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Inspection visit

Routine inspection

LITTLE BUTTERFLIES SAN RAMON, THELicense 0757006143 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On November 6, 2024 at 8:50am, Licensing Program Analyst (LPA) Julia Placencia arrived unannounced for an Annual/Random inspection. LPA met with director Theresa Gross. There were 31 children and an additional 6 staff members present during the inspection. This program is part of a combination center which also includes infant and school age components. The preschool program operates out of three classrooms, two in the main building and one in the second building. The facility was toured for a health and safety inspection. The hours of operation are Monday through Friday, 8:00am to 6:00pm. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible during the visit. The toilets and sinks were safe, sanitary and in operable condition. Furniture and equipment are in good condition, and floors are free of tripping hazards. The kitchen/food preparation and storage areas appear to be clean and free of evidence of rodents, and food is protected against contamination. All storage containers for solid waste have tight-fitting covers that are in good repair. Drinking water is available both indoors and outdoors. Menus are posted and visible for parents to view. Medications are inaccessible to children. There are no pools or similar bodies of water at this facility. Outdoor activity space and playground equipment observed to be safe and free of hazards. Climbing equipment is properly anchored to the ground with adequate and appropriate cushioning material to absorb falls. There is a shaded area provided for the children. Fire/Disaster Drills are conducted at least every six months, and a review of the log shows the last drill was conducted 10/17/24. Required licensing documents were posted. Fire extinguishers, carbon monoxide and smoke detectors meet State Fire Marshall standards. ***Continued on LIC809-C... The facility is operating within its licensed capacity. The facility is within ratio today with one teacher supervising no more than 12 preschool children, and 1 teacher supervising no more than 6 toddlers. LPA did not observe any child left without visual supervision or unattended during the inspection. LPA verified both opening and closing staff have current CPR/First aid training. The center is in compliance with the sign in and out procedure. A random selection of children's files were reviewed as well as files of staff present today. Teachers present today meet the qualification requirements, have required immunizations and current mandated reporter training. To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov . For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process . Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP ***Continued on LIC809-C... LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. This facility provides Incidental Medical Services \342\200\223 IMS. LPA reviewed storage of \342\200\234medication and equipment/supplies, and reviewed children\342\200\231s, personnel, and administrative records. For IMS information see PIN 22-02-CCP . The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/ . Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. The following deficiencies were observed during today\342\200\231s inspection: Staff S6 does not have fingerprint clearance. $100 immediate civil penalty is assessed today ($100 x 1 day). LPA observed an epinephrine medication for C5 but there was no signed Parent Consent for Administration of Medication form on file. LPA observed C5's epinephrine medication is not in it's original packaging with prescription attached. See LIC809D for deficiencies cited during today's inspection. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected. *** Please see LIC 9102 for Advisory Notes. ***Continued on LIC809-C... The attached type A violation is cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC 9224). The LIC 9224 must be placed in each child's file to be reviewed by licensing. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with facility representative Theresa Gross.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 101217(a)(14)Type A

    Based on record review the licensee did not comply with the section cited above as staff S6 does not have fingerprint clearance on file, which poses an immediate health, safety or personal rights risk to persons in care.

  • HEALTH-RELATED SERVICES

    Based on observation, the licensee did not comply with the section cited above as C5's epinephrine pen is not in it's original packaging with prescription attached, which poses a potential health, safety or personal rights risk to persons in care.

  • HEALTH-RELATED SERVICES

    Based on record review, the licensee did not comply with the section cited above as there is no Parent Consent for Administration of Medication form on file for C5's epinephrine medication, which poses a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 6, 2024 inspection of LITTLE BUTTERFLIES SAN RAMON, THE?

This was a inspection inspection of LITTLE BUTTERFLIES SAN RAMON, THE on November 6, 2024. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to LITTLE BUTTERFLIES SAN RAMON, THE on November 6, 2024?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "Based on record review the licensee did not comply with the section cited above as staff S6 does not have fingerprint cl..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

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