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25 | On the date and time listed, Licensing Program Analysts (LPAs) Perla Ordones and Samuel Lopez conducted a Case Management-Legal/Non-Compliance inspection. This inspection is in agreement with, and as a result of a Non-Compliance Conference, that took place on 03/06/2024, due to concerns associated with the facility history and citations issued. The citations issued were regarding Infant Safe Sleep, Personal Rights, Operation of a Family Child Care Home, Health and Safety Code, and Admission Procedures and Authorized Representatives Rights.
LPAs met with the Licensee Sonia Carias, toured the facility and conducted a census. The following was observed:
· Observed personal rights being accorded to the children in care.
· Observed baby gate preventing access to the second floor.
· Staff files observed to NOT be in compliance. During record review, LPAs observed that S2 was missing the following: immunizations (Measles, Pertussis, Influenza, and Tuberculosis) and Mandated Reporter Training (AB1207). Additionally, S1 was missing proof of the Mandated Reporter Training (AB1207).
· Upon arrival, LPAs observed S2 escorting a day-care child from the facility to the school bus.
· Children’s files observed to NOT be in compliance. During record review, LPAs observed that two infants were missing proof of current 15 minute sleep checks. Additionally, Licensee stated that they stopped conducting the 15 minute checks once infants turned one year old.
· Roster observed to be in compliance.
· Postings were observed to NOT be in compliance. During facility tour, LPAs observed that the following postings were missing: Notification of Parents’ Rights (PUB394). Licensee posted postings during inspection.
· During facility tour, Licensing Program Analysts (LPAs) observed two children present with lanyards on their pacifiers. Both children were awake and playing at the time. LPAs informed Licensee on Infant Safe Sleep Regulations. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Request Denied
Type B
06/28/2024
Section Cited
HSC
1597.622(a)(1)
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7 | (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...
This requirement is not met as evidenced by: | 1
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7 | Licensee agrees to obtain proof of the MMR, Pertussis, Influenza, and Tuberculosis vaccines for S2 by the Plan of Correction (POC) due date. |
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14 | Based on interview and record review, the licensee did not comply with the section cited above as S2 was missing proof of the MMR, Pertussis, Influenza, and Tuberculosis vaccines which poses a potential health, safety or personal rights risk to persons in care. | 8
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14 | Licensee agrees to send proof of the POC to Community Care Licensing (CCL) by the end of the business day on the POC due date of 06/28/2024. A civil penatly was assessed of $250.00 due to repeat violation within the last 12 months. |
Request Denied
Type B
06/28/2024
Section Cited
HSC1596.8662(b)(1)
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7 | (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... and shall complete renewal mandated reporter training every two years | 1
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7 | Licensee agrees to obtain proof of the completed AB1207 for S1, and S2. Licensee agrees to send proof of the POC to Community Care Licensing (CCL) by the end of the business day on the POC due date of 06/28/2024. |
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14 | following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by: S1 and S2 were missing proof of training which poses a potential health, safety or personal rights risk to persons in care. | 8
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14 | A civil penatly was assessed of $250.00 due to repeat violation within the last 12 months. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Request Denied
Type B
06/28/2024
Section Cited
CCR
102425(j)(2)(D)(c)
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7 | 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: | 1
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7 | Licensee agrees to document the 15 minute sleep checks for the two infants and agrees to maintain proof in children's files. Licensee agrees to send proof of the POC to Community Care Licensing (CCL) by the end of the business day on the POC due date of 06/28/2024. |
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14 | Based on interview and record review, the licensee did not comply with the section cited above as two infants were missing proof of current 15 minute sleep check logs which poses a potential health, safety or personal rights risk to persons in care. | 8
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14 | A civil penatly was assessed of $250.00 due to repeat violation within the last 12 months. |
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