Inspector’s narrative
What the inspector wrote
On Thursday, October 23, 2025, Licensing Program Analyst (LPA) Hanna Cha met with Director Michelle Duprey. The purpose of the visit was to conduct an unannounced Annual/Random inspection of the facility. LPA disclosed the purpose of the inspection to the Director and toured the facility. LPA observed one teacher providing care and supervision to three infants. The current days and hours of operation are Mondays through Fridays; 7:30am-5:30pm.
Physical Plant/Indoor/Children\342\200\231s Area:
The facility operates on the campus of South Hills Church. The facility has a separate entrance gate, maintained locked. The facility operates the infant program out of one classroom referred to as the Infant Room. The facility was inspected for safety, comfort, cleanliness, good repair, telephone service, heating, lighting, and ventilation. LPA Cha observed labeled cubbies for children's belongings. The cribs are arranged to ensure a walkway and all cribs are in reachable distance. LPA observed the food and bottle preparation area. The refrigerator/freezer in working condition. Bottled milk labeled with children\342\200\231s names and dates are disposed daily. LPA observed a bottle warmer. The diaper area was observed to be clean and sanitary with diapers and wipes. A separated sealed trash bin is used for soiled diapers. The cribs included only a tight-fitted sheet. All cleaning products were stored in high shelf, out of reach of children. LPA observed age-appropriate soft toys and equipment. Feeding tables are cleaned after use and made of washable material. An isolation area for infants is provided in the main office. LPA observed no fireplaces and no wall heaters.
Kitchen:
The kitchen is located in a separate building adjacent to the preschool classrooms. Kitchen consists of refrigerator/freezer, sink, food preparation counters and pantries. Knives and sharp items stored in high upper cabinet, out of reach of children. Per Director, children bring own packed lunch. Meals are not cooked on premises. The kitchen is only utilized for refrigerating water, freezing ice, and stocking disposable utensils and supplies. Children use personal bottles which are labeled.
Outdoor/Children\342\200\231s Play Area:
LPA inspected the outdoor play space for safety, cleanliness, good repair, age-appropriate toys/equipment, cushioned floors, and shady areas. The outdoor play area is enclosed with fencing. LPA observed a anchored play structure with cushioned flooring for safe falls. Per LPA observation, there are no pools, spas, or bodies of water on the premises.
File Review:
LPA reviewed one infant file which contained all required information. LPA observed Safe Sleep Logs, Needs and Services Plan, and Individual Sleeping Plan documentation. LPA reviewed Director\342\200\231s file and one staff file which included all required information. LPA verified that staff had required Infant and Toddler units in addition to core ECE units.
Postings:
LPA observed required postings as follows: Facility License, Personal Rights (LIC613A), Parent\342\200\231s Rights Poster, Passenger Car Seat Law (PUB 269), and Emergency Disaster Plan.
Other:
Per Director, smoking is prohibited on the premises. Per Director, there are no firearms/weapons stored on premises. Per recorded documentation, Disaster drills last completed on 10/2025. Carbon monoxide/smoke alarm observed.
The facility tested water for lead and facility was under the 5.5 pbb. which is the maximum allowable. The facility provided sample of analysis sample water collected on 04/05/2025 and results for lead were collected on 04/05/2025 with less than 1 ppb.
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
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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.
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 21-21.1CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. Per record review, last lead testing conducted on 08/2022
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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/
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Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
During this investigation, LPA did not observe any Title 22 deficiencies.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was printed and reviewed with the Director Michelle Duprey along with Appeal Rights.