MACK FAMILY CHILD CARE

Based on record review of Guardian Roster conducted by LPA Calderon: Staff #2(S2) not associated under the facility, LPA Alicia Mooberry who assisted in individual search on Guardian shows (S2) has fingerprinted clearance- exemption and is not associated under the above facility, therefore transfer was not completed properly, LPA Calderon reviewed the incorrect transfer form was completed LIC9182, instead of the exemption transfer LIC9188, deficiency and civil penalty was cited, individual left the facility at approx 10:50am., the licensee did not comply with the section cited above in [1] out of [1] individual with approved and associated exemption for the above facility for staff #2,which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee during visit notified via telephonically Staff #2 to leave the home and via text Licensee Mack stated will contact Guardian now. Staff #3 came to assist at the facility who was fingerprinted cleared. Upon clearance of Staff #2 to return at the facility Licensee ensure with LPA Calderon individual is associated under the above facility to clear POC.

Based on observation: On 1/16/2026 at 9:28am, Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced annual/random inspection at the above facility. Facility Representative Shanequa Farmer opened the door at 9:10am and said one second. LPA heard children present. At 9:38am S.Farmer granted LPA entry into the facility. LPA Calderon had to call Licensee Mack in order for staff to allow entrance. Facility Representative Shanequa Farmer allowed LPA entrance and LPA Calderon disclosed purpose of today's inspection. , the licensee did not comply with the section cited above in [1] out of [1] did not allow entrance to the facility at any time , LPA Calderon had to wait outside from 9:28am-9:38am which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will send LPA Calderon a plan to inform staff to grant Licensing Analyst from the Child Care Licensing entrance upon arrival at the facility.

Based on LPA Calderon reviewing records for staff files. Staff #1- missing MMR-measles vaccination, the licensee did not comply with the section cited above in [1] out of [4] vaccination record was not in file which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will retrieve MMR Vaccination record and sent to LPA Calderon by poc due date 1/30/26.

Based on Child #1 (C1) record was reviewed by LPA Calderon - infant file of C1 during file review did not have an LIC9227 Individual Infant Safe Sleep in file, child is under 12 months old, the licensee did not comply with the section cited above in [1] out of [1] infant who is between 0 months - 24 months did not have document lIC9227 in file, which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will have parent of Child #1 to complete the LIC9227 Individual Infant Sleeping Plan and send to LPA Calderon by poc due date.

Based on LPA Calderon's observation, interview with Licensee, and record review Staff #2 did not have pertussis and measles immunization records, the licensee did not comply with the section cited above in [1] out of [3] staff present which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will have staff #2 complete immunization records and sent to LPA via text by poc due date

Based on LPA Calderon's observation during record review for Licensee, staff #2 and staff #3, did not see the correct pediatric CPR/First aid that is in compliance with Licensing Title 22 Regulations , the licensee did not comply with the section cited above in [3] out of [3] staff persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee,staff #2, Staff #4 will complete CPR/First Aid and sent to LPA via text by poc due date