ALVAREZ, DENISSE

Based on interview and record review, the licensee did not comply with the section cited above in that, licensee and assistants did not have proof of immunization against influenza (or written declaration to decline) and Assistant 2 (A2) was missing record of measles and pertussis, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that they will submit proof of influenza or statement to decline and A2's record of measles and pertussis to LPA via email by due date.

Based on observation and interview, the licensee did not comply with the section cited above. While touring the inside of the home at 1:58 pm, LPA observed an unlocked kitchen drawer with knives inside. Children in care has access to the kitchen area which makes this an immediate safety risk to children in care. Licensee stated the lock has been broke for months but havent fixed it which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: LPA observed licensee place knives out of reach from children while LPA's were present. Licensee stated she will fix the lock.

Based on observation and interview, the licensee did not comply with the section cited above. Assistant present could not provide proof that shows she has a current Pediatric cardiopulmonary resuscitation and pediatric first aid certification which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will have her assistant enroll and conduct the training by POC due date.

Based on observation and interview, the licensee did not comply with the section cited above. Licensee was unable to provide personnel records for Assistant present which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will create a file for the assisatent and submit proof to LPA by POC due date.

Based on observation, interview, and record review, the licensee did not comply with the section cited above. Licensee provided LPA with a fire/disaster drill log and last drill was conducted on 10/21/2022 which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will conduct and document a fire/disaster drill and submit prrof to LPA by POC due date.

Based on observation, interview, and record review, the licensee did not comply with the section cited above. Licensee mandated reporter expired 8/17/2021. Licensee and Assistant was unable to provide copies of their mandated reporter certification. Licensee stated she was unaware of the training. LPA observed licensee was cited for the mandated reporter on 7/10/2019 which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she and the assistant will conduct the training and provide copies of the certification to LPA by POC due date.

Based on observation and interview, the licensee did not comply with the section cited above. LPA entered the home at 1:53 pm and observed assistant Nellily Serrano caring for nine children inside the family room area of the home. There were no other adults present until licensee arrived at 2:21 pm. in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee arrived at 2:21 pm bringing the facility back into ratio.