GANDI, RAMESWARI

Based on observation, the licensee did not comply with the section cited above in that there was a planter bucket and extra sand container observed in the children's play area containing up to 6 inches of standing rainwater which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee dumped the water from the bucket and containers, moved them to the off-limits areas and turned them upside down.

Based on record review, the licensee did not comply with the section cited above in that infant sleep logs were not available which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee to maintain sleep logs for all infants 0-24 months and document every 15-minutes. Going forward, these logs shall be maintained for all infants 0-24 months and kept at the facility for 3 years.

Based on record review, the licensee did not comply with the section cited above in that licensee's assistants did not have current Mandated Reporter Child Care Provider (AB1207) available which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee shall require helpers to complete Mandated Reporter training and print their certificate as proof of completion. Going forward, licensee will ensure all helpers have current (unexpired) Mandated Reporter Child Care Provider (AB1207) and renew them every two years.

Based on record review, the licensee did not comply with the section cited above in that proof of negative tuberculosis (TB) tests missing for licensee’s husband, and adult nephew living in the home and also recently hired helper which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will have staff and family obtain TB tests or records. Going forward, all adults living in the home and facility staff shall have proof of a negative TB test, or an x-ray to confirm clear lungs.

Based on observation, the licensee did not comply with the section cited above in that on inspection licensee is out of ratio with 5 infants in care (one is 9 days away from 2nd birthday) which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee to have mother of most recently admitted child come and pick up her child so the facility will become in ratio. Going forward, licensee shall not operate out of ratio including not operate with more that than the allowed 4 infants.