Violation
California Code § 101429(a)(2)(B)Infant Sleep Monitoring
How CCLD inspectors cite this regulation, what providers do to stay clear of it, and where it appears in the public record.
Regulation text
What California Code § 101429(a)(2)(B) actually says
California Code § 101429(a)(2)(B)
Staff shall physically check on sleeping infants every 15 minutes and document the following: 1. Labored breathing. 2. Signs of distress, which includes but is not limited to flushed skin color, increase in body temperature, and restlessness. 3. Infants up to 12 months of age who are sleeping in a position other than on their back. a. If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping. 4. If staff observes labored breathing or signs of distress as specified in Subsection (a)(2)(B)2., staff shall obtain emergency medical treatment and immediately notify the infant’s authorized representative.
From the field
What providers tell us about this citation
Based on community experience, not official guidance.
This is the substance behind the sleep check documentation requirement, and inspectors test whether staff actually know what to look for, not just whether the log is filled out. Santa Clara County led with 2 citations in 90 days. During inspections, staff may be asked to describe what 'signs of distress' look like. If they can't name specifics like flushed skin or labored breathing, that's a red flag. Post a laminated checklist near each crib area listing exact observations required: breathing pattern, skin color, body temperature feel, restlessness, and sleep position. For infants under 12 months found on their stomach, staff must reposition to back unless Section C of the LIC 9227 form is completed by a physician. Train staff that finding distress signs means calling 911 first, then the parent.
By the numbers
- 16*CCLD
- facilities cited in the last 90 days
- 11*CCLD
- counties where this citation appeared
- 68*CCLD
- rank among most-common citations
- Trajectory
- More citations than the prior period+12 facilities
That is 1 in 5000 facilities CCLD inspected.
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
Last 90 days vs. previous 90 days.
16 facilities were cited for this in the last 90 days. See if yours is one of them.
What other providers do
Common practices to stay clear of Infant Sleep Monitoring
Common practices shared by providers. Confirm requirements with your licensing analyst.
Common practices
What to avoid
- Peeking into the room from the doorway instead of physically checking each infant. The regulation says 'physically check,' which means getting close enough to observe breathing patterns and skin color. A glance from six feet away doesn't meet the standard, and inspectors will ask staff to demonstrate their check process.
- Not knowing the difference between normal infant sounds and labored breathing. Staff sometimes document 'breathing normal' on every check without understanding what abnormal breathing looks like. Train staff on specific signs: nostril flaring, chest retractions, wheezing, or unusually rapid breathing.
- Repositioning a stomach-sleeping infant without checking for a completed Individual Infant Sleeping Plan (LIC 9227). Some infants have medical conditions requiring alternative sleep positions documented by a physician. If Section C is completed, the infant may stay in that position. If it's not completed, staff must return the infant to their back.
- Delaying emergency response when distress signs are observed. The regulation requires immediate emergency medical treatment, not a call to the parent first. Some providers call the parent and wait for instructions instead of calling 911. Emergency services come first, parent notification comes second.
Regional record
Where this citation appeared in the past 90 days
Citation counts and rates by California county, drawn from CCLD inspection records. Click a county to see its weekly intelligence report.
| County | Citations |
|---|---|
| Los Angeles | 3 |
| Riverside | 2 |
| San Diego | 2 |
| Santa Clara | 2 |
| Butte | 1 |
| Orange | 1 |
| Solano | 1 |
| Tulare | 1 |
| Ventura | 1 |
| LOS ANGELES | 1 |
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
Further reading
Articles about this topic
Public record
Check any facility for § 101429(a)(2)(B)
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FAQ
Frequently asked questions
Answers based on public CCLD data and regulation text. May not reflect recent changes.
What is Infant Sleep Check Documentation?
How common is this citation?
What triggers this citation during an inspection?
How can I prevent this citation?
What should I do if I receive this citation?
Related violations
Other citations in this regulation family
This information is educational and does not constitute legal advice. Consult a licensed child care compliance consultant for guidance specific to your facility. Citation data is sourced from California Community Care Licensing Division public records and is refreshed regularly.