complaint·May 9, 2023

Licensee stated there is a lot of winter flu going around so everyone and especially children are sick with cold symptoms, in which C1 showed to have a stuffy nose, and of course children cry and get fussier, "but overall C1 was breathing fine here." Interviews were conducted with Staff 1 (S1) on 12/23/22 at 12:05pm and with Adult 1 (A1) on 12/23/22 and 4/05/23. On 05/09/23 LPA Strother requested to review C1’s fifteen-minute check sleep log from 12/15/22. S1 stated that they do not have sleep logs to provide and were not aware of the safe sleep regulations at the time, see Case Management report dated 05/09/23. On 12/15/22 A1 dropped C1 off at the Family Child Care Home at 6:30am, Adult 2 (A2) picked up C1 at approximately 4:50pm and took C1 to Santa Rosa Memorial Hospital’s Emergency Room due to labored shallow breathing. C1’s 12/15/22 medical records were reviewed showing arrival at Santa Rosa Memorial Hospital’s Emergency Room at 5:09pm, where C1 was placed on high flow oxygen due to significant respiratory distress, hospitalized and discharged on 12/18/22 at 10:15am. Based on interviews conducted and records reviewed, there is a preponderance of evidence to prove that the alleged violation occurred, therefore the allegation is Substantiated. Title 22 deficiency was cited based on the above finding. Appeal Rights were provided. Exit interview conducted and report was reviewed and discussed with facility representative, Quetzali Hernandez. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA Strother informed facility representative, Quetzali Hernandez that this report dated 05/09/23 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA Strother informed licensee to provide a copy of this licensing report dated 05/09/23 that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.