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32 | Based on observation, information obtained and interviews conducted, home was observed to be unclean. LPA observed dark and light colored stains on the walls in the primary child care room, particles on the floor, stains on the furniture in primary child care room and leftover food parts on the children table and bench sets. Disclosure was made that home is deep cleaned twice a week and tables and floor are swept every time the children eat.
During the inspection on 10/10/2019, LPA observed the facility to be unclean. Based upon observation, information obtained and interviews conducted, the preponderance of evidence standard has been met, therefore, the allegation, of PHYSICAL PLANT, home is not clean or sanitary and is unorganized, is SUBSTANTIATED. California Code of Regulations, Title 22, 102417(b) are being cited on the attached LIC9099-D.
The following was thoroughly discussed with the Licensee
The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot line at 1-800-540-4000. Also call the CCL office within 24 hours of the Unusual Incident and follow up with a written Unusual Incident/Injury Report (LIC 624B) within 7 business days.
Licensee was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and that the Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome
The licensee was also recommended the following Safe Sleep Practices: always place infants on their backs for sleeping; use only a tight-fitting sheet on the crib or play yard mattress; do not hang any items from the crib or above the crib; keep all items, including blankets, out of the crib or play yard; pacifiers may be used as long as they do not have items attached to them; infants should not be swaddled or have any items covering them while sleeping; the temperature of the room should be comfortable enough for an adult to wear a T-shirt and not be too hot or too cold. Please note, these guidelines are recommendations for best practices only, until regulations are approved and adopted.
Reporting Requirements: Any unusual incident or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. (Title 22, Division 12, Chapter 1, Section 101212 Reporting Requirements (d)(B)) Page 2 (continued on LIC 9099-C)
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