PANTOJA, SONIA FAMILY CHILD CARE

Based on LPA observation, the licensee did not comply with the section cited above. LPA observed dirty and stained rugs and floor mats in the living room, bags of trash in the kitchen and dining room. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee immediately removed bags of trash from kitchen and dining room. Licensee is to have dirty and stained rugs and mats cleaned or replaced. Licensee must submit proof of replacing or cleaning mats and rugs.

Based on record review, the licensee did not comply with the section cited above. LPA observed that there were no documents on file for A1 or A2 to show completion of Mandated Reporter Training which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee is to provide the Department proof of current completion of Mandated Reporter Training for A1 and A2.

Based on record review, the licensee did not comply with the section cited above. LPA observed that form LIC 627 Consent for Emergency Medical Treatment was not signed or complete in children's files. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee is to have each parent complete form LIC 627 Consent for Emergency Medical Treatment and submit proof of completed forms for each child to the Department.

Based on LPA observation, the licensee did not comply with the section cited above. LPA observed 8 children in care. 2 of which were infants, 6 of which were children not yet of school age. There were no qualified assistants present in the home. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee had parents come to pick up 2 children bringing the facility into capacity and ratio requirements. Licensee is to review regulation 102416.5 and submit a written statement indicating that they have read and understood the regulation and will ensure compliance.

Based on record review, the licensee did not comply with the section cited above in 4 out of 6 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 #1, Child #4, Child #5, and Child #6 by 2/17/23. An unannounced plan of correction inspection will be conducted after 2/17/23 by a Department representative to ensure the above measures have been taken to correct this deficiency.

Based on record review, the licensee did not comply with the section cited above in 3 out of 6 children's files reviewed. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that she will obtain, and maintain on file, completed 995As for Child #4, Child #5, and Child #6. An unannounced plan of correction inspection will be conducted after 2/17/23 by a Department representative to ensure the above measures have been taken to correct this deficiency.

Based on observation, the licensee did not comply with the section cited above as today, LPA observed two infants, both under the age of one, sleeping on top of blankets on the living room floor. Upon further inspection, LPA found that the licensee does not have a single crib, or play yard on the premises to utilize for child care purposes. This poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee understand that she must have one crib or play yard for each infant in care. Licensee stated she will acquire two play yards to utilize for infant care. Proof of correction picture, video, and/or receipt of purchase, is to be submitted to the Fresno Community Care Licensing Office by 1/18/2023.

Based on records review, the licensee did not comply with the section cited above in 4 out of 4 children's files reviewed, which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that she will obtain, and maintain on file, completed Liability Insurance Affadavit forms for Child #4,Child #5, and Child #6. An unannounced plan of correction inspection will be conducted after 2/17/23 by a Department representative to ensure the above measures have been taken to correct this deficiency.

Based on records review, the licensee did not comply with the section cited above, as she was unable to provide proof of completed sleeping plans for two infants in care. This poses a potential health, safety or personal rights risk to persons in care

Resolution: Licensee stated she will ensure and Individual Sleep Plan (LIC C227) is completed and on file for Child #2 and Child #4 by 2/17/23. An unannounced plan of correction inspection will be conducted after 2/17/23 by a Department representative to ensure the above measures have been taken to correct this deficiency.

Based on record review, the licensee did not comply with the section cited above in 3 out of 6 children's files reviewed which poses potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will obtain, and retain on file, completed Identification and Emergency Information (LIC700s)& Consent for Emegency Medical Treatment (LIC627s) for Child #4, Child #5, and Child #6 by 2/17/23. An unannounced plan of correction inspection will be conducted after 2/17/23 by a Department representative to ensure the above measures have been taken to correct this deficiency.

Based on observation, the licensee did not comply with the section cited above, as today, LPA observed two infants asleep on the living room floor; both infants had small blankets placed underneath their chins, which were positoned in a manner to prop bottles into their mouths. This poses an immediate health, safety or personal rights risk to persons in care.

Resolution: LPA reviewed safe sleep regulations with the licensee. Licensee understands that she cannot use bottle propping as means to feed an infant. Additionally, Licensee understands that infants must sleep in a crib or play yard containing no loose articles. Licensee removed bottles from infants' mouths, and blankets from infants' sleeping areas when asked to do so by LPA. Deficiency cleared during inspection.

Based on observation, the licensee did not comply with the section cited above in 2 out of 2 infant files reviewed, which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Today, LPA provided Licensee with blank sleeping logs for both infants in care, and consulted with licensee on how to complete the form. Licensee began documenting each 15 minute check for Child #2 and Child #4 today, during each child's napping period. Deficiency cleared during inspection.

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

Resolution: Licensee stated that she 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. An unannounced plan of correction inspection will be conducted after 2/17/23 by a Department representative to ensure the above measures have been taken to clear this deficiency.