CAPISTRANO, LEONIE

Based on observation, interview and record review, the licensee did not comply with the section cited above for one child, C3 which poses a potential health, safety or personal rights risk to persons in care. Licensee stated that child may be on a delayed immunization plan. LPA provided Licensee with information on how to obtain a medical exemption and a copy of regulation 102418 (d) which discusses how to admit a child that lacks documentaion of having received all the shots and does not have a permanent medical exemption.

Resolution: Licensee to submit proof of missing immunizations or medical exemption for C3 to LPA by plan of corretion date 02/13/2026.

Based on (interview) (record review), the licensee did not comply with the section cited above for one staff (S2) which poses a potential health, safety or personal rights risk to persons in care. Upon file review, LPAs observed staff S2's Mandated Reporter training has expired.

Resolution: Licensee to have staff complete the training and submit proof to LPA by plan of correction date of 01/23/2025.

Based on observation, interview and record review, the licensee did not comply with the section cited above for two infants (C1 and C3) which poses a potential health, safety or personal rights risk to persons in care. Licensee stated that she had begun conducting 15 minute sleep checks and documenting them but had discontinued to do so. LPA reminded Licensee that all infants under 2 years of age need to be physically checked every 15 minutes. Nap log shall be completed as checks are done on the infant.

Resolution: Licensee will conduct and log sleep checks and submit proof to LPA for infants C1 and C3 by plan of correction date of 04/292/2024.

Based on record review the licensee did not comply with the section cited above. Licensee does not have a current Mandated Reporter Training (expired in 01/29/2022) which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that she will submit a copy of the Mandated Reporter Training by the POC date.