ABDULLAH, SAIMA B.

Based on observation, interview and record review, the licensee did not comply with the section cited above in three out of three persons, Licensee has three infants that are under 24Months, and Licensee has been only maintaining 15-Min sleep check for one of the three infants which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will continue to conduct and document 15-Min sleep checks for all infants 24Months and under. Licensee will submit via email to LPA Alvarado of Maintained 15-Min Sleep checks by 11/28/2025. LPA Alvarado will also conduct a follow up inspection with the facility.

Based on interview and record review, the licensee did not comply with the section cited above in three out of three persons have not completed the Mandated Reporter Training for the Licensee and Two Assistants which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee and both Assistants will take and complete the Mandated Reporter Training and will submit to LPA Alvarado via email by 11/28/2025 the completed Mandated Reporter Training Certificates. LPA Alvarado will also conduct a follow up inspection with the facility to ensure that they are being maintained.

Based on interview and record review, the licensee did not comply with the section cited above in two out of two persons, LPA observed that the two assistants for the Licensee do not have Pediatric First Aid/CPR which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee and both Assistants will submit proof of enrollment to LPA Alvarado via email by 11/28/2025 of the enrollment of Pediatric CPR and First Aid issued by the American Red Cross or the American Heart Association or by the approved Emergency Medical Services (EMSA) vendor. Licensee and assistants will also complete Pediatric CPR and First Aid and submit the verification to LPA Alvarado Via email. LPA Alvarado will also conduct a follow up inspection to ensure that documentation is being maintained.

Based on interview and record review, the licensee did not comply with the section cited above in two out of two assistants did not have personnel records available for review which poses a potential health, safety or personal rights risk to persons in care.

Resolution: LPA provided the Licensee with the Entrance Checklist (LIC 126) and letting the Licensee know of all the forms and documentation that need to be in the file for each assistant, for Personnel Records. Licensee will submit via email to LPA Alvarado proof of all the documentation that is required for each assistant’s personnel records. LPA Alvarado will also conduct a follow-up inspection with the facility to ensure that documents are being maintained.

Based on interview and record review, the licensee did not comply with the section cited above in two out of two assistants who did not have immunizations available for review which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit proof of both assistant Immunizations to LPA Alvarado by 11/28/2025 of measles, pertussis and Influenza (or documentation of exemption).