Routine inspection·July 13, 2021

On 07/13/2021 Licensing Program Analyst (LPA), Rene Mancinas and Associate Governmental Program Analyst (AGPA) Stephanie Navarro, conducted an unannounced Annual Required Inspection and was met by Licensee, Maria Ramirez, who is Spanish speaking. LPA Mancinas provided services in Spanish. Days and hours of operation are Monday through Saturday 04:00am to 05:00pm. LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that the living room, kitchen, dining room, children\342\200\231s restroom (located in hallway), one bedroom, and outdoor play area are accessible for children to use. All other rooms are off-limits and made inaccessible by use of children safety locks/devices. There are pets at this home. Licensee understands responsibility of any action taken by pet involving day care children. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. There are no fireplaces or open face heaters in the home. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number. LPA discussed Safe Sleep Regulations with licensee. There is one crib or play yard for each infant in care, cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. (Continued on 809-C) Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited. (See 809-D for further). Appeal rights were provided. During inspection/review of facility files, Licensee provided proof of First-Aid/CPR completion. The training was completed on 07/05/2018, and was to be renewed by 07/05/2020. Licensee was informed that per regulation requirement, this training must be renewed every two years. This poses a potential risk to the health, safety, and personal rights of children in care. During inspection/review of facility files, Licensee provided proof of Child Abuse Mandated Reporter Training. Training was completed on 04/27/2019, and was to be renewed by 04/27/2021. Licensee was informed that per regulation requirement, this training must be renewed every two years. This poses a potential risk to the health, safety, and personal rights of children in care. During inspection of accessible areas, LPA observed the following- -The carpet areas in the living room, kitchen, and hallway were dirty and had food crumbs (e.g. chips, bitten apples) laying on the floor. -Inspection of kitchen cabinets revealed food debris/crumbs. LPA observed spider webs and signs of pests. -Inspection of the outdoor play area revealed, two bird cages (with birds) hanging above a chalkboard wall where children play. Area was covered with bird droppings. -Inspection of the outdoor play area revealed recyclable items (e.g. plastic bottles, cans, and glass bottles) located in an area where children play. This area was also covered in excessive ants. Licensee was advised of the above conditions and informed of the regulation requirement indicating the home shall be in clean and orderly fashion. 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. Exit interview conducted with Licensee. Provider understands she is to physically check on sleeping infants every fifteen minutes and document any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is required/completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping. 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 complete with emergency information as required. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Incidental Medical Services (IMS) are not currently 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 . LPA and Licensee 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, Lead Poisoning Facts, Forms and Regulations. (Continued 809-C)