COOK FAMILY CHILD CARE

Based on observation, record review and interview, the fire extinguisher receipt dated 10/22/2025 was expired and needs to be serviced,, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will service fire extinguisher or purchase a new extinguisher and save the receipt. The licensee will emaili proof o correction to the LPA by 12/19/2025.

Based on observation and interview, LPA observed upon arrival a baby bouncer and baby walker in the daycare room. There were no children in the seats.the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: the licensee removed the infant equipment from the daycare room during inspection and was provided the PIN 19-16 CCP Consumers urged not to use inclined equipment.

Based on observation, record review, the licensees Mandatated Reporter Training was expired on 04/24/2025. the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will renew their Mandated Reporter Training and provide proof of correction via email by 12/26/2025

Based on observation and record review, two assistants and licensees CPR training is expired, in addition, the training is not the correct class for licensed child care providers and Pediatric First Aid and Cin [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee and Staff will renew CPR classes by 01/03/26 and take the correct EMSA Pediatric First and CPR for licensed childcare providers. Licensee will provide proof of correction by emailing LPA the correct training by 01/03/26.

Based on observation and file reviews, children's files were missing immunization records, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will obtain missing immunization records and place in files. Licensee will show proof of correction to LPA by 01/03/26 via email.

Based on observation and record review, Child #4 did not have a sleep chart created and has been enrolled since January 8, 2023. the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Create a sleep chart and log until 04/28/23. Email LPA with a completed log conducting the 15-min checks

Based on record review and observation, Staff #2 did not have a mandated reporter available during inspecction, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will create a file for Staff #2 and send the completed mandated reporter certificate by email to LPA by 04/24/23.

Based on record reveiw and observation, the licensee does not maintain documentation of the immunizations for licensee or staff in files ready for review, the licensee did not comply with the section cited above] which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: LIcensee to create staff files for licensee, both assistants, with all of the required documents including immunization records and be availble for review. Send photo to LPA of completed staff files by 04/24/23.

Based on record review and observation, licensee does not have completed files for staff or licensee with required documents, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee to create staff facility files with complete required documents - LPA provided 311D licensing form to assist creating the files. LIcensee will take a photo by 04/24/23 and email to LPA

Based on record review and observation, the staff and licensee's immunization records are not maintained and available for review during inspection, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Create facility files that include all immunization records and send photo to LPA of MMR, TDAP, TB Clearances, and Influenza or declination form by 04/24/23

Based on LPA observation, LPA observed cleaning compounds in the childrens restroom under sink behind door which is not locked. Items such as Glass Cleaner, Ajax, other compounds, see photo, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Remove the items immediately, add lock to the sink behind the door. The licensee fixed the lock underneath the changing table during inspection. Read the Title 22 Operation of FCCH provided to licensee and train staff. Take photo of the sink behind door when locked is installed and send to LPA

Based on record review and observation, Child #2 needs proof of enrollment, , the licensee did not comply with the section cited above] which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee to obtain proof of enrollment of all enrolled children that are enrolled or attending kindergarten or elementary. Email proof of attendance to LPA by 04/24/23.

Based on record review and observation, the files did not have an affidavit for liability insurance. the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Update all files with the affidavit and show proof to LPA by 04/24/23.

Based on record review and observation, Child #4 did not have LIC9227 in file, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: The child is now 11 months old, licensee needs to create a practice one for the child and show proof by 04/24/23 email LPA

Based on record review and observation, no sleep chart for Child #4, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Email LPA a completed sleep chart by May 5, 2023 for chlid #4. Read the safe sleep Title 22 regulations and Safe Sleep FAQs and train staff.

Based on record review and observation, Child #2 was missing immunization records, including the immunization records that need to be printed out from the phone and placed in the files, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Using the 311D licensing form, check the children's files for required documents and print out all immunizations from phone and place in the files and obtain the missing immunization records for child #2. Email a photo of corrected files by 04/24/23.

Based on observation, Child #4 - does not have a crib or play yard to nap, see photo, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Infant is not to sleep on the floor. LPA provided all safe sleep materials to Licensee. Licensee is to train the staff on safe sleep, take photo of the play yard provided for infant #4 and send to LPA by 04/24/23.

Based on observation and record review in Guardian, Staff #2 who is also licensee daughter, moved back in the home in September 2022. The background process was not completed with clearances before working, living at the home (since 09/2022), the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: LPA provided licensee with CPMB phone number and will contact them to find out why the status is IN PROCESS. LPA will follow up with Guardian. Licensee will notify LPA of status. Licensee has an additional cleared staff to supervise Staff #2. This is also the licensee's daughter.

Based on observation, record review, Licensee and two staff have expired CPR cards -03/08/23, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee and both staff will take the CPR this weekend and provide LPA with proof of completion by email when completed. Due date 04/24/23.

Based on observation and record review, the last drill was conducted on 0919/2022 (today is 04/18/23) , the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: LIcensee and staff will conduct a drill by 04/21/23 and send LPA the documented drill log with the date completed by email