Simons, Carolyn & Richard Fcch

Fire Safety Clearance — Based on interview and record review, the licensee did not comply with the section cited above. On 01/30/24 the facility's request for a fire clearance to add a room labelled "toddler room" to the approved area was denied. The toddler room is an unattached building located in the back yard. During an interview with Licensee (L1), L1 stated at 2:00pm that they have been using the room to provide care, which poses an immediate health, safety or personal rights risk to persons in care.

Family home — home free of safety hazards — Based on observation, the licensee did not comply with the section cited above.a basket of over the counter medication, all of which appeared to be natural products. At least one of the products, "ColdCalm" label stated "Keep out of reach of children." The basket was located on a low shelf located below the changing table in family room. Two mobile infants were observed in the family room during today's inspection with access to the medication, which posed a potential health, safety or personal rights risk to persons in care.

Infant Safe Sleep — Based on observation and interview, the licensee did not comply with the section cited above. At 9:23am LPA observed a netted dome attached to a play yard in the Master Bedroom. LPA asked L1 if the play yard is used by day care children. L1 stated yes, it is used by C2, an infant in care during today's inspection and also by a two year, not present, who is able to climb out otherwise, which poses a potential health, safety or personal rights risk to persons in care.

Infant Safe Sleep — Based on observation, the licensee did not comply with the section cited above. At 10:29am LPA went over to the room infant C1 was sleeping in to check the condition of the sleeping environment. L1 had completed a safe sleep check at 10:24am. LPA observed the door to be slightly open, not wide enough to see the sleeping infant, which poses a potential health, safety or personal rights risk to persons in care.

Fire Safety Clearance — Based on observation and interview, the licensee did not comply with the section cited above in that the off-limits detached structure, labelled Toddler Room in the back yard, does not have a fire clearance for use was observed to be unlocked, which poses a potential health, safety or personal rights risk to persons in care.

Infant Safe Sleep — C6 was asleep in the home at 10:44am while all of the providers, L1, L2 and S1 were outside with the door closed supervising 3 other children. L1 and S1 stated that were using audio devices in their ears.

Infant Safe Sleep — Based on record review, the facility did not possess form LIC9227 Individual Infant Sleeping Plan for C6 which poses a potential health, safety or personal rights risk to persons in care.

Family home — home free of safety hazards — Based on file review and interview, the licensee did not comply with the section cited above. C6’s file did not contain forms LIC700, LIC627 and LIC995A, which poses a potential health, safety or personal rights risk to persons in care.

Infant Safe Sleep — Based on interview, the licensee did not comply with the section cited above in one out of one infant (C4) in care. Licensee stated that C4 sleeps in an adult bed with C4's mom or on the bed alone or in a providers ares, which poses a potential health, safety or personal rights risk to persons in care.

Infant Safe Sleep — Based on interview, the licensee did not comply with the section cited above. L1 stated that infant C4 sleeps in C4's room with the door closed with or without C4's parent present and is not supervised by a provider while sleeping, which poses a potential health, safety or personal rights risk to persons in care.

Immunizations — Based on interview and record review, the licensee did not comply with the section cited above in 3 out of 5 files reviewed. Children C1, C4 and C5 did not have all of the required immunizations on file, which poses a potential health, safety or personal rights risk to persons in care.

Infant Safe Sleep — Based on interview and record review, the licensee did not comply with the section cited above for one infant (C4) in care. L1 stated that she has not completed safe sleep logs to include date, name of infant and the time of each 15 minute check for C4, which poses a potential health, safety or personal rights risk to persons in care.

Personal Rights — Based on observation and interview, the licensee did not comply with the section cited above for two children in care (C2 and C3). C2 and C3, were observed to be sleeping in sleep sacks inside of play yards. L1 stated that C2 and C3 (both over the age of 2 years) are able to climb out of the play yard. Manufacturer instructions are to discontinue use when a child is able to climb out and when a child is 35 inches in height, which poses a potential health, safety or personal rights risk to persons in care.