that shall not be waived...not limited to, the following:(4)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature... This requirement was not met as evidenced by: Based on interviews A3 hit C1 with a water bottle and a blanket while in care which poses an immediate Health, Safety or Personal Rights risk to children in care.
Correction status
Plan of correction due by August 12, 2022
More details
Official CA class
Type A deficiency
Report section
CCR 102423(a)(4) - 102423(a)(4)
Official code
102423(a)(4)
Higher concern: Child guidance
Report finding
(a)Each child receiving services from a family child care home shall have certain rights that shall not be waived... These rights include, but are not limited to,...:(2)To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met as evidenced by: Based on interviews the Licensee and assistants restrained children to a highchair as a form of disipline on more than one occasion, which poses an immediate Health, Safety or Personal Rights risk to children in care.
Correction status
Plan of correction due by August 12, 2022
More details
Official CA class
Type A deficiency
Report section
CCR 102423(a)(2) - 102423(a)(2)
Official code
102423(a)(2)
View official report
Higher concern: Sleep safety
Report finding
102425 Infant Safe Sleep (i) 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 was not met as evidenced by: LPA observed 3 out 10 children (C1-C3) were observed to be asleep in infant swings located in the living room, C2 is an infant. This poses a potential Health and Safety risk to children in care.
Inspector notes
LPA observed 3 out 10 children (C1-C3) were observed to be asleep in infant swings located in the living room, C2 is an infant. This poses a potential Health and Safety risk to children in care.
Correction status
Plan of correction due by May 26, 2022
More details
Official CA class
Type B deficiency
Report section
CCR 102425(i) - 102425(i)
Official code
102425(i)
View official report
Higher concern: Hazardous access
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: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above. At 10:04am LPA observed the bathroom cabinet below sink was accessible to children. The cabinet contained jugs of bleach, hand snaitizer, carpet cleaner and other various products used for cleaning. which poses an immediate health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 9, 2021
More details
Official CA class
Type A deficiency
Report section
CCR 102417(g)(4) - 102417(g)(4)
Official code
102417(g)(4)
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 interview and record review, the licensee did not comply with the section cited above in 2 files reviewed. Licensee and assistant, Adult 1 (A1) do not have current Mandated Reporter Trainings on file which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 22, 2021
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)
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 interview and record review, the licensee did not comply with the section cited above. Licensee has three infants enrolled, Child 1-3 (C1-C3) and does not have a sleep log on file for C1-C3 which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 13, 2021
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)
Medium concern: Equipment or readiness
Report finding
This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above. The trampoline accessible to children in the backyard has cracked plastic around the base of the trampoline and the fabric covering the springs was observed to be torn and worn away in many areas around the equipment which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by December 13, 2021
More details
Official CA class
Type B deficiency
Report section
CCR 102417(d) - 102417(d)
Official code
102417(d)