UNDERWOOD, KAREN FAMILY CHILD CARE

Based on observation, interview, record review, the licensee did not comply with the section cited above in that the one (1) infant in care did not have an LIC9227 form in the file, nor was licensee aware of the form which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will provide parent with correct form to fill out and return. Licensee will submit a copy of the completed form to the San Diego Regional office by 3/7/2025.

Based on interview and record review, the licensee did not comply with the section cited above in that record of immunization's for licensee and two (2) assistants were not available which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit copies of completed immunization records for licensee and two (2) assistants to the San Diego Regional office by 3/21/25.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in that five (5) out of seven (7) children present had incomplete files, missing forms or no forms at all which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will provide parents with required licensing forms to complete. LPA reviewed LIC311D resource with licensee which lists required documents for each child's file. Licensee will submit copies of children's completed files to the San Diego Regional office by 3/21/2025.

Based on observation the licensee did not comply with the section cited above in that cleaning products, a bucket of water, and knives were accessible to children in the kitchen lower cabinet, floor, and drawer which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will make the items inaccessible to children through locks or a safety gate. Licensee will submit photos of the drawers and cabinets showing they are now inaccessible to children. Licensee will submit photos of correction to the San Diego Regional Office by 2/24/2025.

Based on observation and interview, the licensee did not comply with the section cited above in that there is not a crib or play yard for the infant in care and assistant stated the infant sleeps on the sofa or they hold the infant which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will purchase a crib or play yard for infant in care and submit the receipt and photo of item to the San Diego Regional office by 2/24/2025.

Based on observation and record review, the licensee did not comply with the section cited above in that assistant (A1) did not have a criminal record clearance, was interacting and watching children and stated she helps out occasionally which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee will ensure assistant does not return to work until a fingerprint clearance is obtained. Licensee will submit the proof of clearance to the San Diego Regional Office.

Based on observation, record review, and interview the licensee did not comply with the section cited above in that the two (2) assistants present during the inspection and alone with children, did not have a valid CPR and First Aid card available for review which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will ensure at least one (1) person present, caring for the children, possess a valid and current CPR card. Licensee will submit proof of valid CPR and First Aid cards to the San Diego Regional office by 3/3/25.

Based on record review the licensee did not comply with the section cited above in that the last fire drill was conducted and documented on 9/24/24 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 drill by 3/7/24 and schedule other safety drills to be conducted every six( 6) months. Licensee will submit the documentation to the San Diego Regional office by 3/7/25.

Based on observation, record review and interview the licensee did not comply with the section cited above in that safe sleep for infants is not being conducted and documented every 15 minutes for infants 0- 24 months which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will ensure infants sleep is documented every 15 minutes. LPA provided samples of sleep logs that can be used. Licensee will submit documentation to the San Diego Regional office by 2/28/25.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in that the licensee's and two (2) assistants Mandated Reporter training was not available for review which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will ensure licensee and all staff complete Mandated Reporter training and submit proof of completion to the San Diego Regional office by 3/21/2025.

Based on interview and record review, the licensee did not comply with the section cited above in that personnel files were not available for licensee, and two (2) assistants who were present with children which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit copies of completed personnel files for licensee and all other staff to the San Diego Regional office 3/28/25.

Based on the licensees admittance, the licensee did not comply with the section cited above for two children in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: The licensee stated she will provide the document to the LPA no later than 07/01/2022. The licensee stated she understands the document must be completed before enrolling and caring for children.

Based on the licensee's statement, 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 stated she will complete the mandated reporter training and submit the certificate to the LPA no later than 07/25/2022.