WARREN FAMILY CHILD CARE

Based on LPA Calderon's observation (3) Play yards and (1) crib for infants in care, LPA touched mattresses and they were pads or toppers and not firm mattress and (2) play yards and sheets that dislodged, LPA informed Licensee not having appropriate mattresses per Title 22 and not having fitted sheets can lead suffocation and can lead to Sudden Infant Death Syndrome(SIDS), pictures taken, the licensee did not comply with the section cited above in [1] out of [4] matress which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Per Lciensee, will purchase firm mattress and fitted sheets and send pictures to LPA Calderon by POC due date.

Based on back yard observation by LPA Calderon, back yard has play area is next to the jacuzzi, Per Licensee R.Warren stated children play in the back yard and jacuzzi was observed with (4) latches that was tested for inaccessbility LPA Calderon pushed button on latch inwards and pulled up which opens the latch to access the cover and cover that mets ASTM F1346-1991 can be lifted, jacuzzi was observed to have water, pictures taken, the licensee did not comply with the section cited above in [1] out of [1] jacuzzi which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Per Licensee, will have a contrator add locks to the latches on the jacuzzi and send picture to LPA Calderon by poc due date.

Based on record review BY LPA Calderon; Volunteer present at the home had no file and no immunization records, LPA informed Licensee when volunteers are present they shall not exceed 16 hours a week and must not be left alone with children and Staff Assistant #2 present file was reviewed, Staff Assistant #2 did not have Tuberculosis vaccination record, the licensee did not comply with the section cited above in [1] out of [1] incompletion immunization records which poses a potential health, safety or personal rights risk to persons in care.

Resolution: If Volunteer continues to assist at the facility immunization record needed MMR, TDAP, TB(current) and Flu (get or decline letter) records and Staff Assistant #2 - TB records send copies to LPA Calderon by POC due date.

Based on records review conducted by LPA Calderon Infants Child #1, Child #2 and Child #3 did not have 15 min sleep log; Per Licensee, thought sleep log was for children 0-1 year old; therefore, it was observed at 10:31am that only Child #4 had 15 min sleep log, picture taken, the licensee did not comply with the section cited above in [3] out of [4] infant 15 min sleep log which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will start sleep log for Infants Child #1, Child #2 and Child #3 and send copies to LPA Calderon by poc due date.