SNYDER, MILAGROS MARLENE

Based on observation, the licensee did not comply with the section cited above. At 8:35 am LPA observed Child #1 (C1) in an upstairs bedroom with the door closed inside a crib while licensee and assistant were observed caring for six additional children inside the downstairs bedroom designated for the child care which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: LPA observed licensee remove C1 from upstairs bedroom and bring C1 into the designated child care bedroom downstairs.

Based on observation, interview, and record review, the licensee did not comply with the section cited above. Upon arrival at 8:30 am, LPA observed six children inside the downstairs bedroom designated for the child care, four out of six children were infants. While touring the home, LPA observed an addition infant upstairs which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: LPA was informed C1 was picked up during the inspection bringing the facility back into ratio.

Based on observation, the licensee did not comply with the section cited above. Based on observation, the licensee failed to ensure to keep the fence or barricade stairs. LPA observed there was not a gate at the bottom of stairs at 12:55 PM when Child C1 opened the front door and ran upstairs looking for licensee which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee agreed to place a safety gate on the stairs. Licensee stated she will keep the gate on the stairs during business hours. Licensee will submit proof of correction to LPA by POC due date

Based on observation and interview, the licensee did not comply with the section cited above. While touring the home at 1:08 PM, LPA observed Child C2 swaddled inside crib which poses/posed a potential health, safety or personal rights risk to persons in care. Licensee stated parents of C2 prefers for child to use the sleep sack.

Resolution: Licensee agreed to not swaddle infants in care. LPA observed licensee remove sleep sack from C2.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [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 agreed to submit CPR/First aid certification to LPA by POC due date.

Based on observation, interview, record review, the licensee did not comply with the section cited above. During file reviews, LPA observed 3 out of 7 children present did not have proof of immunizations which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee agreed to submit proof of immunization records to LPA by POC due date.

Based on observation, the licensee did not comply with the section cited above. At 12:55 PM when LPA's arrived, Child C1 opened the front door. LPA's observed licensee and assistant on the second floor of the home. There were six children downstairs, two of the six children were infants sleeping inside the day care room which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee agreed to be on the same floor as infants in care while they are sleeping.

Based on observation and nterview, the licensee did not comply with the section cited above. While touring the facility, LPA observed kitchen cabinets and drawers did not have safety locks. LPA observed Dishwashing Gel, Dishwashing Powder, and knives accessible to children in care. Dishwashing product reads "Keep out of reach of Children." Licensee stated her kitchen was just remodeled two weeks ago which is why the safety locks were not installed which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee removed detergents from under the sink and knives from kitchen drawers and placed the in an area where it is inaccessible to children in care.

Based on the file reviewing today at 1:05 pm for the licensee and her assistant, the licensee did not comply with the section cited above which poses a potential health, safety risk to persons in care.

Resolution: The licensee stated she would complete the training by the due date and will email the LPA a copy of the certificate for her and her assistant and whoever works with children in the future,.