RAMOS, IRLANDA FAMILY CHILD CARE

Based on observation, the licensee did not comply with the section cited above as the cabinet holding chemicals in the kitchen was not locked and was accessible to children which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee shall make the chemicals in the kitchen inaccessible to children.

Based on record review, the licensee did not comply with the section cited above in 2 out of 2 infants were missing updated safe sleep documentation every 15 minutes, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will provide a copy of the documented 15 minute checks for the infants in care to LPA by COB on 1/24/2025

Based on analyst observation and interview, the licensee did not comply with the section cited above as she has not conducted a fire drill since 5/2/2022 as required which poses/posed a potential health, safety or personal rights risk to children in care.

Resolution: Licensee will conduct both drills with the children in care this next week and then continue to do so once every six months as required by regulation. Licensee states she will submit a copy of the completed drill log to analyst by 06/21/23 to complete the correction.

Based on analyst interview and record review, the licensee did not comply with the section cited above as she is not documenting the infant she has in care's sleeping status every 15 minutes as required by regulation which poses/posed a potential health, safety or personal rights risk to the child in care.

Resolution: Licensee was provided with a sample Safe Sleep log and stated she will begin documenting infants sleeping status every 15 minutes. The Licensee will send a copy of the completed log for the dates of 6/14/23 - 622/23 to analyst by 6/23/23.

Based on record review, the licensee did not comply with the section cited above by not renewing training after 2018 and (S1) assistant has not completed the training, which poses a potential health, safety to persons in care.

Resolution: LPA provided Licensee with written instructions on how to locate the Mandated Reporter Training online. Licensee states she will complete this online course, along with assistant (S1) and provide LPA with a copy of the training completion certificates no later than 07/14/2023.

Based on observation, interview and record review, the Licensee did not comply with the section cited above in that licensee and assistant (S1) did not have TB, MMR, Dtap, and Influenza immunization records on file for review which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will submit proof of immunization's for licensee and (S1) by sending a copy for the plan of correction to the San Diego Regional Office by 7/14/23.

Based on analyst record review, the licensee did not comply with the section cited above as it was determined that the facility roster is not updated and does not reflect enrolled children which poses/posed a potential health, safety or personal rights risk to children in care.

Resolution: Analyst provided licensee with a blank facility roster during today's visit. Licensee states that she will fill out the roster listing all the children in care and their corresponding required personal information and then submit a copy of the completed roster to analyst by 6/30/23 to complete the correction.

Based on record review, the Licensee did not comply with the section cited above in not having the required LIC 9227 Individual Sleeping Plan for infant in care which poses a potential health, safety to persons in care.

Resolution: Licensee stated that she will ensure parents fill out the required form LIC-9227 and will send a copy of completed signed form to LPA as proof of correction by the due date of 6/30/2023.