April 21, 2022
What Happened
Licensing completed an annual inspection with 4 children present and found multiple record deficiencies, including incomplete child files and an unavailable current fire/disaster drill log. The home itself had several safety features in place, including operable detectors and a fenced backyard.
Observations
- LPA was unable to review a current roster and fire/disaster drill log.
- Several children's files were missing LIC 995A, LIC 627, LIC 9150, and PM 286 forms.
Inspector Focus
Citations Issued
Based on record review, the licensee did not comply with the section cited above in which all children's files are missing LIC 627- Consent for Emergency Medical Care which poses/posed a potential health, safety or personal rights risk to persons in care.
What does this citation mean? →Based on record review, the licensee did not comply with the section cited above in which licensee was unable to provide a roster for the children which poses/posed a potential health, safety or personal rights risk to persons in care.
What does this citation mean? →Based on record review, the licensee did not comply with the section cited above in which licensee was unable to provide a completed disaster drill log which poses/posed a potential health, safety or personal rights risk to persons in care.
What does this citation mean? →Based on record review, the licensee did not comply with the section cited above in which Child 02, 03, and 04 are missing PM 286 which poses/posed a potential health, safety or personal rights risk to persons in care.
What does this citation mean? →Based on record review, the licensee did not comply with the section cited above in which all children are missing form LIC 995A- Notification of parents rights which poses/posed a potential health, safety or personal rights risk to persons in care.
What does this citation mean? →Data from CCLD public records. Last updated April 27, 2026. If you believe any information is inaccurate, report it here.