Routine inspection·September 26, 2022

On September 26, 2022, at 10:30 a.m., Licensing Program Analyst (LPA) Gloria Gonzalez, conducted an unannounced Annual Inspection for the infant license and met with Director,\302\240Alma Vidal.\302\240 LPA disclosed the purpose of the inspection and toured the facility indoors and outdoors. This is a full day program which operates year around schedule.\302\240 Days and hours of operation are Monday-Friday.\302\240There are currently 2 classrooms in operation.\302\240 The following ratios were observed: Classroom #1 (serves children age birth through 18 months): There were 5 daycare children present with 2 staff members. Classroom #2 (serves children ages 18 months through 36 months): There were 11 daycare children present with 2 staff members. There is no swimming pool or other bodies of water on the premises . There are no firearms or ammunition allowed or stored on the premises.\302\240 Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection. Furniture and equipment are in good condition, free of sharp, loose or pointed parts.\302\240 Playground equipment is in safe condition, free of sharp, loose or pointed parts.\302\240 The surface of the outdoor activity space is maintained in a safe condition and is free of hazards.\302\240 All toilets and handwashing facilities are in safe and sanitary operating condition.\302\240 Floors in the facility are clean and safe.\302\240 All kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin.\302\240 All food is protected against contamination and any contaminated food is discarded immediately.\302\240 Solid waste storage containers have tight-fitting covers and are in good repair.\302\240 Drinking water is available both indoors and outdoors.\302\240 Areas around high climbing equipment, swings and slides have cushioning material to absorb falls.\302\240 The facility is free of flies, insects and rodents.\302\240 There is a working carbon monoxide detector. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions.\302\240 Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption. Capacity and limitations as specified on the license are being maintained.\302\240 At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities.\302\240 The name of the child care center director or fully-qualified teacher(s) designated to act in the director\342\200\231s absence has been reported to the Department.\302\240 The person who signs the child in/out of the facility shall use their full legal signature and record the time of day.\302\240 All children are under supervision, including visual supervision, of a teacher at all times.\302\240 There is a ratio of one teacher supervising no more than four infants in care.\302\240 LPA reviewed a sample of children\342\200\231s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child, medical assessment, individual feeding plan, and Infant Needs and Services Plan.\302\240 LPA reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training.\302\240 Staff records contain documentation of meeting qualification requirements.\302\240 Menus are posted at least one week in advance where an authorized representative can view them. The facility has sufficient age appropriate furniture, and equipment including cribs, cots or mats, changing tables and feeding chairs. There is indoor and outdoor activity space for infants that is physically separate. Each crib, mat or cot is occupied by only one infant at time and cribs are kept free from all loose articles including blankets and pillows and there are no objects hanging above or attached to the crib.\302\240 Infants are not swaddled while in care.\302\240 Staff 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.\302\240 Documentation for infants up to 12 months includes sleeping position if it is other than on their back.\302\240 Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age.\302\240 Infants up to 12 months of age are placed on their backs for sleeping.\302\240 Staff-infant ratio requirements are being met while infants are sleeping. LPA discussed the safe sleep regulations with director 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 director 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. Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center.\302\240 A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. This facility provides Incidental Medical Services (IMS).\302\240LPA reviewed storage of medication and equipment/supplies, and reviewed children\342\200\231s, personnel, and administrative records. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services.\302\240 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 Director 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, California Megan\342\200\231s Law ( www.meganslaw.ca.gov ), Lead Poisoning Facts, Forms and Regulations. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited. To improve the quality and value of the new inspection process, a survey will be sent to the email address provided.\302\240 Please complete the survey and share your inspection experience.\302\240 If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov .\302\240 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/\342\200\214inspection-process . An exit interview was conducted and report was reviewed with Director, Alma Vidal and was provided a copy of their appeal rights (LIC 9058). Notice of site visit (LIC9213) was given to Director and must remain posted for 30 days.