Inspector’s narrative
What the inspector wrote
On 12/28/2021, Licensing Program Analyst (LPA) Carol Heath met with the facility Angie Bustamante and conducted a Required One Year inspection. LPA toured and inspected the Infant area accordance with the facility sketch. LPA observed 5 infants and there were 2 teachers. The facility consists of one classroom. Center also licensed for a pre-school and school age center in the same building. The facility operates from 6:30am to 6:30pm. Monday through Friday. Incidental Medical Services (IMS) policy was discussed.
Indoor/Infant Area: The center is clean, safe, sanitary and in good repair, there are no potential hazardous areas observed (passageways), floors are clean and safe, cleaning compounds are inaccessible, poisons locked, furniture and equipment in good condition, free of sharp, lose or pointed parts, including cribs, cots, changing table and feeding chairs, no insects or flies observed, play equipment are age appropriate. Each infant has own cubby, trash cans have tight fitting lids, drinking water, no toxic materials observed, no fireplace, window screens in good repair. LPA observed the carbon monoxide, Fire Extinguisher and smoke detector in working condition. There is a working telephone on the premises, isolation area for ill infant at the front desk office area, room temperature is comfortable, First Aid Kit observed, sign in/out observed (electronic), COVID-19 protocol observed (temperature check), no smoking on the premises. There is no prohibited play equipment on the premises. The facility has sufficient indoor activity space for infants that is physically separate from the preschool.
Physical Plant: There are no bodies of water on the premises. No firearms on the premises. Disinfectants, cleaning solutions, poisons and other items that are dangerous to infant are inaccessible (top cabinet).
LPA observed fire extinguisher (3A10BC) and smoke detectors are in operable condition. The facility has one or more carbon monoxide detectors that meet statutory requirements. The changing table is within arm's reach of the sink.
Napping: LPA observed cribs are in regulation (meets the requirements of 101439.1(a)-(f), no pillows, crib bumpers, loose bedding), sanitize after each use, cots spaced to have access to a safe walkway, bedding is not in contact with other bedding.
Health Related Services: Medications when used are inaccessible to children (locked in front desk office), child name and date on medication, parent written consent as required.
Food Service: Food prepared
and served in a safe manner, food preparation is completed in the kitchen, cleaning compounds are kept in the supply room (off limits), utensils are cleaned and sanitized after each use, refrigerator temperature in regulation, menu posted in kitchen and classroom, breakfast and snack provided by the parent. Bottles, dishes and containers of food brought by the infant's authorized representative are labeled with infant's name and current date.
Staff Records: LPA reviewed files for Director Qualifications, immunization, licensing forms (LIC9108, Mandated Reporter, LIC508, LIC308). And 2 infant teachers\342\200\231 file
Facility Records: LPA observed the Roster to be complete and current, staff has current CPR/First Aid expire 07/24/2023, fire and earthquake drills are conducted monthly. The facility has an Infant individual feeding plan, Infant Needs and Services Plan, Sleep Plan for each infant.
Supervision: LPA observed infant/child is not left without the supervision (visual) of a teacher at any time, LPA observed the facility is in compliance with the staff-infant ratio (one teacher-four infants in attendance). The facility does not exceed the approved capacity of the fire clearance for the facility.
Posting Requirements: Center has required posting (license, PUB 393L, car seat law, emergency disaster plan, earthquake preparedness, lead poison, safe sleep).
Documents Discussed: IMS (Incidental Medical Services).
The following general information was discussed during this inspection:
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
. Center does not provide IMS at this time.
Immunization Requirements: \302\2471596.7995
(a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care 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 on-line 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.
Criminal Record Statement
: Licensee [or facility representative] 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.
Safe Sleep
: 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-and-resources/safe-sleep
as an additional resource. LPA also informed licensee [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.
Notice of Site Visit
: A notice of site visit was given and must remain posted for 30 days.
Posting Requirements:
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Type A citation:
LPA (name of analyst) informed licensee [or facility representative] (include name) that this report dated (insert visit date) document(s) (number of Type A citation) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA (name of analyst) informed the licensee [or facility representative] to provide a copy of this licensing report dated (insert visit date) that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
A copy of this report must be made available to the public for 3 years.
***There were no citations issued during today's inspection.
Exit interview conducted and report was reviewed with the facility representative Angie Bustamante.