Routine inspection·November 12, 2024

On Tuesday, November 12, 2024, Licensing Program Analysts (LPAs) Staicy Perry and Joanne Solorio Campos conducted an unannounced annual inspection and met with assistant director Debbie Chairez who guided LPAs Perry and J Camps on a tour of the facility. Director Pam Deem arrived shortly thereafter and took over the inspection. Census was taken and LPAs observed 7 children with 3 staff. This is an infant program that serves infants ages 14 months to 2 years old. This program is a combination center who also operates a preschool program (191597334) and a school-age program (198001785) that operates Monday to Friday 6:30 a.m. – 6:00 p.m. Sign in and out takes place at the main entrance area. Parents sign in through a computer and manually in an assigned classroom binder. Each family is assigned a code to enter the building. All visitors and/or volunteers must ring the doorbell. Teacher and child ratio were observed, and present staff are fingerprinted cleared and at least one person present who is trained in pediatric first aid/CPR is present. LPAs entered the Toddler classroom. LPAs Perry and Campos observed 7 children with staff #1 and #2, present. At around 8:30am, LPAs observed age-appropriate furniture and equipment not to be in good condition. LPAs observed the toys in the room to have visible dirt and grime, the carpets in the classroom were visibly stained and had signs of wear. Carpets were observed to have food residue and stains, which poses a potential Health and safety risk for the children in care. Per director, carpets were last cleaned on October 18, 2024. Per walkthrough, LPAs observed two step trash bins with a lid, one for diapers and one for trash. LPAs observed one trash bin to not have a tight-fitting lid which appeared to be broken which poses a potential health and safety risk for the children in care. LPAs observed toys and equipment to be free of sharp, not loose, or pointed parts. LPAs observed the diapering changing table to be arm’s length to the hand washing sink. LPAs observed the vinyl diapering mat, as well as the surfaces on the diaper changing area to have visible dirt and grim as well as sticky residue, which poses a potential health and safety risk for ] the children in care. Per director Pam Deem soiled clothing is not rinsed in the sink it is double bagged and sent home and the vinyl mat is disinfected with soap and water, and sanitizer after every use. LPA observed children’s personal items to be in individual bins. Heating, lighting, and ventilation were evaluated by LPAs Perry and Campos. LPAs observed central AC /heater and vents located on the ceiling. At approximately 8:22am LPAs observed in Toddler classroom, a ceiling panel cracked, located above the diaper changing area, where the panel appears to look shifted out of place which poses a potential health and safety risk for the children in care. LPAs observed the thermostat located in classroom and the temperature to be at 68. LPAs observed the fire extinguishers located in classrooms and hallways and the valve on the required 2A10BC fire extinguishers indicating fully charged and serviced on 04/2024 . Smoke detectors were tested during this visit. The carbon monoxide detector is in the main entrance in the kitchen and LPAs tested and heard the sound and is operable. The last emergency drill was conducted on 6/26/24. LPAs observed sleeping mats to be in good condition. First aid kits supplies are kept inside the classrooms and LPA observed the kits to be fully equipped with band aids, gauzes, adhesive bandages, and antiseptic wipes. During this visit, director Pam stated there is currently one child with medication or severe food allergies. LPAs asked if there were any poisons, firearms, weapons, or bodies of water. The director stated no firearms, weapons, no poisons nor bodies of water. LPAs did not observe firearms or weapons, poisons, nor bodies of water. Director stated the ill isolation area takes place in the director’s office and children utilize the staff restroom. Lead testing was conducted on 8/31/2022 and had no lead exceedance. At approximately 8:50am, LPAs Perry and Campos entered the outdoor play area. LPAs observed the playground to be fenced all around. LPAs observed the equipment to be in a safe condition, free of sharp, no lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. LPAs observed play structure equipment to be age appropriate and areas around or under climbing equipment, are cushioned by turf or woodchips that may absorb a fall. LPAs observed play equipment to have visible bird droppings, and layers of dirt which poses a potential health and safety risk for the children in care. LPAs observed adequate shade. LPAs observed a trash bin with a lid. For outdoor water drinking, staff bring out water pitchers and children sippy cups. At approximately 9:33am LPAs entered the kitchen area. This program provides a.m. snack, lunch, and p.m. snack. Meals and snacks are prepared onsite. LPA Perry informed director Pam that any food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. For water drinking, LPAs observed water pitchers, bottles, and sippy cups in the classroom. LPAs observed the food preparation area to be free of litter, rubbish, rodents, and/or any other vermin and storage containers for solid waste, including movable bins with tight-fitting covers that are kept on, and in good repair. LPAs observed there was an accumulation of grime and mold on the exterior surface of the kitchen cabinets and refrigerator, indicating a need for thorough cleaning which poses a potential health and safety risk for the children in care. The kitchen floors and surfaces were observed to have present food stains suggesting inadequate sanitation practices. The facility was observed to be free of flies, other insects, and rodents. The following documents were not posted in a prominent, publicly area front lobby: Facility License, Notification of Parents' Rights (PUB 393), Personal Rights (LIC 613A), Menu, and PUB 269 Child Passenger System Poster. Prior to LPA’s conclusion of inspection, director Pam did post missing documents on the licensing board. LPAs observed all the required documents to be posted. At approximately 12:20pm LPAs reviewed children’s files. LPAs reviewed the children’s roster to be complete. Childrens files were observed by LPAs to be incomplete. 4 out of 9 children did not have LIC 9224 on file as well as 2 out of 9 children’s file did not have their needs assessment on file for review, which poses a potential risk to the health and safety of the children in care. Staff files were observed to be complete. 15-minute sleep logs were observed to be complete. LPAs did sign in/out sheets and observed 7 signed in signatures. LPAs observed director Pam Pediatric First Aid/CPR certification from American Heart Association dated 9/27/2025, Preventative Health and Safety with nutrition on file and has proof of immunization against Pertussis, MMR and Influenza declination. CCLD orientation was completed on 2/2000 . LPAs did advise director Pam to take the CCLD orientation course for updated information. Director has completed the mandated reporter (AB 1207) training dated 5/31/24 Director was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com The following was also discussed with director: 1. The following items are zero tolerance by Licensing: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both 2. Breakfast/Lunch/Snack Menus: Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request. 3. Current Children’s Roster: Each childcare facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request. 4.LIC 125 Entrance Checklist provided, and LPA informed that forms, regulations and quarterly updates can be accessed on the Child Care Licensing website at: www.ccld.ca.gov . 5.Pediatric First Aid and CPR: At least one person trained in Pediatric First Aid and CPR and EMSA approved must be present. 6.Designated Staff: The name of the childcare center director or fully qualified teacher(s) designated to act in the director's absence must be on file. 7.Qualifications: Educational background, training, and/or experience for each staff present must be available for review. 8. Immunization Requirements: Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles or influenza declination 9.Children’s Records: must be available for review; including but not limited to, the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. 10. Staff Records: must be available for review; background clearance, LIC 503 Health Screening report, LIC 9108 Statement Acknowledging Requirement to Report Child Abuse, Staff Qualifications, LIC 9050 Employee Rights, LIC 501 Personnel Record, AB 1207 Mandated Child Abuse Certification, MMR, TDAP, TB, influenza or influenza declination. Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. LPAs 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-andresources/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. This facility provides Incidental Medical Services – IMS. LPAs reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. Files were complete. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/ . Director Pam was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. 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/inspection-process . The deficiencies listed on the following page was observed by LPA Perry and LPA Campos is being cited in accordance with California Code of Regulations Title 22 or Health and Safety code. seven type B deficiency is being issued today. Please see attached LIC 809-D for citation. A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview conducted and report was reviewed with Director Pam Deem.