Routine inspection (3-year)·January 17, 2024

On 01/17/2024, Licensing Program Analysts (LPAs) Ali and Heath met with the Director, Ratna Rajaratnam to conduct an unannounced Annual/Random inspection. LPAs disclosed the purpose of the inspection and was granted entry to the facility. Upon arrival, LPAs observed 3 classrooms in use with a total of 27 infants and 3 teachers and 2 aides on the premises. The hours of operation are 6:30 AM - 6:30 PM, Monday - Friday. Incidental Medical Services (IMS) were discussed. There are no IMS children. Physical Plant: LPAs toured and inspected the preschool classrooms. Furniture and equipment were checked for age appropriateness and good repair. All rooms are clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. There are cubbies for children's belongings labeled with their names. LPAs observed age-appropriate toys and materials. Daily activities schedule was observed in each classroom. LPAs observed enough cots available for each napping children. The bedding is stored separately and properly. The sheets and blankets are washed daily or sent home daily to clean at home. Cots are sanitized daily. Drinking water is available inside the classrooms in the form of disposable plastic cups and water jugs. A fire extinguisher (checked 5/3/2023), a smoke detector, and a carbon monoxide detector are on the premises. LPAs observed a first aid kit in each classroom. Cleaning supplies in the classrooms need to be locked up and out of reach from children. The cabinets need to be mounted on the wall for earthquake protection. LPAs provided a First aid supplies list to the Director. All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; they shall be leakproof and rodent-proof. LPAs inspected and observed three clean bathrooms, one in each classroom. The toilets and sinks function properly and are age appropriate. The water temperature is appropriate. LPAs observed soap, toilet paper, and paper towels readily available. Children are inspected for illnesses as they arrive with a no-touch thermometer and an overall wellness check. A review of medication policy indicated that prescription medication is administered only with the parent\342\200\231s written permission. The Director and other administration staff administer medication and document the dosage, date, and time on a log. Medication is brought and locked at the center (unless the parent requests daily return). Medication is labeled correctly and stored in its original container. Medication is kept at the center until expiration and sent home with the parent for disposal. There are currently no children in care with IMS needs. The director's office has a separate area for isolating and caring for ill children. The facility utilizes the front office area or empty room as isolation room. There is a mat available for ill children. An isolated toilet and sink are available for ill children in the staff restroom. A Fire Drill/Earthquake log is posted in the office. Fire drill and earthquake drill last completed on 10/06/2023 (fire) and 10/18/2023 (earthquake). The center conducted disaster drills for at least 6 months. A current facility roster was provided to LPAs. Transportation: The facility does not provide transportation for infants. Lead water Testing: According to the director, the center had drinking water tested for lead contamination levels on 07/06/2022, lead level result is 1.0. The outdoor: The play equipment was inspected for health, safety, cushioning material, good repair, and age appropriateness. The outdoor play equipment was inspected for health, safety, cushioning material, good repair, and age appropriateness. The outdoor play equipment was inspected for health, safety, good repair and age appropriateness. In the infant play yard section, there is a small sand box and a small, anchored play equipment. The play equipment needs to be fixed. The small blue circle on play equipment needs to be shaved off so that it does not hurt children\342\200\231s hands. Center utilizes rubber matting -under climbing structures for cushioning material and there is sufficient and adequate shade available. Director states the sand is raked and cleaned daily before children utilize the area. The area was observed to be free of debris. There is an area for rest under a canopy. The play area was inspected and found to be free of hazards and inaccessibility to bodies of water. The parent board was reviewed. The following needs to be posted: Personal rights needs to be updated with PRO info, facility sketch needs to be updated for off limit areas, and LIC308. Fire/earthquake drills current. Sign-in and out sheets were reviewed. The teacher to child ratio was observed, and staff names were recorded. Care and supervision were evaluated to determine if the children\342\200\231s basic needs were met and appropriate. Staff Records/ Children Records: Staff and Children's records were reviewed. LPAs verified there is at least 1 staff person present with current CPR and First Aid Training. All staff completes the Mandated Reporter training every 2 years. All staff receives Measles, Pertussis, and Influenza vaccination. All staff has required fingerprinting associated with the facility. LPA reviewed 5 children's records and 3 Staff records. Staffing Ration and Capacity: Upon arrival, LPA observed 3 classrooms in use with a total of 27 infant preschool children and 3 teachers and 2 aides on the premises. Food Service: There is a clean, fully equipped kitchen (off limits) with a refrigerator, freezer, stove, and microwave oven. The facility provides breakfast, lunch, and a PM snack. Allergy lists are posted in the kitchen and classrooms. LPAs observed an appropriate amount of food and snacks and staff preparing lunch (with gloves). The chemicals are kept separate from the food. LPAs observed that food preparation and storage areas are kept clean and free of litter and rubbish. Soaps, detergents, cleaning compounds, or similar substances are stored separately from food supplies. Menus are posted at least one week in advance and made available for review by the parents. Food allergy list for children is posted on the freezer. The following general information was discussed during this inspection: \302\267 For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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)/ (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm . The Center does not provide IMS currently. \302\267 As of January 1, 2018, childcare providers, administrators, or employees who work in a licensed facility shall complete the mandated reporter training provided according to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. \302\267 \302\2471596.7995 (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a daycare center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. \302\267 All Licensing reports are available for review online and are considered public information. Summary: Assembly Bill 2621 added Section 1596.819 to the Health and Safety Code to require the Department to post certain licensing information for CCCs and FCCHs on its public internet website. \302\267 California Department of Public Health \342\200\223 California SIDS Program: http://www.cdph.ca.gov/programs/SIDS/pages/default.aspx AAP \342\200\223 Safe Sleep Campaign: http://www.healthychildcare.org/sids/html AAP-Free Training: Reducing the Risk of SIDS in Early Education and Child Care: http://shop.aap.org/Reducing-the-Rick-of-SIDS-in-Early-Education-and-Child-Care And Caring for our Children, Safe Sleep Practices and SIDS/Suffocation Risk Reduction: http://cfoc/nrckids/org/standardview/spccol/safe_sleep \302\267 Before working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. If a fingerprint clearance has been obtained through the Department, Licensee may request a transfer of a criminal record clearance from one state-licensed facility to another using form LIC 9184 \302\267 Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). In addition, all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of the report documenting a Type A Citation and sign form LIC 9224 acknowledging receipt. Staff is aware of the required forms for children's files and forms that shall be posted after licensure. \302\267 Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements \302\267 Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a licensed childcare facility are aware of situations that present the greatest danger to children. \302\267 Center Director advised of the requirement to report unusual incidents and injuries to the parent/guardian and Licensing within the time frame specified by the regulation (call within 24 hours and submit a written report within 7 days) and on the form LIC624. The Center reminded to review updates/regulations and quarterly updates on the Department website. The "Notification of Parent's Rights" poster must be posted in an area of the center accessible to parents. The information regarding new legislation about exemptions and Parent\342\200\231s Rights was also discussed. \302\267 Office Duty Personnel is available to answer any question you have Monday-Friday 8am-5pm at 661-202-3318. No deficiency was cited in accordance with Title 22 of the California Code of Regulations and/or Health & Safety codes. Exit interview conducted and report was reviewed with the licensee Ratna Rajaratnam, Director.