Routine inspection·April 28, 2023

On 4.28.23, Licensing Program Analyst (LPA) Kris Diaz conducted an unannounced Annual inspection. LPA met with Licensee, Cynthia Wahrenbrock who guided LPA on a tour of the home. People who reside in the home are the licensee and her spouse, Andrew Wahrenbrock who have fingerprint clearance and TB skin tests. The licensee has the required immunizations against pertussis (TDAP), measles (MMR) and flu. 3 adults and 10 childcare children were present. Licensee’s friend was visiting. Per the licensee, the large family childcare home operates Mon-Fri 7am-5:30pm. Incidental Medical Services (IMS) were discussed. Per the licensee, she does not have children who need IMS at this time. This is a one-story family home. The home consists of two bedrooms, two bathrooms, dining room, living room, kitchen, laundry area, guesthouse/room, garage and backyard. The primary care for children is conducted in the living room, kitchen, and dining room. Children have access to the bathroom in the hallway near the bedrooms. Per licensee, children are 100% supervised. LPA observed a covered fireplace in the living room that is made inaccessible to children with a screen. LPA observed knives in a drawer in the kitchen. The drawer is made inaccessible with a safety latch. Per licensee, medications are kept in a cabinet above the refrigerator. LPA observed curtain strings tied and inaccessible to children. The living has a television on the wall with the cords secured and inaccessible to children. The off-limit areas of the home include the bedrooms, the guest room/house with an attached garage, and a concrete area that is made inaccessible with a gate. The backyard has a splash pad with water. Per licensee, 100% supervision is provided while in the backyard area. LPA observed a few toys for children play time. The home was inspected inside for comfort, cleanliness, telephone service, heating and ventilation. Cleaning compounds are stored under the kitchen sink inaccessible to children. The First Aid kit is located in the hallway inaccessible to children. Per licensee, there are no weapons or firearms in the home. LPA did not observe any weapons or firearms. Smoke detectors and carbon monoxide detectors are in operable condition. LPA observed a 1A10BC and 4A60BC fire extinguishers. LPA advised licensee that a 2A10BC fire extinguisher meets the standards of the state fire marshall and necessary for large family child care home. Licensee’s pediatric CPR/First Aid expires on 4.2024. The licensee completed the required Mandated Reporter training on 9.28.21 Health and Safety Training was completed on 6.8.19 including 1 hour of lead training. The required posted documents were posted and located in the childcare room: Notification of Parent's Rights Poster (PUB394), Emergency Disaster Plan (LIC610A), and Earthquake Preparedness Checklist (LIC9148). The following was discussed with the licensee: Mandatory licensing forms for the children’s files, facility forms/records, and information to be posted in the family child care home; Requirements to conduct fire and disaster drills once every six months and record it; Role and responsibilities of being a mandated reporter were reviewed; The licensee was reminded that 100% supervision is required at all times to children in care; Licensee was made aware that it is her responsibility to know the regulations as well as anyone who assists in providing care; Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified; Regulation prohibits the smoking of any kind during the operation of the day care. The licensee was informed that all adults living in or having access to the home, or are employees are required to have fingerprint clearances with Department of Justice, FBI and Child Abuse Central Index prior to having contact or working with children. If the is not adhered to, a Civil Penalty of up to $500, per non-cleared adult will be assessed immediately. Please advise your analysis of any person who will be visiting regularly or for longer than one week. The licensee was advised to utilize the Request for Live scan Service LIC9163 to have adults fingerprinted and associated to the home. The licensee was advised of the requirement to report Unusual Incidents. A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The licensee was informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department. The licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days whenever a licensing inspection is conducted. If a Type A deficiency is cited, a copy of the licensing report must also be posted for 30 days. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee must obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file. Copies of the reports must be provided to each parent when a Type A violation is cited along with Acknowledgment of Receipt of Licensing Reports LIC 9224. If these requirements are not met civil penalties per violation will be assessed. Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, licensees, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Licensees must meet requirements as a precondition to licensure. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com . Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: Conversion of a garage (either attached or detached) into a "child care" room; Room additions to the family child care home. Any change from an area of the family childcare home previously identified as "off limits" to an area where care and supervision will be provided to children in care. The licensee shall provide the Department with a copy of an inspection report when an inspection is required by the local building inspector as a result of the alteration, addition or construction. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 http://www.ada.gov/childqanda.htm Lead Flyer Requirement Health and Safety Code 1596.7996, mandated that effective January 1, 2019, CCC's and FCCH's are required to provide parents and guardians of children enrolling or reenrolling in care with written information on the risks and effects of lead exposure, blood lead testing requirements and recommendations, and options for locations of affordable blood lead tests as specified. A Lead Poisoning Facts Flyer was created, in partnership with the California Department of Public Health (CDPH), to satisfy this requirement. The licensee was advised it is her responsibility to visit the department's website to access licensing forms, Quarterly Updates and Provider Information Notices (PINs): www.ccld.ca.gov Exit interview conducted with licensee, Cynthia Wahrenbrock. A copy of this report, appeal rights and notice of site visit were left with the licensee.