|LPA Janet Tse met with licensee Natividad Rios for an annual/random inspection, and also to follow up on the unusual incident occurred on 04/05/2017 whereas a child suffered a fracture in his arm due to a fall from a play structure. After reviewing the medical report, it appears that potential severe injury could have happened. The parent was not notified of the child's accident timely. LPA observed ten children including two infants with licensee and her husband. Present was also licensee's adult son. Adults living in the home are licensee, her husband, her two adult children with a 2 1/2-year-old child. Days and hours of operation are Monday to Friday 6:00am to 6:00pm.|
LPA toured the inside and outside of the home. LPA observed a blocked fireplace. LPA observed stairs are barricaded from the bottom. Off limits indoor: the entire upstairs which consists of a master bedroom, master bathroom, and three bedrooms; downstairs laundry room and garage.. There are no bodies of water or firearms/weapons in the home. Sharp objects, medicines, poisons and cleaning supplies are inaccessible to the children. Backyard is fenced. Off limits outdoor: left side yard. LPA reminded licensee that she can only have 14 children according to her license.
Fire extinguisher is size 3A40BC and filled. Smoke detector and carbon monoxide detector are operable. Home is clean and orderly with heating and ventilation for safety and comfort. LPA observed sufficient materials, toys, and play equipment for the day care children. Telephone is in working order. Children were supervised on the visit and LPA went over substitute options. LPA also discussed if licensee transports children, they are never to be left in parked vehicles.
A review of the staff records on 05/31/2017 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
LPA observed that in each child’s record has a copy of the emergency information card that contains all of the information specified by regulation. LPA observed that licensee has completed training on preventive health
Facility Evaluation Report dated 06/01/2017 to be continued on next page: