Routine inspection (3-year)·January 3, 2024

On 01/03/2024 , Licensing Program Analyst (LPA) Cristina Castellanos conducted an unannounced Annual Required Inspection at the above mentioned address. Licensing Program Analyst Castellanos met with Director, Fatemeh Nourayi-Agange and toured the facility indoors and outdoors. Licensing Program Analyst observed 12 infants being supervised by 5 fingerprinted cleared staff members during today\342\200\231s inspection. The facility is open Monday through Friday from 7:00am to 5:30pm. The facility does not provide meals or snacks, only filtered water. Per the Director parents assure they provide the meals and snacks for their infants, which comply with dietary and allergy restrictions. Capacity and limitations as specified on the license are being maintained. All children are under supervision, including visual supervision, of a teacher at all times. The facility is in compliance with Title 22 regulations regarding staff to infant ratios. Parents sign their child in/out of the facility. LPA Castellanos advised administrators to ensure that parents sign using their full legal name and the time of day. There is no swimming pool or other bodies of water on the premises . There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during today\342\200\231s inspection. LPA Castellanos observed one fully charged fire extinguisher in the facility\342\200\231s kitchen. LPA observed 3 working dual smoke and carbon monoxide detectors throughout the facility. Additionally, there is a Pull Fire Alarm system in front of the eating and carpet play area. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Floors in the infant rooms are clean and safe. Areas around high climbing equipment have cushioning material to absorb falls. The facility is free of flies, insects, and rodents. Continue to Page 2 Prior to working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption. Capacity and limitations as specified on the license are being maintained during today\342\200\231s inspection. Facility was unable to provide documentation that at least one person is trained in CPR and Pediatric First Aid and present when children are at the facility or at off-site activities. All children are under supervision, including visual supervision, of a teacher at all times. There is a ratio of one teacher supervising no more than four infants in care. LPA reviewed a sample of children\342\200\231s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child, medical assessment, individual feeding plan, and Infant Needs and Services Plan. LPA reviewed a sample of staff files and observed files to not be complete, facility was unable to provide current documentation of completed Mandated Reporter Training. The facility has sufficient age-appropriate furniture, and equipment including cribs, cots and/or mats, wall-mounted changing stations and a feeding table. There is indoor and outdoor activity space for infants that is physically separate. Each crib, mat or cot is occupied by only one infant at time and cribs are kept free from all loose articles including blankets and pillows and there are no objects hanging above or attached to the crib. Infants are not swaddled while in care. Staff physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Documentation for infants up to 12 months includes sleeping position if it is other than on their back. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping. Staff-infant ratio requirements are being met while infants are sleeping. Incidental Medical Services (IMS) are currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm . Page 2 LPA and Director discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations. 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. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, there were two (2) deficiency cited at this time for violation of Title 22 regulation; (see LIC809-D). An exit interview was conducted, and Plans of Correction were reviewed and developed with Administrators. A copy of this report and appeal rights were discussed and left with Director Nourayi-Agange and Administrator Agange. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Page 3