Routine inspection (3-year)·February 14, 2024

On Wednesday, February 14, 2024, Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced annual inspection and met with licensee Reba Fahar who granted access and guided LPA Rivera on a tour of the facility. Family members residing in the home have been discussed with licensee and are cleared. LPA observed 4 infants and 8 preschool children present and two assistants. LPA observed facility to be within ratio. Operating hours are Monday to Friday from 7:30 a.m. to 4:00 p.m. and care for children ages 0 to 5 years old. This facility is a two-story home that consists of 3 bedrooms, 2.5 bathrooms, kitchen, living room, dining room, laundry room, a den (daycare), garage and front and backyard fenced. Areas off limits to children include- All second floor, kitchen, living room, dining room, garage, and laundry room. LPA did not observe the bottom of the staircase to have a gate. The licensee stated the living room where the stairs are located is off limits and parents\342\200\231 access is through the side yard and enter through the back sliding door located in the den. Areas accessible to children include the den (daycare) and bathroom located across from the laundry room. At approximately 12:00 p.m., LPA Rivera inspected the facility for safety, comfort, cleanliness, ventilation and working phone (cell phone and landline). For ventilation, LPA Rivera observed central AC/heater and the vents located on the ceiling. LPA observed the furniture, children\342\200\231s materials, to be in good condition and age appropriate. LPA observed the fireplace to have a screen cover. LPA observed 3 play yard and observed them to be free from bumper pads, blankets, pillows and hanging items. LPA Rivera observed cleaning compounds items, stored in the garage, making it inaccessible for children to open. LPA observed the knives and sharp objects stored inside the kitchen pantry and observed the door closed and locked with a key making it inaccessible for children to open. For water drinking, the licensee stated she provides filtered water and children have their own sippy cups. The licensee stated the facility provides meals and snacks. LPA informed licensee any food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. Licensee stated she currently does not have any children with severe food allergies nor on medication. At approximately 12:12 p.m., LPA Rivera entered the bathroom and observed the toilet, hand washing sink, hand soap and LPA observed the bottom sink cabinet closed and did not observe hazard materials and observed the bathroom to be in good condition. LPA reminded licensee any personal items (ex; shampoo, toothpaste, mouthwash, or items that fall into that category) must be made inaccessible to children. LPA Rivera asked the licensee if there were any pets, poisons, firearms, weapons, or bodies of water. The licensee stated she has no pets, no poisons and no bodies of water, no firearms, and no weapons. LPA did not observe pets, poisons, firearms, weapons, nor bodies of water. The licensee was informed that if any poisons (ex; drano, rat poison or items that fall into that category), firearms and weapons are purchased, it is required to be locked with a key or combination lock and firearm and ammunition/firing pins must be stored separately. At approximately 12: 34 p.m., LPA Rivera inspected the play outdoor (backyard) area that is utilized by children for safety, comfort, and cleanliness. LPA observed the backyard to be fenced and side gates closed and with self-latches. LPA observed the play equipment to be age appropriate and in a safe condition, free of sharp, no lose or pointed parts. During this visit, LPA observed construction tools on the table. Per licensee, spouse is currently working in the backyard. LPA did not observe any children outside. For outdoor water drinking, children bring out their water bottles. At approximately 1:34 p.m. LPA Rivera observed the fire extinguisher 3A-40-BC located in the daycare room and the valve on the green area indicating fully charged. LPA observed the purchased receipt dated 2/14/2024. LPA observed a carbon monoxide detector and smoke alarm located near the kitchen. LPA tested the carbon monoxide and observed the silent green light flash and licensee tested the smoke alarm. LPA Rivera heard the smoke alarm and is operable. LPA observed the first aid complete with band aids, gauzes, adhesive bandages, and antiseptic wipes and located in the laundry room and daycare room. For ill isolation, licensee stated she utilizes a corner of the daycare room. LPA observed the last emergency drill conducted on 1/25/2024. LPA Rivera observed licensee American Heart Association Pediatric First Aid/ CPR certification dated 10/15/21 and informed licensee the certification is expired. The licensee has proof of immunization against Pertussis, MMR, and Influenza. Licensee has completed the Child Abuse Mandated Reporter (AB 1207) training dated 4/3/2023. LPA observed the postings License, LIC 9148 Earthquake Preparedness Checklist, LIC 610A Emergency Disaster Plan, Pub 394 Notification of Parents Rights, and LIC 999 Facility sketch. LPA also reviewed the children\342\200\231s roster, children and staff files. LPA did not observe infant sleep logs. The following was also discussed with the licensee: 1. The following items are zero tolerance by Licensing: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both 2 Pediatric First Aid and CPR: American Heart Association or American Red Cross or Emergency Medical Services Authority (EMSA) approved in Pediatric First Aid and CPR must be present. Certification must be renewed every two years. 3. Licensee was informed that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com 4. In the absence of the licensee a qualified adult must be present, supervising the children; a qualified adult is an individual who has a valid and current Pediatric first aid/ CPR-adult-child- infant certification (EMSA approved), a valid criminal record clearance associated to the facility license, immunization's (MMR, TDAP, TB and Influenza or Influenza declination), AB 1207 Child Abuse Mandated Reporter Certificate. 5. A current roster of children enrolled must be available and maintained for a period of 3 years, even after children are no longer attending the facility. 6. Annual fees must be paid promptly and by the due date or a late fee shall be assessed and/or the license shall be terminated. 7. The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary and smoke and carbon monoxide detectors should be checked, and batteries replaced as needed. 8. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home. 9. Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing (refer to LIC 624B). 10. Fire and safety drills must be performed every six (6) months and documented for review by the Department. 11. Smoking is prohibited in the family childcare home. 12. Children and staff records must be maintained and updated as needed and be available for review by the Department. 13. Immunization Requirement: H&S 1597.622: Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. The licensee and all adults working with children have proof of immunizations. 14. Inspection Authority: All adults living and working in the home shall be made of aware of the Department\342\200\231s right to inspection the home, which includes, but is not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation. 15. The facility license number must be on all advertisements, publications, or announcements with the intent to attract clients. 16. Isolation for Ill children: When a child is ill, he/she shall be separated from other children (reference 102417(e) Operation of a Family Child Care Home). 17. Liability Insurance was discussed; LPA advised applicant to review Title 22 Regulation 102417(m)(1) for additional information. 18. Dog(s) and/or pets are recommended to be isolated from children in care. 19. No baby bouncers, no infant walkers, no Johnny jumpers, no saucer chairs, and any other item that falls into this category is not permitted in the facility. 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 . Licensee Reba Fahar was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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. LPA discussed the safe sleep regulations with licensee Reba Fahar and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee Reba Fahar 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. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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: https://www.ada.gov/resources/child-care-centers/ . Licensee Reba Fahar 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. The licensee Reba Fahar confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. The deficiencies listed on the following page were observed by LPA Rivera and are being cited in accordance with California Code of Regulations Title 22. Two type B deficiencies are being issued today for regulation 101216(c) - At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities. 102425 (j)(2)(D) - (j) The provider shall supervise infants while they are sleeping and adhere to the following requirements: (2).The provider shall check and document the following: (D) Documentation shall be maintained in the infant\342\200\231s file and be available to the Department for review. Documentation shall include the following: (a).Date.,(b.)Infant\342\200\231s name. (c.) Time of each 15-minute check. Please see attached LIC 809-D for citations. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted, and report was reviewed with the licensee Reba Fahar.