Facility-requested visit·October 12, 2023

On 10/12/2023, Licensing Program Analysts (LPA) Nancy Her and Claribel Soto conducted an unannounced case management inspection and met with Director Rubisela Sanchez. LPA reviewed the reason of the inspection, and a tour of the center was conducted both inside and outside. This is an increase in capacity inspection and the applicant is requesting a capacity of 44, 20 infant children aged 0-17 months and 24 toddler option children age 18 months to 3 years. Facility will be caring for 8 crib infants. This program will operate on the traditional school year, Monday thru Thursday from 8:00 AM to 4:00 PM, and Friday 8:00 AM to 12:00 PM. This facility will operate in the building measured today once licensed. Facility will no longer operate in the previously licensed building. Applicant is aware to contact the Fresno Community Care Licensing for a change in classrooms and/or change in capacity. 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. LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP. Director Rubisela Sanchez stated that the center will provide morning snack. The classrooms were observed to be clean and free of toxins. LPAs observed that the furniture and equipment appeared to be safe and in good condition. There are enough tables, chairs, cots, cribs and plenty of toys for children to play. LPAs observed that each changing table is within arm\342\200\231s reach of a sink. LPAs also reminded Director not to store anything on top of high bookcases/storage cabinets that could potentially fall on children. There is a working carbon monoxide detector that is part of the facility\342\200\231s smoke detector system and is installed throughout the building. LPA reviewed with Director Rubisela Sanchez, that any future changes to the classrooms are required to ensure that furniture does not tip over on to children, the furniture are to be anchored or situated that tipping does not occur. Classroom changes of furniture shall be situated that 100% visual supervision is always provided to children in care. Director is aware the ratio is 1 Teacher to 4 infants and will follow the regulations. LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep , as an additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/ , and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. There are 2 classrooms (Infant 1 and Infant 2) used by infant children (age 0-17 months). There are 2 classrooms (Toddler 1 and Toddler 2) used by toddler children (age 18 months to 36 months). Room measurements were taken and reviewed with Director Rubisela Sanchez. The total inside infant area measured to an approximate 2,818 square feet which will accommodate the requested capacity of 44 infant/toddler children. There is adequate storage space available for children's belongings in the classroom. Director understands that children's equipment needs to match the capacity she is licensed for. Toys and equipment appear to be age appropriate. There is a total of 5 toilets and 7 sinks/hand washing fixtures which will accommodate the requested capacity of 44 infant/toddler children. The approximate outside square footage for the infant play area is 2,599 which will accommodate requested capacity of 20 infant children. The approximate outside square footage for the toddler option play area is 4,347 which will accommodate requested capacity of 24 infant children. Applicant stated there will be a shed placed in one of the play yards for storage but is not sure at the moment. Applicant understands that storage shed square footage will be taken out of outdoor play area. There is adequate shade available in the outdoor activity area with the building overhang. The toys and play equipment are in boxes and will be put away once storage shed is in place. LPA reminded Director Rubisela Sanchez, to provide adequate supervision at all times. A fire clearance of 92 consisting of 48 preschool children, 20 infant children, and 24 toddler option children was received on 10/04/2023. Fire clearance was approved by Reedley City FD Fire Prevention. This facility plans to provide Incidental Medical Services \342\200\223 IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. 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, available at: http://www.ada.gov/childqanda.htm . Facility Representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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. Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California. LPA reviewed with Director Rubisela Sanchez, the LIC 311A, Records to Be Maintained At The Facility, for child\342\200\231s records, personnel records, administrative records, and documents to be posted. The following documents should be posted at the facility: * PUB 269- Child passenger restraint systems poster 101225(f) Transportation * Pub 393- Notification of Parents Rights 101218.1(c) Admission Procedures * License 101390(a) License * Menus 101227(a)(6) Food Services * LIC 613A- Personal Rights form 101223(b)(2) Personal Rights * LIC 610- Disaster Plan 101174(a) * LIC 9148- Earthquake Preparedness Checklist 101174(b) * Activity Schedule * Lead Poisoning brochure Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. The following will need to be corrected before licensure: \302\267 Updated LIC 200A \302\267 Safety gates installed in the bathroom doorways. \302\267 Shelving units removed from the floor in the bathroom. \302\267 Disposable changing sheets and cleaning supplies need to be readily available for changing stations \302\267 Corkboards/bulletin boards need to be mounted in the classrooms \302\267 Toddler 1 classroom need more cubbies to match requested capacity \302\267 There is a door in the Toddler 2 classroom that does not shut, it will need to be shaved down to fit the doorway. \302\267 Wooden arch needs to be stabilized for safety of children \302\267 The bolts on the fence in the outdoor play area need to be made safe for children Pending a final file review and corrections made, a recommendation will be made to license the above facility for the requested capacity of 44, 20 infant children aged 0-17 months and 24 toddler option children age 18 months to 3 years. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited. A notice of site visit was given to facility representative Rubisela Sanchez and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.