Routine inspection·April 6, 2023

Licensing Program Analysts (LPAs) Austin Estrada Jeanette Estrada conducted an unannounced annual required inspection at the above facility. LPA met with Director Melita Ferguson, who guided analysts on a tour of the facility. Facility is located on the same premises as an infant program. Both the preschool and infant programs are separated and do not co mingle. The facility has three classrooms where care is provided. LPA observed five children supervised by one teacher in the \342\200\234Pre-K room\342\200\235, three children supervised by one teacher in the \342\200\2343-4 year old room\342\200\235, and two children supervised by one teacher in the \342\200\2342-3 year old room\342\200\235. Teacher child ratios were observed, and staff names recorded. The following was observed during the tour of the facility: All preschool classrooms were observed to be clean and in good repair. The floors were clean, and lighting was in operable condition. There were age appropriate toys and equipment in each classroom. Per Director, drinking water (water bottles) is provided to children. LPA observed water bottles labeled with children\342\200\231s names. LPA observed cubbies/storage area for children to store their personal belongings. LPA observed a fire extinguisher indicated fully charged last serviced on 3/15/22. First Aid kit was observed and inventoried. Appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, paper towels, and general sanitation. Disinfectants and cleaning solutions were observed to be inaccessible to children in care. LPA did not observe a carbon monoxide detector in the facility. LPA advised Director that at least one operable carbon monoxide detector shall be located in the facility. Napping equipment and bedding were inspected and found to be clean and in operable condition. Per Director, bedding sheets are washed weekly at the facility. The isolation area is located in the main office near the entrance of the facility. Per Director, no children require medication. Per Director, the facility does not administer any medication. If a child requires medication, the parent/guardian will administer the medication. LPAs toured the outdoor play area. The designated preschool outdoor area was observed to have age-appropriate toys and materials for children and free of loose, sharp, and/or pointed parts. LPA observed required cushioning under climbing structure to absorb a fall. Per director, water bottles are provided to the children when they are outside. LPA also observed functioning water fountains available for children in care. LPA observed required shade in the outdoor area and there are no large bodies of water on the premises. LPA observed a second outdoor area that is currently being used by the preschool and infant components. LPA did not observe a waiver for the shared outdoor space at the facility. Per Director, the second outdoor area will no longer be used by the preschool children until it is approved by the Department. Preschool children also share three other rooms (music room, stem room, and art room) with the infant component. Per Director, the preschool component and infant component do not co mingle while the three rooms are in use. LPA did not observe a waiver for the three shared rooms at the facility. LPA observed the kitchen area, food preparation area, and food storage area to be clean and free of litter, rubbish, rodents, and/or any other vermin. LPA observed refrigerator to be clean and in operable condition. LPA observed items in the refrigerator to be expired. Staff immediately removed the expired items and threw them in the trash. LPA observed insect poison (Raid) located in the kitchen area under the sink. LPA observed staff immediately remove and relocate the insect poison to a storage room inaccessible to children in care. During the inspection, children present was observed to be treated with dignity and respect, observed to be receiving safe, healthful, and comfortable accommodations, furnishings, and equipment, and free from corporal and/or unusual punishment. LPA observed required posted documentation which included, Facility License, LIC610- Emergency Disaster Plan, Publication (PUB) 393- Notification of Parent Rights, PUB 269- Child Passenger Restraint System, LIC 613A- Notification of Personal Rights and Lunch/Snack Menus. All documents were observed in the lobby area at the entrance of the facility. LPA observed Sign in/out sheets, LIC 9148 Earthquake Preparedness, Daily Activity Schedule, and Verification of Disaster and Fire Drills. Last drill was conducted on 10/20/22. LPA observed two out of 10 children were not to be signed in. LPA advised the Director that all children should be signed in and out at the appropriate times. LPA observed a facility roster during the inspection. Children\342\200\231s records were reviewed for LIC 613A- Personal Rights, Admission Agreement, Immunization Records, LIC 700- Identification and Emergency Information, LIC 701- Physician\342\200\231s Report, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents\342\200\231 Rights. All records were observed to be complete. Staff records were reviewed for approved Pediatric First Aid and CPR certification, staff qualifications, LIC 508-Criminal Record Statement, LIC 503- Health Screening Report, LIC 9052- Employee Rights, Proof of immunizations against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, and LIC 9108- Statement of Child and Mandated Reporter Training Certificate. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. LPA observed four out of five staff did not have CPR/first aid Training Certificate available for review, three of six staff did not have all required immunizations available for review, and one of six staff did not have their mandated reporter training certificate available for review. Lead Poisoning Facts Flyer (PUB 515) \342\200\223 All licensees (Child Care Centers) must provide the following flyer to parents and families upon enrolling or re-enrolling any child. PIN 21-21-CCP: Release of the Written Directives for Lead Testing of Water in Licensed Child Care Centers Per AB 2370 6. PIN 22-06-CCP: Lead Testing in Child Care Center \342\200\223 Frequently Asked Questions 7. Lead Testing in Child Care Centers Frequently Asked Questions (regarding your questions, please refer to Q23, Q24, Q29, Q34, and PIN 21-21-CCP) Please visit the Lead Toxicity Prevention and Water Testing Information website for additional information and resources regarding lead testing in licensed childcare centers by visiting the following weblink: https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information . For any additional questions, please email: CCCWaterTesting@dss.ca.gov . Director provided lead testing results to LPA during inspection. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. LPA provided and discussed PIN 23-06-CCP Information Regarding Brightly Colored Fentanyl, Also Referred to as \342\200\234Rainbow Fentanyl\342\200\235. 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 . 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 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. Based on the LPA\342\200\231s observations, interviews 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 & safety. Deficiencies include six type B violations for not having an operable carbon monoxide detector, three of six staff not having all required immunization records, four of five staff not having CPR/first aid certificates, two of 10 children not signed in, having expired food in the refrigerator, and having inspect poison (Raid) in the kitchen area. A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview was conducted and report was reviewed with the Director. Appeal rights were discussed and provided to the Director.