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Inspection visit

Routine inspection

GRAHAM FAMILY DAY CARELicense 1915114023 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 2/10/25 at 11:00am, Licensing Program Analysts (LPA)s Stephanie Li and Kamile Martin Conducted an unannounced annual inspection to the above facility. A risk assessment was conducted upon entry. LPA\342\200\231s met with Licensee Gail Graham who led LPA on a tour of the facility. There were 6 children and 3 adults present upon arrival. Per Licensee, there is currently 12 children enrolled. A current children\342\200\231s roster was available for review. This is a one-story home which consists of 5 bedrooms, 2-bathroom, kitchen, dining room, living room, backyard (fenced) and front yard. The children use the bathroom in the hallway, three bedrooms, play room/patio as noted in the facility sketch initially submitted . Per licensee, areas off limits to children and parents include: 2 bedrooms, living room, dining room, kitchen, 2 bedrooms, one bathroom and front yard. The LPA toured all areas used by children during this visit. Hours of operation are Monday-Friday 5:30am-7:00Pm. LPA\342\200\230s toured all areas used by children during this visit. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. Per Licensee, there are NO firearms in the home and no bodies of water was observed. The following was observed and reviewed during this inspection. Cleaning compounds, and medications were observed to be inaccessible to children. Per licensee, there are no poisons kept in the home. The restroom that children use was observed to be safe and sanitary. There is telephone service via cellphone and a landline. The home is observed to be clean and orderly with central ac and heat. Licensee provides breakfast, lunch and afternoon snack. There are toys available for children. Licensee has mats for napping children. There are first aid supplies available. Page 1 of 4 LPA \342\200\230s observed the following required posted documentation in the main entry way of the facility: Facility License, (LIC) 9148- Earthquake Preparedness form, Publication (PUB) 394- Notification of Parent Rights, Licensing Form LIC 9040- Facility Roster. LPA's observed licensee is missing the earthquake preparedness checklist or Car Seat PUB. LPA\342\200\231s provided a copy of the forms and to licensee. At 11:00am, LPA observed a fire extinguisher, it was last serviced on 9/20/2023. LPA\342\200\231s advised licensee that fire extinguisher needs to be serviced every year or purchased every year and retain the receipt. Smoke and carbon monoxide detectors were tested and are operable. LPA\342\200\231s observed a fireplace in the off limits area with a screen but it was not secured. A technical violation is being issued. See page lic9102. All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. Last drill was conducted in 01/09/25. Smoking is prohibited in a licensed Family Childcare Home. Per Licensee, no one smokes in the home. Currently, children are using the back yard for outdoor play time . The outdoor play area was observed to be fenced. LPA\342\200\230s observed the outdoor yard to have appropriate toys and other materials for children to use . LPA\342\200\230s did not observe any objects that can pose a danger to children in the outdoor yard. The licensee is observed to be operating within the license capacity limitations. At 11:30 am, children and adults records were reviewed, including emergency information. Per licensee, she has 2 personnel employed. LPA\342\200\231s observed one assistant during visit. Licensee and assistant is missing the Mandated Reporter AB 1207 Training Certificate assistant and co-licensee is missing the training as well. 1 adult and 1 child missing proof of immunization records. Deficiencies are being issued per Title 22 regulations. See deficiency page LIC809 D. Licensee \342\200\230s CPR is current and expires 10/2025. Page 2 of 4 Licensee stated IMS is not being provided at this time. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/ . LPA \342\200\230s discussed the safe sleep regulations and discussed the Child Care Licensing Safe Sleep webpage at http://www.cdss.ca.gov/inforescources/child-care-licensing/public-information-and-resoucrces/safe-sleep as an additional resource. LPA\342\200\231s also informed applicant/licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at http://www/cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. Safe sleep log was reviewed by LPA Stephanie Li required infant forms were up to date in child\342\200\231s file. Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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. Megan\342\200\231s Law - Family Child Care Homes During the exit interview, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov Page 3 of 4 MyChildCarePlan.org \342\200\223 Centers and Family Child Care Homes Licensee 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 Based on Licensing staff observations and records review, the following deficiencies listed on the attached LIC 809D (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 and safety. A technical violation is being issued, see page LIC9102. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted, report was reviewed and appeal rights provided to Licensee Gail Graham Page 4 of 4

Citations

3 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.

  • 102418(g)Type B

    IMMUNIZATIONS

    Based on observation and record review, the licensee did not comply with the section cited above in one child was missing proof of immunizations in file, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • ARTICLE 2. Administration of Child Day Care Licensing

    Based on observation and record review, the licensee did not comply with the section cited above licensee and are missing mandated reporter training certificates, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Family Day Care Homes

    Based on interview and record review, the licensee did not comply with the section cited above in one assistant was missing proof of mmr and tdap immunizations, 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 10, 2025 inspection of GRAHAM FAMILY DAY CARE?

This was an inspection of GRAHAM FAMILY DAY CARE on February 10, 2025. 3 citations were issued: 3 Type B.

Were any citations issued to GRAHAM FAMILY DAY CARE on February 10, 2025?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "Based on observation and record review, the licensee did not comply with the section cited above in one child was missin..."

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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