Community Care Licensing

Document Has Been Signed on 09/14/2022 03:53 PM - It Cannot Be Edited

FACILITY NAME:	SWANSON, KATHERINE		FACILITY NUMBER:	343618991
ADMINISTRATOR:	SWANSON, KATHERINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 214-6028
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95835
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 15	DATE:	09/14/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Katherine Swanson		TIME COMPLETED:	04:15 PM

SUPERVISORS NAME: Keven Peters LICENSING EVALUATOR NAME: Amanda Blesi LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2022

FACILITY NAME: SWANSON, KATHERINE	FACILITY NUMBER: 343618991
	VISIT DATE: 09/14/2022

Link to Parent Document Below:

FACILITY NAME: SWANSON, KATHERINE	FACILITY NUMBER: 343618991
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/14/2022

Type A

Section Cited

CCR

102417(g)(4)

(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:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above when LPA LPA observed 2 bottles of lighter fluid and a bag of charcoal in the backyard accessible to children. LPA observed the bathroom cabinet contained items stating keep out of reach of children and the safety locks were broken and not working so items were accessible to children. which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 09/15/2022
	Plan of Correction
1 2 3 4	LPA shall make a return visit to verify corrections have been made.

Type A

Section Cited

CCR

102425(b)

(b) Cribs or play yards shall be free from all loose articles and objects. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation the licensee did not comply with the section cited above when a 6 month old was sleeping in a play yard containing a blanket and stuffed toys which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 09/15/2022
	Plan of Correction
1 2 3 4	LPA shall make a return visit to verify corrections have been made.

SUPERVISOR'S NAME: Keven Peters LICENSING EVALUATOR NAME: Amanda Blesi LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2022

Link to Parent Document Below:

FACILITY NAME: SWANSON, KATHERINE	FACILITY NUMBER: 343618991
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/14/2022

Type A

Section Cited

CCR

102416.5(a)

(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 is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above when LPA observed 15 children in care and licensee is licensed for 14 children. which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 09/15/2022
	Plan of Correction
1 2 3 4	Two children left around 3pm bringing the census down to 13 children. LPA will make a return visit to ensure ratio and capacity are being followed.

Section Cited

	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

SUPERVISOR'S NAME: Keven Peters LICENSING EVALUATOR NAME: Amanda Blesi LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2022

Link to Parent Document Below:

FACILITY NAME: SWANSON, KATHERINE	FACILITY NUMBER: 343618991
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/14/2022

Type B

Section Cited

CCR

102417(g)(10)

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (10) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846(b) and (c). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, licensee did not comply with the section cited above when LPA observed a baby excersaucer in the playroom (no child using the it) and poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/21/2022
	Plan of Correction
1 2 3 4	licensee states she was unaware that exersaucers are not allowed in child care homes. She states she will remove it from her home. LPA will make a return visit to verify correction.

Type B

Section Cited

CCR

102425(j)(1)

The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview, the licensee did not comply with the section cited above in two infant were in care and licensee was not documenting sleep checks which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/28/2022
	Plan of Correction
1 2 3 4	Licensee states she is checking the infants every 15 minutes however it could not be verified. licensee shall keep a sleep log for each infant in care (under two years old) which documents the infants are being checked every 15 min. Licensee shall submit a completed sleep log to clear the deficiency.

SUPERVISOR'S NAME: Keven Peters LICENSING EVALUATOR NAME: Amanda Blesi LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2022

Link to Parent Document Below:

FACILITY NAME: SWANSON, KATHERINE	FACILITY NUMBER: 343618991
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/14/2022

Type B

Section Cited

HSC

1596.8662(b)(1)

(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:
	Deficient Practice Statement
1 2 3 4	Based on record review and interview, the licensee did not comply with the section cited above in her and her husband did not have a Mandated Reporter certificate which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/14/2022
	Plan of Correction
1 2 3 4	Licensee shall submit to LPA a certificate showing that her and Dale have completed the Mandated Reporter training which can be taken online at www.mandatedreporterca.com. This shall be corrected by 10/14/22

Type B

Section Cited

CCR

102416(c)

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above when she could not find a first aid/CPR certificate for her or her husband which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/14/2022
	Plan of Correction
1 2 3 4	Licensee and husband/assistant Dale shall submit current first aid/CPR cards to LPA to clear the deficiency cited. This shall be done by 10/14/22.

SUPERVISOR'S NAME: Keven Peters LICENSING EVALUATOR NAME: Amanda Blesi LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2022

Document is an Amendment of Original Document on 09/14/2022 04:04 PM

Link to Parent Document Below:

FACILITY NAME: SWANSON, KATHERINE	FACILITY NUMBER: 343618991
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/14/2022

Type B

Section Cited

CCR

102418(g)

(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:
	Deficient Practice Statement
1 2 3 4	Based on record review the licensee did not comply with the section cited above when she did not have files for at least 6 children which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/28/2022
	Plan of Correction
1 2 3 4	Licensee shall obtain files for all children in care. LPA shall make a return visit to verify correciton is made.

Type B

Section Cited

CCR

102425(c)

An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review the licensee did not comply with the section cited above when two out of two infnants under 12 months did not have a sleep plan on filed which oses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/28/2022
	Plan of Correction
1 2 3 4	Licensee shall submit proof that all infants in care under 12 months old have a sleep plan on file.

SUPERVISOR'S NAME: Keven Peters LICENSING EVALUATOR NAME: Amanda Blesi LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2022