CACERES FAMILY CHILD CARE

Based on record review , the licensee did not comply with the section cited above on 6/10/25 Licensee did not have an updated 15-min sleep log which poses a potential health and safety risk to children in care which poseda potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will ensure to physically check on the infant every 15 min and document every 15 min check. Licensee will provide proof of sleep log for C1 LPA by POC Due Date via email.

Based on observation, the licensee did not comply with the section cited above LPA observed stairs providing access from on-limit restroom to day care room. The stairs were not secured by a gate which pose a potential health and safety risk to children in care which pose a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will ensure stairs shall be fenced or barricaded. Licensee will submit proof of stairs enclosed by POC Due Date via emial.

Based on observation and record review,the licensee did not comply with the section cited above in LPA observed in on-limit entertainment room an electrical fire place without a screen poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee will ensure the electrical fire place is inaccessible to children in care. Licensee will remove electrical fire place and place in off-limit room. Licensee will submit proof to LPA by POC Due Date via email.

Based on observation, the licensee did not comply with the section cited above LPA observed cleaning product centrally stored in off-limit laundry area. The laundry area pocket door does not have a lock. LPA observed multiple disinfectant sprays stored above the cubby shelves in the day care room. which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee will ensure all poisons are locked and cleaning products are inaccessible to children in care. Licensee will ensure all cleaning products are centrally stored and inaccessible. Licensee will lock poisons in off limits room. Licnesee will provide proof to LPA by POC Due Date via email.

Based on observations, the licensee did not comply the section cited above On 6/10/25 LPA observed (9) children in care and did not observe an assistant or additional staff present in the home at the time of the visit which poses an immediate health and safety risk to children in care.

Resolution: Licensee will ensure that staffing ratios are maintained at all times when children I care The licensee will ensure to have a qualified assistant to be present when the number of children exceeds the capacity for one caregiver.

Based on interview and record review, the licensee did not comply with the section cited above Licensee was missing Mandated Reporter Training Certificate which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licnesee will ensure she has a current Mandated Reporter Training Certificate. Licensee will provided proof via email of an up to date Mandated Reporter Training Certificate.

Based on record review, the licensee did not comply with the section cited above in 6 out of 7 children [C1, C2, C3, C4, C6 and C7] which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: The Licensee will ensure that the required immunization records are obtained and kept in the children's file for review.

Based on record review, the licensee did not comply with the section cited above in 1 out of 7 children's records [C5] did not have the Consent for Emergency Medical Treatment (LIC 627) which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: The Licensee will ensure that the required document is completed and kept in the child's record for review.

Based on observation and interview, the licensee did not comply with the section cited above as the facility does not have an operable carbon monoxide detector which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will ensure that an operable carbon monoxide detector is installed inside the facility.

Based on record review, the licensee did not comply with the section cited above in 1 out of 7 children's records (C5) which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: The Licensee will ensure that the required document is completed and kept in the child's record for review.

Based on observation, the licensee did not comply with the section cited above as all off-limit areas were made accessible to children in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: The Licensee will ensure that all off-limit areas are made inaccessible to children while children are in care.

Based on record review, the licensee did not comply with the section cited above in 2 out of 7 children [C5 and C6] did not have on record the required Notification of Parents' Rights (LIC 995A) which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: The Licensee will ensure that the required document is completed and kept in the children's file for review.

Based on observation and interview, the licensee did not comply with the section cited above as LPAs observed a trampoline in the backyard that the Licensee stated the children in care use which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will remove the trampoline from the facility.

Based on observation and record review, the licensee did not comply with the section cited above as the Licensee did not have an Emergency Disaster Plan (LIC 610A) readily available for review which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: The Licensee will have a completed Emergency Disaster Plan (LIC 610A) available at the facility.

Based on interview and record review, the licensee did not comply with the section cited above as the Licensee did have proof of completion for the required Mandated Reporter Training which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: The Licensee will complete the required Mandated Reporter Training and have the certificate of completion available at the facility.

Based on interview and record review, the licensee did not comply with the section cited above as the Licensee did not have available proof of immunization against pertussis, measles, influenza, and a TB clearance or risk assessment which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: The Licensee will ensure that her immunization record (pertussis, measles, influenza, and TB clearance or risk assessment) is readily available at the facility.

Based on interview and record review, the licensee did not comply with the section cited above as the Licensee did not have proof of completion for the Preventative Health and Safety Training and Pediatric First Aid and CPR which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will complete the required trainings and have proof of completion readily available for review.