RUTHERFORD FAMILY CHILD CARE

Based on interview and record review, the licensee did not comply with the section cited above as C4 was missing proof of the ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC9224) which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee agrees to have C4's authorized representatives sign the LIC9224 and agrees to send proof to Community Care Licensing (CCL) by the end of the business day on the Plan of Correction (POC) due date of 04/04/2024.

Based on observation and interview, the licensee did not comply with the section cited above as LPA observed three firearms laying on bed in Masterbedroom, trigger locks were not present and firing pins were not removed, and observed ammunition which was not locked right next to the bed on the floor which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: LPA had Licensee store firearms according to Title 22 regulations during visit. Licensee agrees to submit a written plan of action stating how Licensee will comply with the above listed regulation. Licensee agrees to send proof of the Plan of Correction (POC) to Community Care Licensing (CCL) by the end of the business day on POC due date of 03/22/2024.

Based on interview and record review, the licensee did not comply with the section cited above as LPA observed that Licensee's CPR/1st Aid expired 02/2024 which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee agrees to enroll in an EMSA approved Pediatric CPR/1st Aid course and agrees to maintain proof of completion in facility file. Licensee agrees to send proof to Community Care Licensing (CCL) by the end of the business day on the Plan of Correction (POC) due date of 04/04/2024.

Based on interview and record review, the licensee did not comply with the section cited above as LPA observed that C4 was missing proof of immunizations which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee agrees to have C4's authorized representatives submit proof of immunizations for C4 and agrees to send proof to Community Care Licensing (CCL) by the end of the business day on the Plan of Correction (POC) due date of 04/04/2024.

Based on interview and record review, the licensee did not comply with the section cited above as LPA observed that C4 was missing proof of the Consent For Emergency Medical Treatment (LIC627) which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee agrees to have C4's authorized representatives sign and complete the LIC627 and agrees to send proof to Community Care Licensing (CCL) by the end of the business day on the Plan of Correction (POC) due date of 04/04/2024.

Based on interview and record review, the licensee did not comply with the section cited above as LPA observed that C4 was missing proof of the Affidavit Regarding Liability Insurance For Family Child Care Home (LIC282) which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee agrees to have C4's authorized representatives sign and complete the LIC282 and agrees to send proof to Community Care Licensing (CCL) by the end of the business day on the Plan of Correction (POC) due date of 04/04/2024.

Based on interview and record review, the licensee did not comply with the section cited above as C4 was missing proof of the PARENT NOTIFICATION ADDITIONAL CHILDREN IN CARE (LIC9150) which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee agrees to have C4's authorized representatives sign the LIC9150 and agrees to send proof to Community Care Licensing (CCL) by the end of the business day on the Plan of Correction (POC) due date of 04/04/2024.

Based on the interview, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. During the interview with the Licensee he stated he and his assistant do not have a current Mandated Reporter available for review. He stated the last Mandated Reporter they took was in 2018.

Resolution: Licensee agrees to have both of them complete the Mandated Reporter training and submit certificate of completion to the Department on or by the POC due date. Mandated Reporter training can be completed at www.mandatedreporterca.com

Based on the record review, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. During the record review LPA was unable to review immunization records for C1 and C2.

Resolution: Licensee agrees to obtain and submit immunization records for C1 and C2.

Based on the record review, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. During the record review LPA was unable to review LIC 627 for C2.

Resolution: Licensee agrees to obtain and submit an LIC 627 to the Department on or by the POC due date.

Based on record review the Licensee did not meet the above regulation. During record review the LPA was unable to review an LIC 282 for C2.

Resolution: Licensee agrees to obtain and submit an LIC 282 for C2 to the Department on or by POC due date.

Based on record review the Licensee did not meet the above regulation. During record review the LPA was unable to review an LIC 9224 for inspection date 1-26-2023 for C2.

Resolution: Licensee agrees to obtain and submit an LIC 9224 to the Department for C2 on or by the POC due date.

Based on the observation, the Licensee did not meet above regulation which poses an immediate Health, Safety & Personal Rights risk to the children in care. During the facility tour LPA and LPM observed two knives on the counter which were accessible to the children in care. Civil penalty of $250 assessed

Resolution: Licensee removed knives during the inspection and made them inaccessible to the children in care. Licensee understands that all items that could pose a danger to the children in care must be made inaccessible. Licensee understands all enrolled families must be given an LIC 9224 and all families who enroll within the next 12 months. Licensee agrees to submit a written statement stating how he will ensure knives will be kept out of reach of children in care.