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Inspection visit

Routine inspection

GRAHAM FAMILY DAY CARELicense 1915114022 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 2/15/2023 at 1:05 pm, Licensing Program Analysts (LPAs), Carolyn Tuba and Mary Silva conducted an annual inspection for the above facility. LPAs met with Jordon Brown and Randall Graham, who guided Analysts on a tour of the facility. Licensee was not available as she was picking up a school-age child from school. LPAs observed eight (8) children in care at the time of inspection. Licensee, Gail Graham arrived approximately at 1:50 pm. During the visit 2 school-age children and 1 preschooler arrived at the facility, bringing the total ratio to 11 children in care. Per Licensee, thirteen (13) children are currently enrolled at this time. A facility roster was available. Per Licensee, operating hours are from 5 AM to 9 PM Monday - Friday. The licensee provides food for children in care, breakfast, snacks, lunch, and dinner. This is a single-story home consisting of three bedrooms, two bathrooms, kitchen, formal living room, dining area, office and enclosed family room used as a day care area. Children have access to the enclosed family room, bathroom in the hallway, and bedroom #1, #2 and #3 adjacent to the hallway. Bedroom # 1 is used as an isolation room for ill children. Per Licensee, the formal living room, dining area, kitchen, office (1/2 bathroom included), are off-limits to children in care. The home was inspected for safety, comfort, cleanliness, ventilation, and telephone service (land line and cell phone). Currently residing in the home are Licensee, and her spouse. Licensee was informed that all individuals must obtain a criminal record clearance or exemption prior to working, residing, or volunteering in a licensed home. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. Page 1 of 3 Detergents, cleaning compounds, medications, and other items, which could pose a danger, were determined to be inaccessible to children in care during this inspection. LPA observed the required 2:A-10:B-C fire extinguisher and the tag attached indicates that it was recently serviced on 2/2021 and expires 12/2025. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. The smoke detector and carbon monoxide detector were working properly. Per Licensee, there are no weapons, firearms, or bodies of water on the premises. Additionally, there are no pets on the premises. LPAs observed children sleeping in bedroom #3 on mats. LPAs advised that infants under 24 months need to be constantly supervised. LPAs advised the Licensee with regards to safe sleep and that infants under 24 months shall be checked on every 15 minutes and the time of each 15-minute check shall be documented with child\342\200\231s name, date and initials of the person who checked on the child. Per Licensee they have not been documenting the 15-minute sleep log of the children under 24 months. The LIC 9227 Individual Infant Sleeping Plan shall be completed for each infant up to 12 months of age. A copy of the LIC 9227 was provided to Licensee. The licensee is observed to be operating within the license capacity limitations. LPAs did not observe any children left in parked vehicles. Car seats shall only be used for transportation. LPAs did not observe any children sleeping in car seats. The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee and her assistant\342\200\231s Pediatric First Aid and CPR expire on 8/1/2024, which includes the EMSA sticker. There are first aid supplies available. Licensee, her assistant, and licensee\342\200\231s spouse currently have the mandated reporting training certificate AB 1207, which expires on 7/12/2024. Page 2 of 3 Children\342\200\231s records were reviewed, including emergency information and there were 4 children who had missing documentation. Currently, children are using the back yard for outdoor play time. The outdoor play area was observed to be enclosed with a retaining wall. LPAs observed that the outdoor yard has toys and other materials for children to play with. LPAs did not observe any objects that can pose a danger to children in the outdoor yard. LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.css.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee\342\200\231s husband 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. Based on LPAs observations and records review, the following deficiencies listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children\342\200\231s health & safety. The Notice of Site Visit (LIC 9213) \342\200\223 must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted, appeal rights were given and a copy of this report was reviewed with the licensee, Gail Graham. Page 3 of 3

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 102421(a)Type B

    CHILD'S RECORDS

    Based on record review, the licensee did not comply with the section cited above in missing children's documentation from 4 children's files, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 102425(j)(2)(D)(c)Type B

    Based on record review, the licensee did not comply with the section cited above per Licensee does not currently have a 15 minute log for children under 24 months, which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 15, 2023 inspection of GRAHAM FAMILY DAY CARE?

This was an inspection of GRAHAM FAMILY DAY CARE on February 15, 2023. 2 citations were issued: 2 Type B.

Were any citations issued to GRAHAM FAMILY DAY CARE on February 15, 2023?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in missing children's documentation fro..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

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