Routine inspection·July 26, 2023

On 07/26/2023, Licensing Program Analyst (LPA), Jose Penate, conducted an unannounced Annual Required Inspection and was met by Licensee, Bertha Gomez Nunez and assistants (Spanish speaking). Days and hours of operation are Monday \342\200\223 Saturday; 4:00AM - 4:00PM. LPA toured the home inside and outside and a census was taken. This facility is licensed as a large facility of 14, there must be an additional qualified staff person present anytime the facility goes beyond the ratio for a capacity of eight. Current facility sketch was reviewed, and Licensee confirmed that the living room, dining room, kitchen, hallway restroom, and back yard are used for providing care and are accessible to children. There is a fireplace in the home and is not used during daycare hours. There are no firearms or ammunition on the premises. During today\342\200\231s inspection LPA was set to review and approve the garage converted daycare room that was recently approved by the Fire department on 7/17/23. Upon arrival LPA observed the unapproved garage converted daycare room being utilized by children and staff. LPA advised licensee that the room could not be utilized prior to licensing approving the conversion made and once approval has been made then at that point the room could be used during the hours of operation for daycare children. LPA observed all Community Care Licensing (CCL) forms required to be posted being transferred to the garage converted daycare room, LPA instructed licensee to remove forms and to transfer them back to the accessible areas that were originally approved by CCL. During inspection LPA observed a 6-inch kitchen knife on the kitchen counter in the garage converted daycare. Also, during inspection LPA observed a gas griddle with a propane attached to the grill that was not covered. LPA observed staff disconnect the propane tank from the grill and placed the items in a closed off area in the backyard where children do no have access to. LPA observed medication in the approved kitchen countertop and in the approved hallway bathroom LPA observed shampoo and conditioner (Pantene-Santique & Argan Oil products) that were available to children in care. Continued on LIC809-C During inspection LPA observed Infant #1 being put to sleep on a cot, a blanket and pillow were used to sleep the child in care. LPA instructed to licensee that the child could not have any loose articles (blanket or pillow) and that the child must be moved into a playpen or crib while they sleep. Licensee directed staff member to gather the proper equipment for the infant in care and then transferred the infant to the playpen. LPA discussed with the licensee that all equipment for children in care should be readily available prior to the children attending the facility, due to the age of the child and other children being near or around the child this could be a danger. During inspections and observations, LPA observed licensee\342\200\231s adult daughter providing care for children in care. After discussion with adult daughter, she stated that she is not an approved assistant and that she only assist her mother with the daycare children from time to time. During records review it was determined that that adult daughter does not have required documentation and training's needed to assist during operation hours of care. LPA instructed licensee that if she is to continue to assist with day-care children she is required to complete all required training's and have documentation readily available for CCL review. During inspection LPA Penate was unable to approve the garage converted day-care room. LPA observed that is had items (shampoo-conditioner-cleaning products-car seats-adult beverages and knives) that were reading available to children in care. Licensee does not have any child proof locks to place any items in and has not placed any child locking device to prevent entryway into main residence. LPA explained that a future visit will be made for approval of the daycare conversion made and that she is not allowed to utilize the room until approval has been made by CCL. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. The home has working telephone service and LPA confirmed the phone number is 661-778-6903. LPA and licensee discussed Safe Sleep Regulations. LPA reminded licensee of regulation to follow with infants in care and how she is to document while they are sleeping. (Continued on LIC809-C) Provider is aware to physically check 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. During records review it was determined that licensee does not document every 15 minutes when infants sleep. Individual Infant Sleeping Plan is to be completed for each infant up to 12 months of age upon enrollment. After records review and interview, licensee stated that she has not gathered documentation for the infants in care (LIC9227). LPA discussed with licensee, Infants up to 12 months of age shall be placed on their backs for sleeping and to only placed for sleeping in playpen or crib. 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. Capacity as specified on the license is being maintained. LPA reviewed a sample of children\342\200\231s files and observed files were not complete with emergency information as required. Licensees Mandated Reporter Training was completed on 02/27/2021 and is currently expired, licensee was unable to present her current Mandated Reporter training. Licensee\342\200\231s pediatric CPR/First Aid expires on 09/10/2024. Incidental Medical Services (IMS) are currently not 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 . Licensee is advised to make this licensing report accessible to the public and to provide copies of this licensing report and LIC809-D with Type A citation to parents/legal guardians of children in care and to parents/legal guardians of children newly enrolled at the facility during the next 12 months. Licensee is to keep verification of receipt (LIC9224) in each child's file at the facility. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, deficiencies being cited (See LIC809-D). Exit interview conducted and report was reviewed with Licensee, Bertha Gomez Nunez. 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.