Tamez, Maribel Family Child Care

(d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant ...shall be either: (1) Twelve children, no more than four of whom may be infants...This requirement was not met as evidenced by: Based on observation, record review, and interview, the Licensee did not ensure she stayed within ratio and had 7 infants in care and 2 children over the age of 2. This poses an immediate risk to the health, safety, and personal rights of children in care.

(a)Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of ... the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided...This requirement was not met as evidenced by: Based on observation and interview, Licensee did not ensure bedrooms were inspected and approved to be licensed before using for sleeping infants. LPAs observed hazardous items in the master bedroom. This poses an immediate risk to the health, safety and personal rights of children in care.

OPERATION OF A FAMILY CHILD CARE HOME

(g)The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: (4) Poisons, detergents, cleaning compounds, medicines...and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement was not met as evidenced by: Based on observation, Licensee did not ensure hazardous items were made inaccessible to children in that there were items kept in the bedroom that children could reach. This poses a potential risk to the health, safety, and personal rights of children in care.

INFANT SAFE SLEEP

Documentation shall be maintained in the infant’s file ... Documentation shall include the following: a. Date. b. Infant’s name. c.Time of each 15-minute check. This requirement was not met as evidenced by: Based on record review and interview, Licensee did not ensure she kept documentation of checking on sleeping infants every 15 minutes as required. This poses a potential risk to the health, safety and personal rights of children in care.

OPERATION OF A FAMILY CHILD CARE HOME

Based on observation the licensee did not comply with the section cited above. LPA Ocegueda observed multiple razors and toothpaste in the accessible bathroom drawers. Licensee currently only cares for children who require assistance/supervision in the restroom. This poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above. Licensee stated she observes infants sleeping, however could not provide 15 minute nap logs for infant #4, infant #6, infant #7, and infant #9. This poses a potential health, safety or personal rights risk to persons in care.

ARTICLE 2. Administration of Child Day Care Licensing

Based on record review, the licensee did not comply with the section cited above. S2 had not completed the required Mandated Reporter Training since she/he began assisting approximately 6 months ago. This poses a potential health, safety or personal rights risk to persons in care.

Family Day Care Homes

Based on record review, the licensee did not comply with the section cited above in. During file review, licensee could not provide proof of measles vaccine. S2 did not have proof of required measles and pertussis immunizations and also did not have proof tuberculosis (TB). This poses a potential health, safety or personal rights risk to persons in care.