Routine inspection·July 12, 2022

On 7/12/2022 Licensing Program Analyst (LPA) Doris Whitmore conducted an unannounced Annual Required Inspection for the Infant License. LPA met with Center Director, Lauren Cherrington. LPA inspected and toured the inside and outside of the facility. Days and Hours of Operation are Monday- Friday 7:30a.m. to 5:30p.m. All required Documents were posted on the Board. At the Entrance of the Infant Room is a gate. A total of seven infants and 3 teachers were present during the inspection. LPA observed infants in the main room. There is a gate in-between rooms the other room is where the cribs and cots are at. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Napping equipment and bedding were inspected for good condition, appropriate storage and cleanliness. Storage for children's belongings and an isolation area with sink, toilet, and cribs inspected. Water temperature, toilet paper, paper towels, area safety and sanitation (changing table). First Aid supplies were inventoried. A review of medical policy, including administering, labeling, storage, and records were made. Feeding, diapering, napping logs reviewed. Refrigerator inspected; infant\342\200\231s food labeled & dated. Preparation areas were toured for safety, cleanliness, and proper equipment. A review of cleaning and food supply storage areas were made. Each Infant has their own container with diapers and extra clothes. LPA observed diapers and wipes on an upper shelf. Changing table is cleaned after each use. Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade, and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water. Care and supervision were evaluated to determine if the basic need of children is met and appropriate. Parents use an App Bright Wheel to sign the infants in and out daily. The Parents provide all meals for the infants. In the Infant Room there was one Fire Extinguisher that was a 3A40 BC. LPA reviewed a total of 7 Infant files Infant's files were complete with all required CCLD forms. Individual Sleeping Plan was reviewed in files. Director shared with LPA the App where teaching staff can document the infants sleeping every fifteen minutes. Director gave an overview of How the APP is use?. LPA reviewed 3 staff files all files had required documentation. The facility roster was up to date and all staff have been fingerprinted and associated to the designated license number. Director and teachers are currently certified in pediatric first aid and CPR which expires on 11/2023. All Staff were current with their Mandated and Reporter Training 5/21/22 and is good for two years. There were no bodies of water observed in the playground area. The outdoor playground was inspected and was observed to be free of hazards, loose and sharp parts. LPA did observe adequate shade. The playground was observed to be properly gated all around. Equipment was inspected for safety, cushioning material, good repair and age appropriateness.LPA shared information with the Director on Safe Sleep Practices : always place infants on their backs for sleeping; use only a tight-fitting sheet on the crib or play yard mattress; do not hang any items from the crib or above the crib; keep all items, including blankets, out of the crib or play yard; pacifiers may be used as long as they do not have items attached to them; infants should not be swaddled or have any items covering them while sleeping. Incidental Medical Services were discussed Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Section 102417. When any IMS is provided, a Plan for Providing 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 Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag. LPA reminded the Director as well as anyone who assists in providing care. Director was advised to train the backup up in the event she is absent on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov . Licensee was also encouraged to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations. Mandated Reporter: Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete General and Child Care Mandated Reporter training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/ LPA shared the following information with the Director Booklets on Safe Sleep, Pin 20-04, Safe Sleep Frequently Asked Questions, & Amended Section 101239 on different topics pertaining to Infants. The facility was operating in substantial compliance during this inspection on 07/12/2022. There were no Title 22 Deficiencies cited. An exit interview was conducted, and a copy of this report (LIC 809), Notice of Site Visit, along with appeal rights were given to the Director Lauren Cherrington whose signature confirms today's inspection and report.