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Daily activity or program schedule
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People, policies & environment
Director
Casarrubias-Mazari L
Licensee
Casarrubias-Mazari, Lizbeth
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Based on LPA's observation of a child (C1) under 12 months old napping on a cot on the floor in the Infant Room at 12:51pm. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
Licensee stated she would review Infant Safe Sleep regulations and Licensee would produce a written plan detailing how she intended to comply with infant Safe Sleep requirements. Licensee stated she intends to submit her completed statement to the Department by 09/12/22 via mail, email or fax. Email: melchisedeck.augustin@dss.ca.gov & Fax: 707-588-5099.
Standard 102425(i)
State severity
Type B
Corrected at visit
Not recorded
Correction due
Sep 12, 2022
Technical assistance
Not recorded
Finding source ID
ca:483009827:2022-08-29:102425(i):1
Visit source ID
ca:483009827:2022-08-29:inspection
Standard 1597.622(a)(1)
Minor
Based on three staff (S1-S2 & LS) records reviewed at 1:51pm which revealed S2 was missing proof of immunity against the Pertussis. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
Licensee stated she would ensure S2 obtained proof of immunity against the Pertussis and Licensee would submit evidence of S2's required immunization to the Department by 09/12/22 via mail, email or fax. Email: melchisedeck.augustin@dss.ca.gov & Fax: 707-588-5099.
Standard 1597.622(a)(1)
State severity
Type B
Corrected at visit
Not recorded
Correction due
Sep 12, 2022
Technical assistance
Not recorded
Finding source ID
ca:483009827:2022-08-29:1597.622(a)(1):1
Visit source ID
ca:483009827:2022-08-29:inspection
Standard 102417(g)(7)
Minor
Based on eight children's (C1-C8) records reviewed at 1:25pm which revealed LIC 627 was missing parent signature for C7 & LIC 700 was missing parent signature for C8. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
Licensee stated she would provide the LIC 627 and LIC 700 to C7 & C8's parent, obtain signatures on the forms and Licensee would submit evidence of signature on the forms to the Department by 09/12/22 via mail, email or fax. Email: melchisedeck.augustin@dss.ca.gov & Fax: 707-588-5099.
Standard 102417(g)(7)
State severity
Type B
Corrected at visit
Not recorded
Correction due
Sep 12, 2022
Technical assistance
Not recorded
Finding source ID
ca:483009827:2022-08-29:102417(g)(7):1
Visit source ID
ca:483009827:2022-08-29:inspection
Oct 1, 2021Inspection
No findings recorded
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State records and provider information have separate sources. Provider claims do not establish independently verified care quality. Missing data is not evidence of an issue-free record.