Routine inspection·July 17, 2024

Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced random inspection to the above facility on July 17, 2024. LPA arrived at the facility at 3:15PM, identified self and met with Kirsten Bowman, Director, who guided analyst on a tour of the facility. LPA provided Director with a copy of the LIC 125 Entrance Checklist to help facilitate the inspection. This is an infant program which consists of 1 classroom. Facility operation hours are Monday through Friday 9:00am to 1:00pm and after hours: 1:00pm to 4:00pm and 8:00am \342\200\223 9:00am. The office is open 9:00am to 4:00pm. All areas identified on the Facility Sketch were inspected. Upon arrival, the following staff were present during this inspection: Infant Room: (3 months to 2 years) 6 infants with two staff. The facility was observed to be within the license capacity and limitations. The following was observed during the tour of the facility: Furniture and equipment were inspected for age appropriateness and good repair. The facility has sufficient napping equipment, feeding chairs, and changing tables. Infant changing tables have a padded surface no less than one inch thick and are covered with washable vinyl or plastic and have raised sides at least three inches high. The changing table was observed to be within arm\342\200\231s reach of a sink. Toys were observed to be clean and safe. Cribs were observed to be free from loose articles and objects including blankets, pillows and no objects were observed to be hanging above or to the side of the cribs (play yard). The facility has a separate napping area, and one staff was observed to present observing 5 napping children with staff sitting in room. No infants were observed to be swaddled. Telephone service, heating, lighting, and ventilation were evaluated. Children have their own cubby to store their belongings. Linens are taken home each week to be washed. Per director, the isolation area is located in the office. LPA observed that there is a crib available for an ill infant to rest if needed. Ill children will use the staff restroom across from the isolation area and LPA observed that there is a changing table or Koala pad available. Age-appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in classrooms. LPA did not observe any infant walkers, baby bouncers, inclined chairs, baby saucers, or any similar items at the facility. LPA discussed the safe sleep regulations with Director 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 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. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Carbon monoxide detectors were observed and are operable. All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. LPA observed labels and dates on all food, including dishes and bottles that are brought from home for proper storage. Trash cans used to discard food have tight fitting lids. Outdoor playground equipment is in a 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 climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed. All floors were observed to be clean and safe. All materials accessible to infants were observed to be toxic-free There are no firearms stored on the premises. There are no pools or bodies of water at the facility. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. Infant Records were reviewed. The name, address, and telephone number of child\342\200\231s authorized representative is on file. Inspection of required forms was made and documented on the LIC 857. Infant Needs and Services Plan are on file for each infant. Individual Infant Sleeping Plan (LIC 9227) for infants 0 \342\200\223 12 months are on file. Teachers present have proof of the required infant units on file and meet the qualification requirements. LPA observed that the facility has a current updated infant sleeping log available that notes the time of each 15-minute check, date, infant\342\200\231s name, initials of staff person conducting each check. LPA observed that infant staff are checking sleeping infants for labored breathing, signs of distress, and position. LPA discussed Provider Information Notice (PIN) 20-24 CCP: Recently Approved Safe Sleep Regulations in Effect.LPA also reviewed staff records. The review of Staff records was documented on the LIC 859. Staff present did have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present did have proof against: MMR, TDAP, TB Clearance, and Influenza annually or declination. Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in. The center utilized the ProCare application with an approved waiver. Disaster drill log was available, last drill was conducted on June 3, 2024. First Aid supplies were observed in the classroom. 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 . Director 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. CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES: 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 with the Written Directives outlined in PIN 21-21.1-CCP .LPA referred Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information . LPA discussed the safe sleep regulations with Director 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 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. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP . When any IMS is provided, an updated Plan of Operation that includes 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) 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-care-centers/ . Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California. Exit interview conducted and report was reviewed with the Director Kirsten Bowman. There were no deficiencies cited during today\342\200\231s inspection.