ORTIZ, ALEJANDRINA FAMILY CHILD CARE

Based on interview and record review, the licensee did not comply with the section cited above in that two (2) out of two (2) persons did not complete and provide valid Mandated Reporter Certificates which poses a potential health, safety or personal rights risk to persons in care. Licensee and S1 had expired Mandated Reporter trainings on file (May 8, 2025).

Resolution: Licensee states she will complete the Mandated Reporter Certificate Training with S1 and submit to the SDCCRO by POC due date of October 10, 2025. Licensee states she will set a reminder on her calendar of the expiration to the Mandated Reporter Training to ensure she maintains in compliance with Title 22 regulations.

Based on interview and record review, the licensee did not comply with the section cited above in that one (1) out of two (2) persons did not complete and provide a valid First Aid/ CPR which poses a potential health, safety or personal rights risk to persons in care. Licensee states that S1 does not have a valid First Aid/CPR certificate on file and is occasionally left alone with children.

Resolution: Licensee states S1 will complete and submit a valid First Aid/CPR certification to the SDCCRO by POC due date of October 17, 2025. Licensee states she will set a reminder on her calendar of the expiration to the First Aid CPR certification to ensure she maintains in compliance with Title 22 Regulations.

Based on record review and interview, the licensee did not comply with the section cited above in that one (1) out of five (5) children did not have the LIC 700 Emergency card on file which poses a potential health, safety or personal rights risk to persons in care. Licensee states she gave the documentation to the parents of C1 but have not received them.

Resolution: Licensee states she will obtain the LIC 700 and submit a photocoy to the SDCCRO by POC due date of October 10, 2025. Licensee states she will review and ensure that all children have required documentation on file to maintain in compliance with Title 22 Regulations.

Based on interview and record review, the licensee did not comply with the section cited above in two (2) out of the five (5) children did not have the Individual Infant Sleeping Plan LIC 9227 on file which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee states she will obtain signed Individual Infant Sleeping Plans for C1 and C2 and submit a photocopy to the SDCCRO by POC due date of October 10, 2025. Licensee states she will ensure all infants under one years old maintain a signed LIC 9227 in their file.

Based on observation and interview, the licensee did not comply with the section cited above in three (3) out of three (3) sleeping infants had blankets in their play yard which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee removed the blankets and stated she will not have blankets in the play yard with a sleeping infant. Licensee stated she will utilize sleep sacks for infants if needed.

Based on interview and record review, the licensee did not comply with the section cited above in that licensee, licenee's husband and licensee's helper did not have mandated reporter training certification on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will submit certificates to the SDRO by 6/8/23. LPA provided mandatedreporterca.com.

Based on observation, interview and record review, the licensee did not comply with the section cited above in Child 4 (C4) did not have immunization records on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will submit proof of immunization records for C4 to the SDRO by 6/8/23.

Based on observation and interview, the licensee did not comply with the section cited above in that at 9:25am LPA observed knives, chemicals and medication accessible to children in the kitchen, bathroom and outside play area which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee removed all items and stated she will ensure a lock or latch is placed on the lower bathroom cabinet. Licensee stated she will ensure the cabinet with chemicals and cleaning solutions in the back yard will be latched. Licensee stated medication and knives will be made inaccessible to children in a latched cabinet.

Based on observation, interview and record review, the licensee did not comply with the section cited above in Child 1 (1) did not have a signed emergency card on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: LIcensee stated she will submit proof of a signed emergency cared for Child 3 (C3) to the SDRO by 5/12/23.

Based on observation, interview and record review, the licensee did not comply with the section cited above in Child 1 (C1) did not have an LIC9227 on file for review which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will submit an LIC9227 to the SDRO by 5/12/23.

Based on observation and interview, the licensee did not comply with the section cited above in licensee's helper, Staff 1 (1) did not have record of immunization against influenza, pertussis, and measles which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will submit proof of immunizations for S1 to the SDRO by 6/8/23.

Based on observation and interview, the licensee did not comply with the section cited above in two (2) infants, Child 1 (C1) and Child 2 (C2) were sleeping in car seats which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee placed C1 and C2 in play yards during the inspection. Licensee stated she will no longer have infants sleep in a car seat and will immediately place them in a play yard if they fall asleep.

Based on observation, interview and record review, the licensee did not comply with the section cited above in four (4) out of four (4) infants were not physically chect every 15 minutes which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: LPA provided licensee with a sample sleep log and safe sleep regulations. Licensee stated she will utilize a sleep log and document every 15 minute checks for all sleeping infants. Licensee will submit completed logs to the SDRO by 5/12/23.

Based on observation and interview, the licensee did not comply with the section cited above in three (3) play yards with sleeping infants did not have tight fitting sheets; licensee was utilizing blankets instead of sheets which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will purchase sheets that tightly fit over mattresses and not use blankets in the play yard. Licensee stated she will submit proof to the SDRO by 5/12/23.