BENEL, JUANA FCCH

Based on inspection of physical plant at 10:25am, LPA observed that fire extinguisher arrow was indicating needing to be recharged. 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: Licensee stated that she will get the fire extinguisher serviced and submit proof to the Department by 10/22/24 via mail, email or fax. Email: cindy.castro@dss.ca.gov & Fax: 707-588-5099

Based on Childrens record review at 11:08am, which revealed that C2 was missing a copy of immunization records and transcription onto CDPH286 form. 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: Licensee stated that she will request immunization records from C2's parent and transcribe onto CDPH 286 form and submit proof to the Department by 10/22/24 via mail, email or fax. Email: cindy.castro@dss.ca.gov & Fax: 707-588-5099

Based on review of the Licensee's AB 1207 Mandated Reporter Training certificate which revealed the certificate was expired. 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: Licensee stated she and S1 would complete the online AB 1207 Mandated Reporter Training module at mandatedreporterca.com and Licensee would submit LS & S1's certificates to the Department by 02/03/23 via mail, email or fax. Email: melchisedeck.augustin@dss.ca.gov & Fax: 707-588-5099

Based on two staff (LS & S1) records reviewed at 10:02am which revealed LS and S1 were missing proof of immunity against Influenza. 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: Licensee stated she and S1 would obtain their proof of immunity against the Influenza and Licensee would submit the required records to the Department by 01/10/23 via mail, email or fax. Email: melchisedeck.augustin@dss.ca.gov & Fax: 707-588-5099

Based on staff and adult records reviewed at 10:02am which revealed (LS, S1, A1 & A2) S1, A1 & A2 were missing completed LIC 508. 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: LPA provided the Licensee with three blank copies of the LIC 508, the Licensee intends to provide the licensing forms to the S1, A1 & A2, and upon completion of the forms, the Licensee would submit the completed forms to the Department by mail, email or fax. Email: melchisedeck.augustin@dss.ca.gov & Fax: 707-588-5099

Based on children's records reviewed which revealed C1, C5 & C6's LIC 700 were incomplete. 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: Licensee stated she would return the LIC 700 to the children's parents to request full completion of the forms, and the Licensee intends to submit the completed forms to the Department by 01/10/23 via mail, email or fax. Email: melchisedeck.augustin@dss.ca.gov & Fax: 707-588-5099

Based on the Licensee not furnishing evidence to prove C3, C4 & C7 were immunized against diseases. 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: LPA intends to conduct a follow up inspection to review the children's records on or after POC due date.

Based on LPA's review of the facility's disaster drill that was posted on the parent board near the entry door which revealed the Licensee had not conducted an emergency disaster drill within the past six months. 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: Licensee stated she would conduct an emergency disaster drill, she would document the details of the drill, and submit the disaster drill log and evidence to show a drill was conducted with the children. Licensee intends to submit POC to the Department by 01/10/23 via mail, email or fax.

Based on the Licensee not furnishing records for several children (C3, C4 & C7) that were present during the inspection. 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: LPA intends to conduct a follow up inspection to review the children's records on or after POC due date.

Based on the Licensee not furnish evidence to prove four school age children were enrolled into elementary school as required by CCR 102416.5(b). The licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated she would request proof of the children's enrollment into school from the children's parents, and the Licensee would submit evidence of the children's enrollment to the Department by 01/10/23 via mail, email or fax. Email: melchisedeck.augustin@dss.ca.gov & Fax: 707-588-5099.

Based on LPA's review of the facility roster of the children currently in care which appeared to be incomplete. 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 would record the names and information of the children enrolled into care on the LIC 9040, and the Licensee would submit all pages of the complete facility roster to the Department by 01/10/23 via mail, email or fax. Email: melchisedeck.augustin@dss.ca.gov & Fax: 707-588-5099.

Based on staff and adults (LS, S1, A1 & A2) records reviewed at 10:02am which revealed S1 & A2's records did not contain evidence of negative TB clearance. 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: Licensee stated she would ensure S1 & A2 obtain evidence of negative TB clearance and Licensee would submit S1 & A2's evidence of negative TB clearance to the Department by 01/10/22 via mail, email or fax. Email: melchisedeck.augustin@dss.ca.gov & Fax: 707-588-5099.

Based on the Licensee not furnishing records for three children (C3, C4 & C7) that were present during the visit. The licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: LPA intends to conduct a follow up inspection to review the children's records on or after POC due date.

Based on the Licensee not furnishing evidence to prove she conducted 15 minute checks while children (C1, C2, & C4) under 24 months old napped. 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: Licensee stated she would produce a written statement detailing her intentions to complete Infant Sleep log for each infant under 24 months old while they infants take a nap, and the Licensee intends to submit the written plan to the Department by 01/10/23.