Routine inspection·August 28, 2024

On 8/28/2024, Licensing Program Analyst (LPA) Carol Heath met with the facility owner, Allea Adams, for the one-year required inspection for the preschool license following the facility sketch. A tour of the facility was conducted. Upon arrival, LPA observed three preschool children in the classroom. There was one teacher on the premises, including the director, and office staff. The hours of operation are 5 AM-8 PM, Monday - Saturday. Incidental Medical Services (IMS) were discussed. Indoor/Children’s Area: There are three preschool classrooms. During today’s visit, only one classroom is being used. The child care center is clean, safe, sanitary, and in good repair; all outdoor and indoor passageways, stairways, inclines, ramps, open porches, and other areas of potential hazard are kept free of obstruction; floors of all rooms have a surface that is safe and clean, cleaning compounds inaccessible, poisons locked, furniture/equipment is good condition, free of flies, other insects, rodents; tables/chairs provided to meet children’s needs; all play equipment and materials used by children are age-appropriate, each child has an individual permanent or portable storage space (cubby, individually labeled with name ) for his/her clothing, personal belongings and or bedding (stored separately). There is a working telephone. LPA observed food (breakfast in the trash can without a lid). The trash cans for solid waste have tight-fitting lids. Drinking water is readily available indoors and outdoors (Drinking water is available inside the classrooms in the form of filtered water with disposable cups) LPA observed a sufficient quantity of cots available for napping preschool children. All materials and surfaces are toxic-free and inaccessible. There is no fireplace. The center has an internal fire system and Fire Extinguisher (3A40BC, 1/8/2024). Restrooms: LPA inspected and observed 6 toilets and 4 sinks. LPA observed that soap, toilet paper, and paper towels were readily available. Water temperature is appropriate. There is an isolation area for children who become ill while in care in the therapy room ; the facility maintains a comfortable temperature at all times, and first aid supplies (See Title 22, 101226) and sign-in/out sheets are available and completed daily. No smoking is prohibited on the premises, daily inspection is required for illness, and no prohibited childcare items are observed. Firearms/weapons are not allowed or stored on premises. There is no body of water on the premises. Napping: LPA observed children's sheets in each cubby. Cots are used and maintained in good condition, wiped/cleaned/disinfected (daily) weekly or when soiled, with no contact with other children's bedding. Outdoor: The facility has one playground area for the preschool children separated from school age . There are three areas where preschool children play. The outside play area is completely fenced. Outdoor play equipment was inspected for health, safety, good repair, and age appropriateness. There are concrete areas for active play. The area was observed to be free of debris from hazards, holes, broken items, debris, and cushioning material underneath. No bodies of water were observed. There are areas for shade and rest. Teacher-child ratios were observed, and staff names were recorded. Care and supervision were evaluated to determine whether the basic needs of children were met and appropriate. Health-Related Services: Medications inaccessible to children; all prescription and non-prescription medications have the child’s name and are dated; written consent and instruction from the child’s representative, a plan to document and report to the child’s representative when medication is administered to a child; IMS plan on file (if applicable). Children are inspected for illnesses (wellness policy) as they arrive. A review of medication policy indicated that prescription medication is administered only with the parent's written permission (licensing medication form—LIC9221—also used). LPA advised the Director to administer medication and document the dosage, date, and time on a log. The parent can bring and take medication home daily. Medication will be properly labeled and stored in its original container. Staff/Personnel Records: The director's (qualified) qualifications were verified, the Designation of Responsibility was observed, immunizations, TB clearance, health screening, criminal record statement, a statement acknowledging suspected child abuse, and a mandated reporter were observed in the file. The owner must write the statement for the Department to transfer Yesica Aparicio to the Avenue L location. After reviewing the files for staff, it was discovered that Teacher #1 did not have her fingerprint cleaned and associated with the facility. In addition, staff #1 is unable to provide proof of measles, pertussis, influenza, and tuberculosis. The facility has been cited as a Type A Citation, and an immediate civil penalty of $500 has been assessed. Please see LIC809-D. Facility Records: The roster fire/disaster drill log will be submitted to the LPA by next Friday. We also reviewed CPR/First Aid and mandated report training. Posting Requirements: Failure to comply with posting requirements shall result in an immediate civil penalty. The following were posted as required: facility license, Personal Rights (LIC613A), Parent’s Rights Poster (PUB 394L), emergency disaster plan, and earthquake preparedness checklist. Documents Provided and Discussed: Forms and records will be kept at the facility and IMS. Electrical outlets are inaccessible and recalled, and prohibited toys or sleep/play equipment were observed on the premises. There are no window cords accessible to children. LPA reminded the director that all the wires must be inaccessible to the childcare children. Sign-in and sign-out sheets were reviewed. The parent board was reviewed, and the facility does not post all of the required forms. Fire/earthquake drills are current. The roster is current. Food Service: The facility has a clean, fully equipped kitchen with a refrigerator/freezer, microwave oven, and stove. It currently has a food program that provides breakfast, lunch, snacks, and dinner. LPA observed the kitchen and advised the facility to label the food and document the refrigerator and freezer temperatures every morning. The following general information was discussed during this inspection: Immunization Requirements: §1596.7995 (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a daycare center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. *All Licensing reports are available for review online and are considered public information. Summary: Assembly Bill 2621 added Section 1596.819 to the Health and Safety Code to require the Department to post certain licensing information for CCCs and FCCHs on its public internet website. Fingerprint clearances and transfers : Before working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. If a fingerprint clearance has been obtained through the Department, Licensee may request a transfer of a criminal record clearance from one state-licensed facility to another using form LIC 9184 ** Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a licensed childcare facility are aware of situations that present the greatest danger to children **The Center Director advised of the requirement to report unusual incidents and injuries to the parent/guardian and Licensing within the time frame specified by the regulation (call within 24 hours and submit a written report within 7 days) and on the form LIC624. The Center reminded to review updates/regulations and quarterly updates on the Department website. The "Notification of Parent's Rights" poster must be posted in an area of the center accessible to parents. The information regarding new legislation with regard to exemptions and parents' rights was also discussed. Criminal Record Clearance - Child Care Centers Licensee [or facility representative] 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. Lead Testing – Child Care Centers (CCC) CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES: 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 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. For the following scenarios use the below un-bolded language: • CCC COMPLETED TESTING AND IS IN THE PROCESS OF REMEDIATING LEAD EXCEEDANCES, or • CCC COMPLETED SAMPLING BUT THE TEST RESULTS ARE NOT YET AVAILABLE, or • CCC DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE, or • CCC TESTING DEADLINE HAS NOT PAST LPA referred licensee [or facility representative] to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. Safe Sleep - Child Care Centers and Family Child Care Homes LPA discussed the safe sleep regulations with licensee [or facility representative] 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 [or facility representative] 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) - THERE IS NO CHILD AT THE FACILITY THAT CURRENTLY NEEDS IMS, USE AS FOLLOWS: Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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/ . MyChildCarePlan.org – Centers and Family Child Care Homes Licensee [or facility representative] 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. Notice of Site Visit - Centers and Family Child Care Homes A notice of site visit was given and must remain posted for 30 days. Deficiencies cited: (See LIC 809D). The following Type A and Type B deficiencies are being cited in accordance with Title 22 of the California Code of Regulations and/or Health & Safety codes. Exit interview conducted and report was reviewed with Director, Yesica Aparicio. This report was read and provided to Director Adrienne Tolliver, along with her appeal rights and Notice of Site Visit.