Inspector’s narrative
What the inspector wrote
Licensing Program Analyst (LPA) Nolan Tcheng
conducted an unannounced Annual random inspection. Upon arrival at 1:20pm, LPA
met with Lead Teacher Araceli Gutierrez
. At 1:30pm,
LPA was on a tour of the facility. This is a Preschool
program which consists of 2
classrooms. Facility is located on property of Emmaus Lutheran Church. There is a K-8th school on site as well as Emmaus Lutheran School. Per licensee, there are currently 15
enrolled in the program. Hours of operation for this facility are
7am-6pm Monday-Friday.
Licensing staff observed all required forms/publications to be posted by entrance. Snack menus were reviewed to ensure that they are being posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request.
At 1:30pm,
LPA entered and inspected P3 (3-4s) and P4 (4-5s). Children were joined in P4 during nap time. There were 12 children with 4 staff members. Napping equipment was observed to be cots.
Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. During review of medication, LPA observed that 1 of 3 children's medication had a past expiration date. LPA discussed with facility that Epinephrine medication needs to be kept current for the safety of children in care, especially in an emergency. This is a potential risk to child in care. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All floors are clean and safe.
All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. The facility was observed to be free of flies, other insects and rodents. Sufficient individual storage space for children was observed and each child has a cubby. Drinking water was readily available indoors. At this time, the office
is used as an isolation area. A mat
is available for an ill child to rest on.
REPORT CONTINUES PAGE 1 of 3
At 1:45pm, a fire extinguisher was observed. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 06/11/2024
, as indicated on service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. First Aid supplies are available and complete. Facility has a functioning carbon monoxide detector that meets statutory requirements. Facility representative states there are no weapons, firearms, or bodies of water on the premises. There is a restroom accessible from both P3 and P4 that is available for children in care. All toilets, hand washing, and bathing facilities are safe, sanitary and are operating properly.
All food preparation areas and food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin. Snacks were reviewed for availability, quantity and appropriateness to children in care. This facility provides
AM snack, Lunch, and PM snack. Lunch is provided from the elementary school.
At 2pm,
LPA reviewed the outdoor play area. Outdoor playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is one outside play space that has play structure, bike area, grass area, and shade. Per Lead Teacher, play area is checked daily before use for dangers.
Drinking water is readily available outdoors.
Teacher-child ratios were observed to be in accordance with Title 22 regulations. Staff names were recorded. All children were observed to be under visual supervision of a teacher during tour. The Licensee is within the conditions, limitations, and capacity specified on the license. All areas were identified on the Facility Sketch were inspected.
At 2:20pm, facility records were reviewed. Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. Disaster drills have been conducted at least every six months. Staff files were reviewed for a health screening report and immunizations that meet regulatory requirements. During review of staff files, LPA observed that all 3 of 4 staff were missing proof of immunization records. LPA discussed with Lead Teacher that immunization records need to be kept available. LPA also observed that one staff on site did not have a file maintained. LPA instructed facility to obtain all forms required for personnel. Criminal Record Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed. The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence is on file. Educational background, training, and/or experience for each staff present are on file and were reviewed. A random sample of Children\342\200\231s Records were reviewed to ensure that they are complete.
REPORT CONTINUES PAGE 2 of 3
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
Facility Representative 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 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP
This facility provides Incidental Medical Services \342\200\223 IMS. LPA reviewed storage of \342\200\234medication and equipment/supplies, and reviewed children\342\200\231s, personnel, and administrative records. 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/
Facility Representative 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.
The deficiencies listed on the following pages were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809D for deficiencies that are being cited and need to be cleared to protect the children\342\200\231s health & safety.
A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Lead Teacher Araceli Gutierrez, at 3:55pm. Plan of corrections developed and Copy of Report provided. END OF REPORT PAGE 3 of 3