Routine inspection·April 6, 2023

Licensing Program Analysts (LPAs) Jeanette Estrada and Austin Estrada conducted an unannounced required 1 year inspection at the above facility. LPAs met with Director Dr. Melita Ferguson who guided analysts on a tour of the facility. There were 4 infants and 3 staff present upon arrival. The facility operates Monday through Friday 7:45AM to 4:45PM and the Ages for the infant program are 3 months to 24 months. This infant program consists of two classrooms. There is a preschool program under License # 191670561 also on the premises. The following was observed during the tour of the facility: LPAs observed required licensing documents posted on bulletin board in the lobby area of the facility which included, Facility License, LIC 610- Emergency Disaster Plan, Publication (PUB) 393- Notification of Parent Rights, PUB 269- Child Passenger Restraint System, LIC 613A- Notification of Personal Rights. LPAs observed LIC 9148 Earthquake Preparedness, Daily Activity Schedule, and Verification of Disaster and Fire Drills (last conducted in 10/20/22). A facility roster was available. Sign in/sign out sheets were reviewed. 1 out 4 infants present was not signed into the facility during the inspection. Infant classrooms are physically separate from the other child care component although per Director, infants also use three other unassigned rooms in the facility such as the Art Room, Music Room and STEM Room. Per Director, the preschool classes do not co-mingle with the infant class when they use the additional rooms. LPAs did not observe a waiver for the use of these classrooms available at the facility. In the classrooms used by infants, furniture and equipment were inspected for age appropriateness and good repair. Toys were observed to be safe, and do not have sharp points, edges, splinters and are not made of small parts that can pose a choking hazard. LPA did not observe any baby walkers or any items that fall into that category present in the facility. The classrooms were inspected to ensure that the floors have a surface that is safe and clean. LPAs observed carpets and soft play mats on the floor of the classrooms. LPAs observed cubbies available for children to store their belongings in the classroom. Napping equipment was not observed to be physically separate from the indoor activity space. Currently, cribs are maintained in the same area as the activity space. LPAs observed two cribs available in the infant room. Other infants use napping cots. All sheets for cribs and napping cots are cleaned weekly or whenever needed at the facility. LPAs observed a changing table an arms length away from a sink. Water is readily available via bottled water and water fountains in the facility. Page 2 The facility has completed the lead testing requirement. Parents bring the children\342\200\231s formula and their bottles are labeled and stored in the refrigerator if needed. The facility provides food to children who eat solid foods, but parents are allowed to bring food for the child if needed. The facility is equipped with a centralized fire alarm system. LPAs did not observe a carbon monoxide detector at the time of inspection. LPAs advised Director that at least one operable carbon monoxide detector should be available at the facility. LPAs observed Fire extinguisher indicated fully charged last serviced on 3/15/22. First Aid kit was observed and inventoried. Disinfectants and cleaning solutions were observed to be inaccessible to children in each classroom. Isolation area for an ill child waiting to be picked up is in the Director's office. Per the Director, the facility does not administer medication and none of the children enrolled require medication. LPAs toured the designated infant outdoor play area, which was observed to have age-appropriate toys and materials for children. The outdoor play area was observed to be free of loose, sharp, and/or pointed parts. LPAs observed required cushioning under climbing structures to absorb a fall. Per Director, water containers are brought outside for children to drink while outdoors. LPAs observed adequate shade in the outdoor area. LPAs did not observe any bodies of water at the facility. There is a second outdoor play area that per the Director is used by both the infant and preschool program. Per Director, there is no waiver on file for the staggered use of this outdoor area. Per Director, infant children will no longer be using the second outdoor area until it is approved by the Department. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Menus are posted in each classroom for children's authorized representatives. Menus for the past 30 days are available upon request. The facility provides breakfast, lunch and afternoon snack for children who eat solid food. LPAs observed the kitchen/ food preparation area, and food storage area to be clean and free of litter, rubbish, rodents, and/or any other vermin. LPAs observed refrigerator to be clean and in operable condition. LPAs observed expired food items in the refrigerator. LPAs observed the items to be removed and discarded. LPAs observed a can of RAID insect poison stored under the sink. Container of RAID was not in a locked cabinet or container. LPAs observed container to be removed from under the sink and placed in a locked storage room. Staff records were reviewed. Staff present did not have pediatric first aid/child cpr certification issued by an EMSA approved program or issued by the American Red Cross or American Heart Association. The Director and Site Supervisor had valid mandated reporter certificates which expire in 6/2023. Page 3 2 out of 3 teachers did not have proof of mandated reporter training. Children's records were reviewed. 2 out of 4 children's records did not contain the 15 minute sleep log. All other required documents were observed in the children's files. Director 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. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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 LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov . 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/ tion-process . The deficiencies listed on the following LIC 809 D pages were observed by the LPA and 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 A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and Appeal Rights and report were reviewed with the Director Dr. Melita Ferguson .