Routine inspection (3-year)·December 14, 2023

On 12/14/2023, Licensing Program Analyst (LPA), Lady Cabrera arrived at the facility 8:15a.m. and was met by Female Adult #1 and Male Adult #2. At the same time, LPA observed a parent dropping of Child #3(infant) in a car seat and gave the child to Adult #1. LPA introduced herself and stated the purpose of the visit to Adult #1. LPA asked if she was able to enter the facility, Adult #1 said yes. Adult #1 stated the Licensee Cynthia Castillo was not home and immediately contacted her by phone. Licensee contacted LPA via phone and stated she was on her way. Licensee is Spanish speaking. LPA Cabrera provided interpretation services. Days and hours of operation are Monday through Friday from 5:00 a.m.-5:00 p.m. LPA asked Adult #1 how many children were in the home and pointed to the children in the living room. At that time there was 5 children. LPA observed Child #2 (infant) awake and restraint in the car seat near Adult #2. LPA informed Adult #1 that car seats are only for transportation. LPA observed Child #3 (infant) still in the car seat. Adult #1 said that she will remove the child from the car seat. Adult #1 left Child #3 in the car seat for about 15 minutes. About 8:46a.m., Licensee arrived at the facility. LPA introduced herself and stated the purpose of the visit. At the same time the Licensee arrived, LPA heard an infant crying. LPA asked where the infant was. Adult #1 immediately walked towards a closed bedroom near the living room. Adult #1 opened the door, the lights were off, LPA observed Child # 6 (infant) was restraint in a car seat and with a baby bottle near their face. Adult #1 immediately removed the child and Licensee placed child in a small infant swing. Licensee stated Child #6 was not in the facility when she left about 8:00a.m. Licensee stated Child #6 must have arrived when she was not in the facility. Adult #1 did not notified LPA there was an infant in that bedroom. LPA toured the home inside and a census was taken. LPA reviewed current facility sketch and confirmed that the kitchen, bathroom, dining room 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 locked doors. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. LPA Cabrera observed multiple chemical supplies (Clorox, Shampoo for Dogs, Granite & Stone Spray, Raid for flying Insect, Cascade and Carpet Shampoo) that read "keep out of reach of children and \342\200\234Harmful or fatal if swallowed" under the accessible kitchen sink. LPA discussed regulation with Licensee. Licensee made kitchen sink inaccessible to the children present by placing a lock. There are pets at this home. Licensee understands the responsibility of any action taken by pets involving day care children. There is one electric fireplace in the home located in the living room and is made inaccessible by a glass door and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. This is a single level home and there are no stairs. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 394-8353. Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. 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 completed on 8/30/2022. Licensee\342\200\231s pediatric CPR/First Aid certification expires on 09/2024. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles. LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2). Licensee Cynthia Castillo reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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. Per records review and interviews, Adult #1 and Adult #2 were in the facility without a criminal record clearance. Once the Licensee arrived at the facility, Adult #1 and Adult #2 left the facility. Adult #1 and Adult #2 do not live in the home. Licensee and Adult #1 that they were assisting due to Licensee having an emergency. Licensee stated she left the facility about 8:00 a.m. and arrived at 8:46 a.m. LPA discussed safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. During today's visit, from 8:15a.m.-8:46a.m., Adult #1 and Adult #2 did not conduct a 15-minute check for Child #6 (infant), which was in an area in the home that is not license for the children in care. Infant was restraint in car seat with the lights off in a closed bedroom. LPA observed three 15-minute checks for three infants. Licensee would write down when they fell asleep, however, she would not document the 15 minutes physical checks. LPA also informed licensee 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. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/ . Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California. 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 . Exit interview conducted and report was reviewed with licensee Cynthia Castillo. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited on LIC809D. Licensee was provided appeal rights. Upon receipt of a Type A violation, 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. A copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Licensee Cynthia Castillo. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.