SUBASINGHE FAMILY CHILD CARE

Based on record review, the licensee did not comply with the section cited above in 2 out of 4 children record's reviewed does not have immunization records. Per licensee, they will have to contact parents for the records. This poses a potential health and safety, and personal rights risk to persons in care.

Resolution: Licensee will retrieve immunzation records from parents and email proof to LPA by plan of correction date.

Based on observation and interview, the licensee did not comply with the section cited above. In the accessible backyard, LPA observed broken and worn toys inside of children's playhouse and underneath play apparatus. Per licensee, children still play in both areas of the backyard, and the toys are going to be removed. This poses a potential safety risk to persons in care.

Resolution: Licensee removed broken in worn toys from inside playhouse and from underneath play apparatus. LPA observed that toys were removed.

Based on observation and interview, the licensee did not comply with the section cited above and lysol toilet cleaner and medications were left on the counter in the kitchen. Per licensee, the kitchen is inacessible via child safety gate and is only used through passing to access backyard. LPA observed that gate does not remain close making the area accessible to children. This poses a potential health and safety risk to persons in care.

Resolution: Licensee removed cleaners and medication on the countertop and placed it in inaccessible bathroom. Licensee will write statement stating that they have knowledge of the regulation and will keep all hazardous items in areas that are inaccessible to children.

Based on observation and interview, the licensee did not comply with the section cited above and LPA observed a baby walker in the outdoor play area and informed licensee of regulation. Per licensee, they are aware of the regulation and know that walkers are not allowed, but children do not use it. This poses a potential safety risk to persons in care.

Resolution: Licensee removed the the baby walker from the home. Licensee will write a statement stating that they will not keep baby walkers at the home while chilldren are in care and email proof to LPA by plan of correction date.

Based on recorod review, the licensee did not comply with the section cited above in 1 out of 1 infants record reviewed did not have the required documentation. This poses a potential health and safety risk to persons in care.

Resolution: Licensee will starting documenting infants checks and email proof of documentation for 3 weeks to LPA by plan of correction date.

Based on record review and interview, the licensee did not comply with the section cited above in 2out of 2 assistants did not completethe madated reported training. Per licensee, they did not do it. This poses a potential safety risk to persons in care.

Resolution: Licensee will have both assistants complete the training and email LPA training certifications by plan of correction date.

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

Resolution: Licensee will e-mail LPA the completed Individual Infant Sleeping Plan (LIC 9227) for child (C5) by 11/18/2022.

Based on record review, the licensee did not comply with the section cited above in 4 out of 5 children's records (C1, C2, C4, and C5) which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will e-mail LPA the completed Consent for Emergency Medical Treatment (LIC 627) for child (C1), C2, C4, and C5 by 11/18/2022. Licensee will also e-mail LPA the completed Identification and Emergency Information (LIC 700) for C5 by 11/18/2022.

Based on record review, the licensee did not comply with the section cited above in 2 out of 5 children's records (C1 and C5) which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will e-mail LPA the immunization records for child (C1) and C5 by 11/18/2022.

Based on record review, the licensee did not comply with the section cited above in 3 out of 5 children's records (C2, C3, and C5) which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will e-mail LPA the completed Notification of Parents' Rights (LIC 995A) for child (C2), C3, and C5 by 11/18/2022.

Based on record review, the licensee did not comply with the section cited above in 1 out of 5 children's records (C5) which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will e-mail LPA the completed Affidavit Regarding Liability Insurance (LIC 282) for child (C5) by 11/18/2022.

Based on record review, the licensee did not comply with the section cited above in 3 of the children's records (C1, C4, and C5) which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will e-mail LPA at least one week of the 15-minute physical checks for the children (C1, C4, and C5) napping (Safe Sleep Log).