BLANCHARD FAMILY CHILD CARE

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation play yard had loose items 6 total , rattle toy, stuffed animal bear, 1 burp cloth, folded blanket, a wedge palced under baby, a toy block and a pack of baby wipe and 2 hanging mobiles above crib, the licensee did not comply with the section cited above in [8] out of [8] items above and in crib with sleeping infant which poses a potential health, safety or personal rights risk to persons in care.

Resolution: During visit staff assistant removed all items that were in the crib with the sleeping infant and picture will be sent of removed hanging mobiles by poc due date.

Based on LPA Calderon found two Raid Poison Bottles at 2:29pm and 2:31pm, Red Raid Bottle #1 for Ants and Roaches found in garage on top of the children personal belonging cabinet and a Blue Raid Bottle for Fly's found on the kitchen cabinet,, the licensee did not comply with the section cited above in 2 out of 2 which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Per Licensee will get someone to get a lock on the storage door located in the side yard area and will send a picture to LPA Calderon by poc due date.

Based on LPA Calderon's observation at 1:00pm Infant Child #3 was sleeping in play yard with no firm mattress and a blanket placed under child, LPA observed no fitted sheets; the licensee did not comply with the section cited above in [1] out of [1] infant napping arrangements not meeting regulations which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee informed LPA Calderon will send a picture of a new mattress and infant bed she will get and send by poc due date.

Based on record review: Licensees Mandated Reporter Certification for Licensee expired on 4/15/25, the licensee did not comply with the section cited above in [1] out of [1] mandated reporter certficate which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will conduct Mandated Reporter training and send picture of certficiate to LPA Calderon by 10/10/25.

Based on record review Staff Assistant did not have TDAP and MMR record for immunizations, the licensee did not comply with the section cited above in [1] out of [1] incomplete staff file which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Staff Assistant will provide TDAP and MMR record for immunization staff file based on POC due date by 10/10/25.

Based on observation 2 out of 3 files reviewed did not have LIC955A form in children files, the licensee did not comply with the section cited above in [2] out of [3] Parent Right form missing which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will get parents to sign and place in children files and send picture to LPA Calderon by poc due date.

Based on LPA asked Licensee if they have Liability Insurance, Per Licensee at 2:57pm informed LPA Calderon Liability Insurance in Nov 2025 will be dropped and they can't provide it at the moment due to they need to find the Liability Bond Form, Licensee stated to LPA Calderon needs the information for parents to sign the Affidavit Regarding Liability Insurance form, the licensee did not comply with the section cited above in [3] out of [3] no proof of Liability Insurance and no Affavidt form which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Affidavit Regarding Liability Insurance form was given to Licensee and Licensee will have parents sign form and send a copt to LPA Caldeorn by poc due date.

Based on LPA Calderon observation during record review child #1-#5 did not have LIC955A form in reocrds, the licensee did not comply with the section cited above in [5] out of [5] persons which poses a potential health, safety or personal rights risk to persons in care.

Resolution: LPA provided LIC955A form and instructed to have children guardians sign from. Licensee will provided form to parents and will place in children files. Will send picture of 5/5 children's LIC955A form to LPA by POC due date.

Based on observation during record review LPA Calderon did not 15 min sleep log for child #2, Licensee stated is not consistant with log for infants, the licensee did not comply with the section cited above in (1) out of (1) persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: LPA Calderon instructed licensee how to fill 15 min log, Licensee stated will log child sleep, and provide a 15 min sleep log.

Based on interview and record review, the licensee did not comply with the section cited above. Children's files are missing (LIC) 282- Affidavit Regarding Liability Insurance, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights LIC 9227 poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submitt a photo by POC due date of 05/11/23 via email. LPA will make a referral to TSP where Licensee stated she will like to join.

Based on observation, the licensee did not comply with the section cited above in LPAs observed cleaning compounds were accessible to children located in the garage and the kitchen. Photos were taken. This poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Cleared during visit.

Based on observation , the licensee did not comply with the section cited above. LPA observed the fire extinguisher in the living room had not been serviced since 2021, which Licensee confirmed during interview. This poses a potential safety risk to persons in care.

Resolution: Per Licensee will get fire extinguisher serviced by POC due date of 04/25/2023 and send a picture to LPA via email.

Based on observation , the licensee did not comply with the section cited above. LPAs both stairwells did have gates but were not secured. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Per Licensee will secured gates on stairwells and send proof via email by POC due date of 04/25/23.

Based on observation and interview, the licensee did not comply with the section cited above. LPA observe a walker in the garage. LPA advise Licensee that walkers and saucer chairs is not safe and poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee removed walker and saucer chair during inspection.

Based on interview and record review, the licensee did not comply with the section cited above. Licensee stated that she currenlty has no staff files, which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Per Licensee will copies of staff files and submit a photo by POC due date of 05/11/23 via email. LPA will make a referral to TSP where Licensee stated she will like to join.

Based on observation, interview, record review, the licensee did not comply with the section cited above. Per Licensee she does not have any records for the missing immunization which poses a potential health risk to persons in care.

Resolution: Per Licensee will obtain a copy or get of her immunizations and submit a photo by POC due date of 05/11/23 via email. LPA will make a referral to TSP where Licensee stated she will like to join.