GARZA, CELIA

Based on record review, the licensee did not comply with the section cited above. LPAs observed a fire and disaster drill log which was last completed on 03/17/2023 which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will conduct a fire and disaster drill and submit and updated copy to CCLD by POC date.

Based on record review, the licensee did not comply with the section cited above. Child 6 immunization records need to be updated which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit updated immunization records for child 6 to CCLD by POC date.

Based on record review, the licensee did not comply with the section cited above. Child 4 and 6 are missing LIC995 which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit LIC995 for child 4 and 6 to CCLD by POC date.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Child 1 (C1), C3, C4, C5, C6 missing completed CDPH286, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit copies of completed CDPH 286 to the San Jose Regional Office by close of business 05/25/23.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Child 1 (C1), C2, C3 missing LIC700, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit completed and signed copies of LIC 700 to the San Jose Regional Office by close of business 05/25/2023.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Assistant Maria lives with provider, LIC 279 Application has not been updated, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit a original signed LIC 279 to the San Jose Regional Office by close of business 05/25/2023.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in 15-minute infant sleep log missing for Child 1 (C1) and C5, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit copies of 15-minute infant sleep logs to the San Jose Regional Office by close of business 05/25/23.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Child 1 (C1), C2, C3 LIC 995A missing which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit copies of LIC 995A to the San Jose Regional Office by close of business 05/25/23.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in last service performed 05/14/2020, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit proof of purchase or service to the San Jose Regional Office by close of business 05/25/2023.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Side fence was removed, storage room built next to covered Patio, no building permit provided which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit proof of building permit for storage shed construction to the San Jose Regional Office by close of business 06/12/2023.