RIVAS FAMILY CHILD CARE

Based on observation, interview and record review, the staff members did not complete renewal of mandated reporter training eery two years. which poses a potential Health, safety and/or personal rights risk to persons in care.

Resolution: POC Visit

Based on observation, interview and record review, the licensee did not provide proof of completion which poses a potential Health, safety and/or personal rights risk to persons in care.

Resolution: POC Visit

Based on observation, interview and record review, the licensee did not maintain immunzation records for staff members which poses a potential Health, safety and/or personal rights risk to persons in care.

Resolution: POC visit

Based on observation, interview and record review, the S1 and S3 did not complete Pediatric first aide and CPR training which poses a potential Health, safety and/or personal rights risk to persons in care.

Resolution: POC Visit

Based on observation, interview and record review, the licensee did not maintain on personnel records on each employee which poses and potential Health, safety and/or personal rights risk to persons in care.

Resolution: POC Visit

Based on observation, interview and record review, the licensee did not associate indivuduals that are caring for children, to the facility, which poses an immediate Health, safety and/or personal rights risk to persons in care.

Resolution: POC Visit

Based on observation, interview and record review, the licensee exceeded 20 percent of the hours that thefacility is providing care per day by being temporarily absent, which poses a potential Health, safety and/or personal rights risk to persons in care.

Resolution: POC visit

Based on observation, the licensee did not comply with the section cited above in 4 out of the 4 play yards observed had blankets and pillows inside and were missing a fitted sheet to cover the mattress which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee removed the lose items from the play yards. Per licensee they will review the Safe Sleep Regulations (PIN 20-24-CCP) and ensure licensee and staff follows the regulations. A written declaration obtained during visit.

Based on observation, the licensee did not comply with the section cited above in 2 out of 2 infants in care were observed with pacifiers with attachments. Child #2, age 10 months, had a pacifier with beads clipped to the clothing, Child #3, had a pacifier attached to a gold chain, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee removed the attachements to the pacifiers of Child #2 and Child #3. Per licensee they will review the Safe Sleep Regulations (PIN 20-24-CCP) and ensure licensee and staff follows the regulations. A written declaration obtained during visit.

Based on record review, the licensee did not comply with the section cited above in 8 out of 10 children's records were missing physician name and contact information which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Per licensee, the Children's files will be reviewed and the missing information will be completed. Proof of compeltion will be sent to the Department by POC due date.

Based on record review, the licensee did not comply with the section cited above in 9 out of 10 records reviewed were missing proof on immunization which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Per licensee, the Children's files will be reviewed and the missing immunizations will be collected from parents. Proof of completion will be sent to the Department by POC due date.

Based on record review, the licensee did not comply with the section cited above in Child #2 infant of 10 minths is missing the Infant sleep plan LIC 9227 which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Per licensee an Individual Sleep plan will be completed by the parents of CHild #2 and a copy provided to the department by POC due date.

Based on observation, the licensee did not comply with the section cited above in 2 out of 10 children were not provided safe and comfortable accomodations, Child #1, age 4, was sitting in a car seat and Child #6, Age 5 was laying in a play yard during nap time which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee removed the children from the car seat and play yard and placed then on the sofa to nap. Licensee stated they wil ensure children have safe and comfortable accomodations while in care.