Follow-up on corrections·August 2, 2023

On 8/2/2023, Licensing Program Analyst (LPA) Ocegueda conducted an unannounced case management inspection. LPA met with licensee Norma del Toro, toured the facility and took a census. Today LPA Ocegueda observed that licensee was out of compliance in multiple areas and addressed these deficiencies in detail with licensee. Today, LPA counted the children in care and observed that licensee had 9 children in care (2 of which were infants). Licensee has a licensed capacity for 14 children with a qualified assistant. Today licensee did not have an assistant present to assist her in caring for the 9 children. Before LPA counted the children, licensee indicated she had 8 children and stated she did not realize she had 9 children in care. LPA informed licensee that when providing care alone she must revert to the capacity and ratio requirement as specified for a small license home and LPA reviewed the regulation. Also observed upon arrival in the hallway were two infants. Each infant was inside a mini style play pen. Both infants were awake upon LPA arrival. The rest of the children were watching television in the living room. LPA inquired as to why the infants were in the hallway out of sight while the rest of the children were in the living room. Licensee stated that the infants were napping and had just woken up. LPA reviewed personal rights with licensee to help clarify that children should not be restrained to an area of the home in such a way that could cause them distress or in a way that would violate their personal rights. LPA explained that infants should be free to walk, explore and interact with others in the accessible areas as appropriate while receiving proper supervision. Licensee stated she understood and again indicated that the children had just woken up and later removed the infants from the play pens. The play pens the infants were using today were inspected, and LPA observed that both play pens were stained both on the netting parts of the play pens and on the top and side surfaces. Licensee stated that the parents provided the play pens for use. LPA explained that although these might have been washed, it was not verifiable due to the dark stains all over the play pens. Licensee verified the observation today and stated she would replace both play pens. Report continued to 809-C Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of LIC 9224 was given to licensee. Per the California Code of Regulations, Title 22, Division 12, Chapter 3, the following deficiencies were cited, see 809-D pages. Appeal rights were provided to licensee. An exit interview was conducted with licensee Norma del Toro. Notice of Site Visit to be posted for 30 days.