Routine inspection·June 15, 2023

Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced required 1 year inspection at the above facility. LPA met with Director Ana Fragoso who guided analyst on a tour of the facility. This is an infant program which consists of three classrooms: infant class, toddler 1 and toddler 2. LPA observed the Infant program is conducted in an area physically separate from other child care component (Preschool license 191871812) . The hours of operation for the facility are 6:30AM to 6:00PM. The infant program provides services to children 12 weeks to 24 months old. Upon arrival, LPA observed eight infants and two teachers in the infant class, seven infants and two teachers in the Toddler 1 class and eight infants and two teachers in the Toddler two class. All areas identified on this report were inspected. The following was observed during the tour of the facility: LPA observed required licensing documents posted in a prominent, publicly accessible area 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. LPA observed LIC 9148 Earthquake Preparedness, Daily Activity Schedules, and Verification of Disaster and Fire Drills (last conducted on 3/16/23). Sign in/sign out sheets were reviewed. The facility has a waiver on file for staggered use of the outdoor play area. LPA observe the waiver posted in the facility. LPA observed the infant classroom. 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 classroom was inspected to ensure that the floors have a surface that is safe and clean. LPA observed carpets and soft play mats on the floor of the classroom. LPA observed cubbies available for children to store their belongings in the classroom. LPA observed 10 cribs in the napping area which was separated from the indoor activity space. Per Director, sheets are taken home by the parents and cleaned weekly. LPA observed a changing table an arm’s length away from a sink. Water is readily available via a water container. Parents bring breastmilk, if used. Formula and solid foods are provided by the facility. LPA observed bottles to be labeled with infant’s names. Page 2 of report LPA observed the toddler classroom to contain toys that were safe, and do not have sharp points, edges, splinters and are not made of small parts that can pose a choking hazard. The classroom was 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 classroom. LPAs observed cubbies available for children to store their belongings in the classroom. LPA observed sleeping cots available for children. Sheets are taken home by the parents and washed weekly. LPA observed a changing table an arm’s length away from a sink on each side of the classroom. Water is readily available via a water container. Per Director, toddlers are not “potty trained” in the infant program. The facility contains central air and heating. LPA observed a carbon monoxide/smoke detector in the kitchen which is operable. LPA observed a fully charged fire extinguisher in the facility. 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 Director, the facility only administers prescribed medication if needed and it is kept in a locked container in the Director’s office or in a locked storage bag in the refrigerator if needed. LPAs toured the designated infant and toddler 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. LPA observed required cushioning under climbing structures to absorb a fall. Per Director, water containers are brought outside for children to drink while outdoors. LPA observed adequate shade in the outdoor areas. LPA did not observe any bodies of water at the facility. Menus are posted weekly online for parents to view. The facility provides breakfast, lunch and an afternoon snack for children in care. 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. Children’s records were reviewed for LIC 613A- Personal Rights, Admission Agreement, Immunization Records, LIC 700- Identification and Emergency Information, LIC 701- Physician’s Report, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, LIC 9227- Infant sleep form (0-12 months, and documentation of 15-minute Infant Sleep Check (0-24 months). 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 immunization against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, and LIC 9108- Statement of Child and Mandated Reporter Training Certificate. Page 3 of report There is at least one person trained in CPR and Pediatric First Aid present during this inspection. Per LPA’s record review, 1 out of 7 staff did not have a current mandated reporter training for child care providers certificate. 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 were free from corporal and/or unusual punishment. 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 - The facility administers prescription medication. 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 . Based on the LPA’s observations, interviews and records review, the following deficiency listed on the attached LIC 809D (deficiency page) is being cited in accordance with California Code of Regulations Title 22. The Deficiency being cited needs to be cleared to protect the children’s 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 Director Ana Fragoso.