CONTRERAS, BERTHA FAMILY CHILD CARE

Based on observation and interview, the licensee did not comply with the section cited above. LPAs observed Clorox bleach gel, razor blade in a unlocked bathroom cabinet, shampoos on the bath tub. In the kitchen counter, LPAs observed a 3 inch switch blade and Lysol disinfecting spray. In the front yard, LPAs observed a live black widow and motor oil and automobile parts. All items were accessible to the children present, which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee immediately remove all hazardous items from bathroom, kitchen counter and front yard. POC cleared at visit.

Based on records and interview, Licensee did not document the 15 minutes physical checks, which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will complete 15-minute checks and will provide documents for the two infants in care to CCL by 05/24/2024.

Based on observation, interview and record review, the licensee did not comply with the section cited above. During today's visit, from 10:32a.m.-11:00 a.m., Licensee and Staff did not conduct a 15-minute check for Child #1 (infant), which was in an area in the home that is not license for the children in care, which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee removed infant from the inaccessible room. POC Cleared.

Based on records review, child # 1 and child #2 did not have the required LIC 995 - Parent's Rights,Identification and Emergency Information Form and did not have Consent for Emergency Medical Treatment (LIC 627) form. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit proof of completed files for Child 1 and Child 2 by 05/24/2024 to CCL.

Based on record review, the licensee did not comply with the section cited above. Child #1 and Child #2 does not have the required LIC9227 Infant Safe Sleeping plan on file, which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit proof of completed files for Child 1 and Child 2 by 05/24/2024 to CCL.

Based on records and interview, Licensee did not document the 15 minutes physical checks, which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will conduct 15 minute sleep checks and will log it. Licensee will submit 15 minute checks for Child 1 and Child 2 to CCL by 05/24/2024.

Based on interview and record review, the licensee did not comply with the section cited above. Licensee Mandated Reporter expired on 07/2023, which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will renew Mandated Reporter Certificate and submit to CCL by 05/17/2024.

Based on observation and records review, the licensee did not comply with the section cited above as today, LPA observed Adult #1, within the family child care home. Licensee stated that Adult #1 currently resides within the home and has worked as her day-care assistant for approximately five days. Upon records review, LPA found that the Adult #1 has not obtained criminal background clearance as required. This poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will ensure Adult #1 undergoes live scan processing in order to obtain the proper background clearances. Licensee stated she will submit proof of live scan to the Fresno Community Licensing (CCL) office by 6/30/22. Licensee understands that until background clearance is obtained, Adult #1 is not permitted to provide child care services, or reside within the Family Child Care Home.

Based on observation the licensee did not comply with the section cited above (see LIC809 for further details). This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee removed cleaning products from accessible areas of the laundry room and placed them atop of the refrigerator also located in the laundry room. Deficiency cleared at visit.

Based on record review, the licensee did not comply with the section cited above, as today, Licensee was unable to provide LPA with proof of Mandated Reporter course completion for S2 and S3. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that S2 and S3 will complete an AB1207 certified Child Abuse Mandated Reporter course. This training can be accessed by logging on to the following website: mandatedreporterca.com. After completion, licensee will maintain proof of certification within the family child care home. A return visit will be made by LPA after 7/29/22 to ensure the licensee has followed the above measures to correct this deficiency.

Based on records review, the licensee did not comply with the section cited above, as today, Licensee was unable to provide LPA with proof of measles, whooping cough, and influenza immunization for S2 and S3. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that she will obtain proof of measles, whooping cough, and influenza immunization for S2 and S3, by 7/29/22. Licensee stated that she understands that proof of immunization is to be stored within the family child care home at all times. A return visit will be made by LPA after 7/29/22 to ensure the licensee has followed the above measures to correct this deficiency.

Based on observation, the licensee did not comply with the section cited above, as today LPA observed the licensee's western perimeter fence to be leaning excessively. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that she will repair the fence by 7/29/2022. A return visit will be made by LPA after 7/29/22 to ensure the licensee has followed the above the measures to correct this deficiency.

Based on record review, the licensee did not comply with the section cited above in 11 out of 11 children's files reviewed. This poses potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will obtain, and retain on file, completed Consent for Emegency Medical Treatment (LIC627s) forms for Child #1-Child #11. A return visit will be made by LPA after 7/29/22 to ensure the licensee has followed the above measures to correct this deficiency.

Based on record review, the licensee did not comply with the section cited above in 5 out of 11 children's files reviewed which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will obtain, and retain on file, proof of immunization and/or completed PM286 records for Child #2, Child #8, Child #9, Child #10, and Child #11 by 7/29/22. A return visit will be made by LPA after 7/29/2022 to ensure that all forms are on file.

Based on record review, the licensee did not comply with the section cited above in 5 out of 11 children's files reviewed. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: LPA provided Licensee with a blank 995 E today. Licensee stated she will begin providing parents with the form today. Additionally, Licensee stated that she will obtain, and maintain on file, completed 995A's for Child #2, Child #8, Child #9, Child #10, and Child #11. A return visit will be made by LPA after 7/29/2022 to ensure that all forms are on file.