TATOM, TENISHA

Based on record review, the licensee did not comply with the section cited above in CCR 1596.8662(b)(1). Assistant did not have current mandated reporter on file which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee to submitted proof of correction statement to LPA ensuring compliance to CCR 1596.8662(b)(1) by 5/13/25.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 255/6/2025 at 1 PM Licensing Program Analyst (LPA) Andrea Cortez arrived at the home of Licensee Tenisha Tatom for the purposed of an unannounced annual inspection. Upon arrival LPA was greeted by licensee and was giving access to the home. LPA observed one assistant and licensee supervising 6 children consenting of 2 infants and 4 preschool aged children. LPA set up in the dining room and toured the home with Licensee. LPA consulted with licensee- all individuals subject to criminal background review have obtained a criminal record clearance. Licensee confirmed that there are no new residents or employees since the last inspection. LPA observed proper ratio and capacity was being followed. Facility hours of operation are Monday through Friday from 6 AM to 6 PM. A health and safety evaluation was conducted in all areas accessible to children. Off-limit areas include: second floor, garage and laundry room. Licensee acknowledged that children may never enter these off-limit areas. LPA observed that the facility is free from vermin, organized, safe, and in good repair. LPA observed a functioning smoke detector, carbon monoxide detector, and a full 2A10BC fire extinguisher. The facility has adequate toys that appear to be safe for children to use. The licensee stated there are no weapons or poisons in the home. LPA observed a fireplace barricaded according to regulation. The backyard is fenced and there are no bodies of water. LPA reviewed four children’s files which were observed to be complete. Required postings and the children’s roster were observed. Licensee has 2 infants enrolled. Licensee has a current fire drill log. Licensee’s CPR/First Aid card expires 5/2026. Licensee’s Mandated Reporter certificate expires 5/28/26. Licensee understands that training's must be completed every two years. Pg 1 of 3 NAME OF LICENSING PROGRAM MANAGER: Amanda Blesi NAME OF LICENSING PROGRAM ANALYST: Andrea Cortez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/06/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2025 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 5 FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any cor

Based on record review, the licensee did not comply with the section cited above in that the licensee's mandated reporter training certificate expired and licensee's assistant did not have a mandated reporter training which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee agreed to email the mandated reporter training certificates to LPA L. Habtom by POC date, 4/20/2024 via email.

Based on observation, the licensee did not comply with the section cited above in that 3 pack and plays had blankets in them and one had a cover above the pack and play which poses/posed a potential health, safety or personal rights risk to persons in care. No children were in the pack and play during the inspection.

Resolution: Licensee removed all items from the pack and play during the inspection. Licensee was also provided with the safe sleep PIN.

Based on record review,, the licensee did not comply with the section cited above in which a child's file did not have immunizations present. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit proof of immunizations for said child, directly to LPA within the 30 day time frame given.

Based on observation, the licensee did not comply with the section cited above in four (4) infants out of six (6) children, without an assistant, which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee will always have an assistant present when operating over a small family childcare ratio. Licensee will not operate as a large family without an assistant.

Based on observation the licensee did not comply with the section cited above with four (4 )infants out of six (6) children which poses an immediate health, safety or personal rights risk to persons in care without assistant.

Resolution: Licensee will not care for more than four infants at any given time. Licensee understands that additional children must be a mix of preschoolers and school aged.

Based on record review and discussion, the licensee did not comply with the section cited above in four (4) infants out of four (4) present which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will show and provide a 15- minute log shee to LPA, on or before 4/1/2023, to serve as proof of implementation.