PENA, ROBBIN FAMILY CHILD CARE

Based on LPA observation, the licensee did not comply with the section cited above. LPA observed floors to have dirt, debris, and food particles, walls, doors, cabinets, and drawers with various stains and excess clutter in accessible areas of the home which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee is to have all accessible areas of the home cleaned and decluttered.

Based on LPA observation, the licensee did not comply with the section cited above. LPA observed spiderwebs, dog feces, loose, damaged and broken fence panels, peeling paint on patio table, peeling seat cushions on patio chairs, and collected water pooled in the backyard which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee is to remove spider webs and dog feces. Licensee is to ensure the fence is secured and repaired. Licensee is to repair or remove the patio table and chairs. Licensee is to ensure that excess water from outdoor sprinklers is drained.

Based on LPA observation, the licensee did not comply with the section cited above. LPA observed a gas tank, lawn mower, knife, and fence panels with exposed nails in the backyard. LPA also observed tools, nail polish, batteries, and a lighter inside drawers in the kitchen. LPA observed off limits closets accessible to children. These conditions pose a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee is to remove the gas tank, lawn mower, knife, tools, nail polish, batteries, lighter, and any other potentially hazardous items from the home or move them to an inaccessible area of the home. Licensee is to ensure fence is secured and repaired. Licensee is to ensure all off limits areas of the home are made inaccessible by door locks, gates, or doorknob spinners.

Based on record review, the licensee did not comply with the section cited above. Licensee and assistant did not have proof of valid Mandated Reporter Training which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee and assistant are to complete Mandated Reporter Training and to submit completion certificate to the Department.

Based on record review, the licensee did not comply with the section cited above. LPA observed that Licensee did not have documentation of immunizations for themself or for their assistant which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee is to create folder for themself and for assistant which contains immunization documents for Measles, Pertussis, Influenza, and TB clearance. Licensee is to provide documents to the Department.

Based on record review, the licensee did not comply with the section cited above. Licensee did not have a valid Pediatric First Aid/CPR training certificate issued by an approved training program which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee is to complete Pediatric First Aid/CPR training through an approved program through American Heart Association, American Red Cross, or authorized California Emergency Medical Services Authority (EMSA) trainer. Licensee is to submit completion certificate to the Department.

Based on record review, the licensee did not comply with the section cited above. Departmental records show that Licensee did not report that their adult child moved into the home which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee is to review regulations and provide a statement to the Department that they have read and understood the regulation and will ensure compliance with licensing requirements.

Based on record review, the licensee did not comply with the section cited above. LPA observed that children's records were missing immunization documents for Measles and Pertussis which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee is to obtain immunization documents for Measles and Pertussis from parents. Licensee is to provide the Department a copy of the immunization documents and to keep documents in children's files.

Based on record review, the licensee did not comply with the section cited above. LPA observed children's emergency documents to be incomplete and missing signatures. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee is to ensure all emergency documents are completed and signed. Licensee is to submit documents to the Department as proof of completion and keep documents in children's files.

Based on record review, the licensee did not comply with the section cited above. Licensee's adult child has been residing in the home without a criminal record clearance assigned to the facility which poses an immediate health, safety or personal rights risk to persons in care.

Resolution: Licensee is to have their adult child fingerprinted and have a criminal record clearance associated to the facility. Licensee is to submit proof to the Department that the adult child submitted fingerprints, and Licensee is to provide the Department proof of approved eligible criminal background clearance for the adult child.

Based on record review the licensee did not comply with the section cited above, as she was unable to provide proof of a documented fire and disaster drill today. This poses a potential health, safety, or personal rights risk to persons in care.

Resolution: Licensee completed a fire and disaster drill during today's inspection. Thereafter, she logged the drill and re-posted the log to her parent's board. Additionally, licensee watched Community Care Licensing Video titled "Disaster Planning and Fire Safety." Lastly, Licensee stated that she will implement a system to remind her to complete a fire and disaster drill at least once every six months. Deficiency cleared during inspection.

Based on record review, the licensee did not comply with the section cited above as Staff #2 has not completed Child Abuse Mandated Reporter training as required. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that Staff #2 will complete an AB1207 certified Child Abuse Mandated Reporter course. This training can be accessed by logging on to the following website: mandatedreporterca.com. Upon completion, licensee will submit a copy of certification to the Fresno Community Care Licensing (CCL) Office, by 4/14/2023.

Based on record review, the licensee did not comply with the section cited above as she was unable to provide proof of CPR and first aid certification for Staff #2, who was observed to be alone and caring for children for a portion of today's inspection. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that Staff #2 will complete an EMSA approved children's pediatric CPR and first aid course, and send proof of completion to the Fresno CCL office by 4/14/2023.

Based on observation the licensee did not comply with the section cited above as today, LPA observed the accessible day-care room, which was filled with toys and play equipment, to be absent of adequate flooring (see LIC809 for further details). This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that children will not utilize and/or occupy the day-care room until adequate flooring is installed. During today's inspection, licensee placed a baby gate in her hallway, thereby restricting access to the day-care room. Indoor play will take place in the licensee's living room. Licensee stated that she will contact licensing once she is ready to utilize the day-care room again (upon flooring installation). Deficiency cleared during inspection.

Based on record review the licensee did not comply with the section cited above, as she was unable to provide proof of a documented fire and disaster drill today. This poses a potential health, safety, or personal rights risk to persons in care.

Resolution: Licensee stated that she will conduct and document a fire & disaster drill, and submit a copy of the log to the Fresno Community Care Licensing office by 4/29/2022. Licensee stated that going forward, she will post her fire and disaster drill log onto her Parents' Board to serve as a visual reminder of when the last drill was done.

Based on observation, the licensee did not comply with the section cited above, as today, LPA observed a rake, shovel, and additional gardening equipment on the northeast side of the backyard. This area is currently accessible to children. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she will remove the rake, shovel, and gardening equipment by 4/29/2022. Until such time, the backyard is to be deemed an off limit area of the premises. Licensee stated that she will submit proof of correction photos to the Fresno Community Care Licensing Office by 4/29/2022.

Based on record review, the licensee did not comply with the section cited above, as LPA found that the number on file with the Department for the Family Child Care Home is no longer in service. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee provided LPA with an updated, working facililty telephone number today, along with documentation. Licensee stated that she will report any changes regarding her family child care home to the Fresno Community Care Licensing Office going forward. Deficiency Cleared During Inspection.

Based on record review, the licensee did not comply with the section cited above as her Child Abuse Mandated Reporter training certification is currently expired. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that she will complete an AB1207 certified Child Abuse Mandated Reporter course. This training can be accessed by logging on to the following website: mandatedreporterca.com. Upon completion, licensee will submit a copy of certification to the Fresno Community Care Licensing (CCL) Office, by 4/29/2022

Based on record review, the licensee did not comply with the section cited above as her CPR certification is currently expired. This poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that she will schedule and complete an EMSA approved children's pediatric CPR and first aid class and send proof of completion to the Fresno CCL office by 5/13/2022.

Based on record review, the licensee did not comply with the section cited above in 4 out of 4 children files reviewed which pose a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that she will submit proof of immunization, inclusive of completed California School Immunization Records (PM286), to the Fresno Community Care Licensing Department by 5/13/2022