2. MOST COMMON FCCH DEFICIENCIES CITED 2008

3. 16 3 4 5 9 8 72 10

4. Items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. Accessible –detergents, cleaning compounds, medications, sharp implements, etc. (62.3%) –other hazards: tripping hazards, wood with nails, gardening tools, BBQs, unstable fencing, etc. (14.61%) –poisons (5.38%) –weapons/ammunition (.76%) 83% 83.05% 102417(g)(4)

5. Licensee and other personnel shall complete training on preventive health practices, including pediatric CPR and First Aid… The licensee and/or other personnel did not have proof of up to date first aid and/or CPR (51.53%) 52% 51.53 102416(c)

6. Licensee shall document each child’s immunizations and shall maintain documentation for as long as the child is enrolled. The licensee did not have either immunization records for children in care or the records were not updated (40.07%) 40% 40.07% 102418(g)

7. Each FCCH shall have a written disaster plan of action prepared on a form approved by the dept. Fire/disaster drills not conducted and or documented (29.23%) Written disaster plan not available (10%) 39% 39.23% 102417(g)(9)

8. An emergency information card shall be maintained for each child, including consent to emergency medical care. Missing consent for Medical Treatment form(s) (22.3%) Missing I.D. & Emergency Information form(s) (10%) 32% 32.3% 102417(g)(7)

9. Each FCCH shall have a current roster of children. Roster not available, incomplete or not updated to include all clients (30.7%) 31% 30.7% 102417(g)(8)

10. Fireplaces and open-face heaters shall be screened to prevent access by children; fire extinguisher and smoke detector device should meet standards. Fire extinguisher not available/non- operable/wrong type (18.46%) Smoke detector not available/non- operable (6.92%) Fire place or open face heater not properly screened (4.61%) 30% 29.99% 102417(g)(1)

11. A baby walker shall not be allowed on the premises. Baby walker/exersaucer/bouncer chair, etc. on the premises and accessible (14.61%) 15% 14.61% 102417(g)(10)

12. Liability insurance and a file of affidavits signed by each parent with a child enrolled. Licensee did not have proof of FCC liability insurance or affidavits signed by parents (11.53%) 12% 11.53% 102417(g)(10)(M)

13. Where children less than 5 yrs. are in care, stairs shall be fenced or barricaded. Un-gated stairs accessible to children in care that are less than 5 years old (7.69%) 8% 7.69% 102417(g)(3)

14. All licensees shall ensure the inaccessibility of pools, hot tubs, fish ponds…and similar bodies of water through a pool cover or by surrounding the pool with a fence. Accessible body of water: pools/ponds/hot tubs/spas and etc… (7%) 7% 6.92% 102417(g)(5)

15. The home shall provide safe toys, play equipment and materials. Trampoline not enclosed & accessible to children. No waiver (2.3%) Swing set not secured to the ground/in disrepair (2.3%) Broken toys/equipment (2.3%) 7% 6.90% 102417(d)

16. Upon notice from the Dept. to remove an individual from the home, licensee shall provide an Addendum to Notification of Parent’s Rights (Regarding Removal/Exclusion) 2% 2.3% 102417(r)

17. The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. Facility is un-clean and/or cluttered (1.53%) 2% 1.53% 102417(b)

18. REGULATION SUB SECTION Description (abbreviated*) Violation type (% of comprehensive visits where the violation was cited) This is an analysis of the most common deficiencies cited in Family Child Care Homes when violations are cited during a Comprehensive Inspection Visit. This analysis involved a sampling of Comprehensive Visit reports (Random Annual, 5 Year Visit & Required Visit) from all 13 of the Child Care Program Regional Offices. The sample of reports reviewed included a total of 10 reports from each Regional Office for a total review of 130 FCCH Comprehensive Visit Inspection Reports where citations were issued. A total of 635 individual citations were reviewed for this analysis. est % of FCCH cited exact % *Trainer’s note section includes details. Regulation Sub Section

22. Accessible Hazards 83 No Disaster Plan 39 No Emergency Info. 32 No Current Child Roster31 Fire hazards 30 Baby Walker 15 Liability Insurance 12 Accessible Stairs under 5 8 CPR/First Aid 52 No Immunization Rcds. 40