AYALA FAMILY CHILD CARE

Based on observation and interview, licensee Loreto Ayala was not physically present which poses an immediate health, safety, or personal rights risk to children in care. Per licensee statement via phone, licensee left the facility three days ago. LPA Cha informed licensee must be physically present at the facility to operate child care. LPA Cha informed licensee that facility cannot operate until licensee returns to the facility. A Type A citation issued.

Resolution: Upon return to facility, licensee to submit documentation to LPA Cha verifying her understanding that she must be present in the home for at least 80% of operating hours.

Based on record review, one of two assistant files missing immunizations, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will send proof of immunizations for assistant via email to LPA Cha.

Based on record review Licensee file and A1 file missing influenza immunization (or declination) for current year which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will provide proof of influenza immunization or provide written declination for all personnel to LPA Cha via email.

Based on record review, Child #2 (C2) present at time of LPA arrival, did not have a file which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will provide proof of all documentation including immunizations required for child's file to LPA Cha via email.

Based on observation and record review, Assistant #2 (A2) present at time of inspection, did not have background clearance which poses/posed an immediate potential health, safety or personal rights risk to persons in care. Per Assistant #1 (A1) statement, A2 was present for three days. Civil penalty of $300 assessed. Due to an uncleared adult present at the facility providing care and supervision, a Type A citation issued.

Resolution: Licensee is aware that uncleared adult cannot be on premises. Upon return from absence, licensee will submit written statement regarding understanding of not having uncleared adults on premises.

Based on observation, one tube of toothpaste on sink counter. LPA also observed shampoo, body wash, mouthwash, and other hazardous products in shower stall which poses/posed a potential health, safety or personal rights risk to persons in care.LPA reminded licensee’s assistant to keep shampoos, mouthwash, razors, toothpaste, and other hazardous items inaccessible to children.

Resolution: Licensee will send proof of photos to LPA Cha via email showing that all hazardous items have been made inaccessible to children.

Based on record review, Child #1 (C1) file missing safe sleep checks. A1 unable to provide safe sleep log indicating documentation since child’s date of enrollment. A Type B citation issued.

Resolution: Licensee will show proof of safe sleep check documentation for C1 to LPA Cha via email.

Based on record review, A2 missing Mandated Reporter Training which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will send proof of completion of Mandated Reporter training for assistant via email to LPA Cha.

Based on observation, interview, and record review, the licensee did not comply with the section cited above child files did not have any immunization records and others were not updated which poses a potential health, safety or personal rights risk to persons in care.

Resolution: According to family Child Care home representative she will contact the families and request immunization records and update the other child records to reflect updated immunization and transfer immunization to the CDPH form(provided) record for children not enrolled in school and submit a copy to the Regional Palmdale Regional Office by indicated due date.

Based on observation, interview and record review the licensee did not comply with the section cited above two infants 0-12 months did not have LIC9227 completed by parent nor licensee. According to child care home LIC 9227 has not been implemented which poses a potential health, safety or personal rights risk to persons in care.

Resolution: According to Family Child Care Home Lic 9227 will be given to parents for completion for infants 0-12 months and submit a copy to the Palmdale Regional office by due date.

Based on observation and record review, the licensee did not comply with the section cited above four infant files id not have any records of 15 minute checks for LPA to review which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Family Child Care Home will begin to document and record 15 minute checks at every nap time for infants 24 months and under and submit to the Palmdale Regional Office by due date by email .text, or fax.

Based on observation, interview and record review, the licensee did not comply with the section cited above four infants files did not have any proof of 15 minute check conducted which poses a potential health, safety or personal rights risk to persons in care.

Resolution: According to facility infants 0 to 2 years recording of 15 minutes will begin at next nap time and by due date above. Licensee will submit one weeks of recording to the Palmdale Regional office by text, email or fax by 5/17/23 and begin recording due date specified.