Kuppuswamy, Hema Muthulakshmi

CCR 102417(g)(9)(A) · Type B

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in that the log indicates a drill was last completed on June 1, 2022 which is more than 6 months time which poses a potential health, safety or personal rights risk to persons in care.

ALLEGATION(S): Physical Plant INVESTIGATION FINDINGS: On September 23, 2022 at approximately 8:45am, Licensing Program Analyst (LPA) arrived unannounced to meet with licensee Hema Kuppuswamy regarding the open complaint allegation of an accessible tomato plant in the back yard and 25lb dumbbell weights on the backyard patio. There were 5 children in care. On September 8, 2022 LPA observed the tomato plant and the dumbbell weights on the patio. The dumbbells on the patio were 25lb each, LPA lifted them and determined a child would not be able to pick them up. However, they can be a tripping hazard. Tomato plants have small thorns and leaves contain the alkaloids tomatine and solanine and these things can cause allergic reactions and eating leaves can be harmful. Based on LPAs observations, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 regulation number 102417(g), are being cited on the attached Technical Assistance. Substantiated Estimated Days of Completion:

CCR 102417(g)(1) · Type A

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in that the fire extinguisher was not fully charged (needle was well below the safe “fully charged” range) which poses an immediate health, safety or personal rights risk to persons in care.

CCR 102417(g)(4) · Type B

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in that cabinet doors under the children's bathroom sink were not secured with child-proof latches and contained items labeled "keep out of the reach of children" which poses a potential health, safety or personal rights risk to persons in care.

CCR 102425(j)(1) · Type B

The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in that no infant safe sleep logs are currently maintained which poses a potential health, safety or personal rights risk to persons in care.

HSC 1596.8662(b)(1) · Type B

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in that her assistant has not completed Mandated Reporter training which poses a potential health, safety or personal rights risk to persons in care.

CCR 102417(g)(7) · Type B

(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in two of the children's files did nit contain the LIC627 Consent for Medical Treatment Form signed by any authorized parent or representative which poses a potential health, safety or personal rights risk to persons in care.