Routine inspection·June 30, 2023

Licensing Program Analyst (LPA) Raul Navarro conducted an unannounced annual required inspection at the facility noted above and met with Director, Tracie Adams who guided LPA on a tour of the facility. This facility is currently licensed for 12 infants. The operating hours for this facility is Monday through Friday from 6:00 AM to 6:00 PM. This facility also has a licensed preschool center (License Number: 197412437) and licensed school-age center (License Number: 197417254) on-site. All areas identified on the facility sketch were inspected. Upon arrival, 2 staff and 4 infants were present. LPA was guided on a tour of the facility accompanied by Assistant Director, Katrina Williams. The following was observed during the tour of the facility: The following documents were posted in a prominent, publicly accessible area at the facility: Facility License, Notification of Parents' Rights (PUB 394), Earthquake Preparedness (LIC 9148), Child Passenger Restraint System Poster (PUB 269), Personal Rights (LIC 613A), Facility Sketch (LIC 999), Menu, and Daily Activity Schedule. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. LPA observed a changing table inside the classroom that has a sink located within arms' reach. Napping equipment (cribs and cots) was observed. Per Director, bedding is washed weekly by the facility or as needed. First Aid supplies were observed and kept in the classroom. Per Director, medication is only administered to a child when accompanied with a doctor's note and medication is stored in the medicine cabinet located in the classroom or in the kitchen. Children's roster was reviewed and is current. Sign-in and sign-out sheets were reviewed; all children present were signed in. The facility has verification of fire and disaster drills available, and are conducted on a monthly basis. The facility provides children with snacks and meals. Food menus are posted one week in advance where it is visible by the child\342\200\231s authorized representative. Menus for the past 30 days are available upon request. During the inspection, snacks were reviewed for availability and quantity. LPA observed milk bottles that were labeled with the child's name, content, and date. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children in all areas. Director stated that there are no poisons stored at the facility. The kitchen/food preparation area and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste have tight-fitting covers that are kept on and in good repair. Per Director, the isolation area is located in the office. In the office, a cot can be placed on the floor for an ill child. Per Director, the program does not offer potty training until the child enters the preschool program that is located on-site. Availability of indoor and outdoor drinking water was observed (water jugs). Per Director, the water used for food preparation has not been tested for lead. The facility has a carbon monoxide detector that was tested and is operable. Smoke detectors were not tested during this visit due to the smoke detectors being wired to the emergency pull down fire alarm. The facility was granted a fire clearance for the requested capacity on September 15, 2022. The fire extinguishers are fully charged and were last serviced within the year. Outdoor playground equipment is in a safe condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that could absorb a fall. There is adequate shade in the play yard. Children\342\200\231s records were reviewed for Admission Agreement, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents\342\200\231 Rights, LIC 613-Personal Rights, LIC 702-Health History, and LIC 701 Physicians Report, and Immunization Records. Staff records were reviewed for Education, LIC-501: Personnel Record, LIC 508-Criminal Record Statement, LIC 9052- Employee Rights, LIC503- Health Screening, Proof of immunization against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse and current Mandated Reporter Training Certificate. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. 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 discussed the safe sleep regulations with the Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public- information-and- resources / safe-sleep as an additional resource. LPA also informed the Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. 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 deficiency listed on the following page was observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809 D for the deficiency that is being cited and need to be cleared to protect the children\342\200\231s health & safety.A Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. No deficiencies were cited during today's inspection. Exit interview conducted and report was reviewed with Assistant Director, Katrina Williams.