Routine inspection·June 23, 2022

On 06/23/22 at 8:57 a.m., Antonio Almanza, Licensing Program Analyst (LPA), conducted an unannounced Annual Required Inspection for the infant license. LPA met with Kirsten Bowman, Director, and toured the facility indoors and outdoors. The facility operates Monday through Friday from 7:45 a.m. to 4:30 p.m. The facility consists of a sleeping room, a large room that is partitioned with furniture and small kitchen. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Floors in the facility are clean and safe. All kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. Solid waste storage containers have tight-fitting covers and are in good repair. The facility is free of flies, insects, and rodents. There is a working smoke detector and carbon monoxide detector in the main room. 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. There is artificial turf in the playground and large trees that provide shade. Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. There is a ratio of one teacher supervising no more than four infants in care. Pg 1 LPA reviewed 8 files for 8 children present and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child, medical assessment, individual feeding plan, and Infant Needs and Services Plan. LPA reviewed 3 staff files for 3 staff present and observed files were complete with health screening, immunization records for influenza, pertussis and measles. Staff records contain documentation of meeting qualification requirements. Each crib, mat or cot is occupied by only one infant at time. LPA observed 5 cribs with draped Muslin Blankets and staff report that they use them to cover and swaddle sleeping infants. Staff physically checks on sleeping infants every fifteen minutes but do not document any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Individual Infant Sleeping Plan is not completed and on file for each infant up to 12 months of age (infant #8). 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.cdss.ca.gov/inforesources/community-care-licensing/process . Facility representative was reminded 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 initial presence in a Child Care Center. 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. LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] 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. Pg 2 Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D). 1. Food Service - Type B: 101427(j) - Bottles, dishes and containers of food brought by infant\342\200\231s parents are not labeled with current date. 2. Children Records - Type B: 101419.2(b)(2) - Child 8 does not have infant sleeping plan LIC9227 on file. 3. Staff Records - Type B: 1596.8662(b)(1) - Staff 1, 2, & 3 do not have current mandated reporter training on file. 4. Staff Records - Type B: 1596.7995(a)(1) - Staff 4 is a volunteer in the facility and does not have immunization's on file. 5. Care and Supervision - Type B: 101430(a)(3)(C) - Staff are reporting that they swaddle infants for sleeping. LPA observed 5 cribs with a thin blanket draped over the side to use when infants go to sleep. 6. Care and Supervision - Type B: 101429(a)(2)(B)(3)(a) - There is one 3-month-old Infant in care, facility does not have infant sleeping plan for the infant. 7. Care and Supervision - Type B: 101429(a)(2)(B) - Facility staff are reporting that they check infants every 15 minutes but do not document on a log when they check. 8. Care and Supervision - Type B: 101429(a)(1) - Infant child was left unattended sleeping in a crib while the teacher went outside. LPA observed the teacher outside, the teachers stated she just went outside for a quick moment. 9. Physical Plant - Type B: 101174(d)(2) - Facility does not a have Disaster Drills documented/log. 10. Physical Plant - Type B: 101218.1(c) - PUB 393, Child Care Center Notification of Parents Rights is not posted in the facility in an accessible location to parents during drop of and pick up. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Kirsten Bowman. Pg 3.