Routine inspection·April 13, 2023

On 4/13/2023, Licensing Program Analysts (LPAs) Ruby Ocegueda and Paul Garcia conducted an unannounced Annual Required Inspection and was met by Licensee, Angelina Vazquez. Licensee is Spanish Speaking and LPA Ocegueda provided services in Spanish. Days and hours of operation are Monday to Friday 5:00 AM to 5:00 PM. LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed, and Licensee confirmed that the kitchen, one hall bathroom and living room are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of doorknob safety covers. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. Licensee stated that the poisons were in the garage but were not locked. The door to the garage had a child safety door knob safety spinner. Inside a living room cabinet, LPA\342\200\231s observed three small bottles of hand sanitizer, eye glass cleaner that had \342\200\234keep out of reach of children\342\200\235 warning and also prescription eye drops. Licensee confirmed the observation and removed the items to inaccessible areas. Licensee also had accessible hand sanitizer near the door. In an accessible kitchen drawer, there was an insect bait. Licensee removed the bait. There are no fireplaces or open face heaters in the home. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is 559-257-7782. LPA discussed Safe Sleep Regulations with licensee. There is one crib or play yard for each infant in care, cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan was discussed and provided to licensee. Infants up to 12 months of age are placed on their backs for sleeping. Report continued to 809-C. Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. The outdoor play area in the backyard is fenced and was inspected. Per licensee, her fence recently fell over with the winter storm and is currently being held up with metal rods. Some of the rods are rusted. There are also several tree roots that are protruding. Directly outside the sliding glass door leading to the play yard was a bucket with a mop and mop water. Licensee immediately dumped the mop water. Also observed outside were two outlets that did not have safety covers. As of today, the back play yard will be "off limits" and licensee stated she would only use the front yard for outside play time. Licensee understands that complete supervision will be required in the unfenced front yard. Capacity as specified on the license is being maintained. LPA reviewed a sample of children\342\200\231s files and observed files were complete with emergency information as required. Licensee\342\200\231s Mandated Reporter Training was expired as of 1/1/2023. Licensee\342\200\231s pediatric CPR/First Aid expires on 3/2024. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm . LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D) Licensee was provided a copy of appeal rights. LPA Ocegueda conducted an exit interview with licensee Angelina Vazquez. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted.