Routine inspection·June 15, 2023

On June 15 of 2023, Licensing Program Analyst (LPA) A. Silva conducted an unannounced Required – 1 Year inspection assisted by Director Wendy Atristain. Upon arrival, total census was 16 client (three infants in room #7, five infants in room #8, and eight toddlers in room #4). The facility was operating within its licensed capacity and within compliance of staff to child ratios. Facility hours are 6:30a.m.- 6p.m., Monday through Friday. An on-site Facility Personnel Report Summary review showed that all facility staff or other individuals who require background checks have received criminal record and child abuse index clearances or exemptions. INDOOR INSPECTION. The LPA inspected the indoor areas identified in the LIC999 Facility Sketch and areas accessible to clients at the time of inspection. The facility was equipped with working carbon monoxide and smoke detectors, working telephone service, and at least one fire extinguisher that meets statutory and State Fire Marshall standards. A record review shows that the last drill was documented on schedule. The director stated that there are no firearms and/or other dangerous weapons in the facility; none were observed during the inspection. Detergents, cleaning compounds, medicines, and other items that could pose a danger if readily available were inaccessible to clients in care . No poisons or other items that could pose a danger to clients were observed during the inspection. Clients under one year nap on cribs or play yards and children 1 year and older nap on cots. At about 9:00 am, the LPA observed loose articles inside three cribs in room #7, which is a violation of the CCR (See 809D). According to the director, beddings are stored individually and washed weekly at home. The facility provides age-appropriate toys, play equipment, and materials for the clients served. Children bring lunch/snacks and drinking water/liquid from home. Bottles are labeled with children’s names. The LPA observed that the facility’s floors, equipment, and furniture in good repair, and free of sharp edges. The facility meets all posting requirements. Continue on 809 Page 2 809 Page 2 OUTDOOR INSPECTION. The LPA inspected the outdoor areas identified in the LIC999 Facility Sketch. The playground was enclosed by a fence at least four feet in height and is in good repair. At the time of inspection, the surface of the outdoor activity area was maintained and free of any observable hazards. The outdoor equipment and toys are in good repair and free of sharp edges. There are no bodies of water present at the facility. The inspected outdoor facility grounds are safe, sanitary and in good repair. PERSONNEL RECORDS. Staff files were reviewed for staff present during the facility inspection on this date. Beginning September 1, 2016, Health and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a child day care if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis, measles for staff members were reviewed and within compliance. Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete mandated reporting training and to renew the training every two years. At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications. CHILDREN’S RECORDS. Children's records were reviewed. LPA observed and reviewed LIC 9227 Individual Infant Sleeping Plan in children’s files. Care and supervision were evaluated to determine if the basic needs of infants are met and appropriate. Infant Needs and Assessments are done quarterly or updated as needed. In the areas reviewed the children’s files were found to be in compliance, except for the safe-sleep 15-minute logs for infants and toddlers under 24 months in rooms #8 and #4 (See 809D). Sign in/out procedure are carried out through InSite App; parents/guardians use an individualized code to sign in/out their respective children. LPA reviewed storage of medication and equipment/supplies and reviewed children’s, personnel, and administrative records. The Incidental Medical Services policy was discussed. A link to PIN 22-02-CCP was provided here: PIN 22-02-CCP: Best Practices Related to the Provision of Incidental Medical Services in Child Care Centers and Family Child . 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: http://www.ada.gov/childqanda.htm The Director was informed that Licensing Quarterly Updates are available at www.cdss.ca.gov Director may request to be added to an email list to receive a Quarterly Update by contacting the Child Care Advocate at childcareadvocatesprogram@dss.ca.gov or at www.cdss.ca.gov Continue on 809 Page 3 809 Page 3 LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian Information on the additional nutrition training, immunization requirements for children, and Health Schools Act ( http://www.cdpr.ca.gov/docs/pestmgt/schoolipm.htm ) were provided. The facility representative was informed, and website given, about the California Child Care Disaster Plan has been posted to the UCSF California Childcare Health Program website: cchp.ucsf.edu/content/disaster-preparedness Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org A copy of the California Department of Social Services Lead Information Brochure was explained and provided to the facility representative. LPA reviewed the following safe sleep best practices with the licensee: Always place infants 12 months and younger on their backs to sleep Use only a tight-fitting sheet on the crib or play yard mattress Do not hang any items from the crib or above the crib Keep all items including blankets, pillows, and stuffed dolls out of the crib or play yard Pacifiers may be used only if they do not have items attached to them and there is no recall Infants should not be swaddled or have any items covering them while sleeping The temperature of the room should be comfortable enough for a lightly clothed adult Complete Individual Sleeping Plan LIC9227 for infants 12 months and younger Conduct and document the 15-minute checks for all infants under 24 months CDSS Safe Sleep link: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep SIDS & Safe Infant Sleep Link: Sudden Infant Death Syndrome and Safe Infant Sleep (ca.gov) 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. Continue on 809 Page 4 809 Page 4. The director understands that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to the initial presence in a licensed child care facility. Violation of this requirement will result in a citation of a deficiency and civil penalties of one hundred dollars ($100) per violation per day for a maximum of five (5) days. Subsequent violations within a twelve (12) month period will result in a civil penalty of one hundred dollars ($100) per violation per day for a maximum of thirty (30) days in accordance with Section 1596.871 of the Health and Safety Code. The facility was NOT in compliance. Violations of the California Code of Regulations, Title 22, Division 12 were observed, discussed, and cited at the time of the visit. The following violations of the California Code of Regulations, Title 22; Division 12, were observed and cited today: 101439.1(f) Infant Care Center Sleeping Equipment and 101429(a)(2)(B) Responsibility for Providing Care and Supervision for Infants LPA A. Silva informed Director Wendy Atristain that this licensing report dated June 15, 2023 documents two “Type A” citation(s). Type A citation(s) must be posted for 30 consecutive days during the hours that children are in care as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. LPA A. Silva further informed Director Atristain that: A copy of this licensing report must be provided to parents or guardians of all clients currently enrolled by the next business day or by the next day the children are in care. A copy of this report must be provided to the parents or guardians of all newly enrolled clients for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224) form, or another written equivalent statement, must be placed in the child's file for verification of receipt of the report. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director Wendy Atristain. To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email to inspectionprocess@dss.ca.gov . For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cds s.ca.gov/inforesources/community-care-licensing/process . END.