Routine inspection·April 12, 2023

Licensing Program Analysts (LPAs) Austin Estrada and Jeanette Estrada conducted an unannounced annual required inspection at the above facility. LPAs met with Director April Bohannon, who guided analysts on a tour of the facility. Per Director, the facility provides care to children ages newborn to two years old and operation days/ hours are Monday through Friday 6:00 AM to 6:00 PM. The facility is located on the same premises as a preschool program (facility # 197419350) and after school program (facility # 197420023). The facility is separate from the other programs and there is no co-mingling between the other programs. LPA observed one infant supervised by the Director in the infant room. All individuals present have obtained a criminal record clearance or criminal record exemption. The following was observed during the tour of the facility: LPA toured the infant room which was observed to be clean and in good repair. The floors were clean and lighting was in operable condition. There were age appropriate toys and equipment. LPA observed a changing table in the infant room located within an arms reach of a sink. LPA observed cots available in the infant room. Per Director, bedding sheets are washed every couple of days or when necessary at the facility. LPA observed water readily available via water bottles provided by facility. Per Director, baby wipes, diapers, and baby formula are provided by the parents/ guardians of the infant and stored at the facility labeled with the infant’s name. LPA observed cubbies/storage area for children to store their personal belongings. LPA toured the infant nap room and observed five cribs. Napping equipment and bedding were inspected and found to be clean and in operable condition. LPA also observed a changing table within an arm reach from a sink. LPA observed a bathroom located in the nap room with one toilet and one sink. Bathroom was inspected for availability, good repair, water temperature, toilet paper, paper towels, and general sanitation. Per Director, “potty training” is provided in this program. At this moment there are no children being “potty trained”. During the inspection LPA observed Child #1 (C1) to fall asleep on a pillow on the floor. LPA advised the Director that infants should be placed in a crib, cot, or play yard when they fall sleep. Director immediately removed C1 to a crib. LPA observed the isolation area to be located near the main office. LPA observed a centralized fire alarm, but did not observe an operable carbon monoxide detector. LPA advised the Director that at least one operable carbon monoxide detector should be in the facility. LPA observed Fire extinguisher indicated fully charged last serviced on 6/23/22. First Aid kit was observed and inventoried. Disinfectants and cleaning solutions were observed to inaccessible to children in care. LPA observed poisons such as insect poisons to be locked in a storage closet and inaccessible to children in care. Per Director, no children require medication. Director stated that medicine will be stored in a lock box in the kitchen inaccessible to children in care. LPA toured the outdoor play area. Outdoor area was observed to have age-appropriate toys and material for children, free of loose, sharp, and/or pointed parts. LPA observed required cushioning under climbing structure to absorb a fall. LPA advised Director that water should be available for children when they are outdoors. LPA observed required shade in the outdoor area and there are no large bodies of water on the premises. Per Director, all three Licenses use the outdoor play area at staggered times and do not co-mingle. Director stated that there used to be separate play areas separated by a wood fence, but the fence became unusable and was removed. LPAs advised the Director that outdoor play area should be kept as licensed. LPA observed the kitchen area, food preparation area, and food storage area to be clean and free of litter, rubbish, rodents, and/or any other vermin. LPA observed refrigerator to be clean and in operable condition. LPA observed items in the refrigerator not to be expired. Food that was not in the original packaging were sealed and labeled with an expiration date. LPA observed a current Children's roster. During the inspection, children present was observed to be treated with dignity and respect, observed to be receiving safe, healthful, and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment. LPA observed required posted documentation which included, Facility License, LIC610- Emergency Disaster Plan, Publication (PUB) 393- Notification of Parent Rights, PUB 269- Child Passenger Restraint System, LIC 613A- Notification of Personal Rights and Lunch/Snack Menus. All documents were observed to be posted in a publicly accessible area at the facility. LPA observed Sign in/out sheets, LIC 9148 Earthquake Preparedness, Daily Activity Schedule, and Verification of Disaster and Fire Drills (last conducted on 4/3/23). All documents were reviewed during the inspection. Children’s records were reviewed for LIC 613A- Personal Rights, Admission Agreement, Immunization Records, LIC 700- Identification and Emergency Information, LIC 701- Physician’s Report, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, LIC 9227- Infant sleep form (0-12 months, documentation of 15-minute Infant Sleep Check (0-24 months), and Needs and Services Plan for Infants. LPA did not observe a infant sleep log or LIC 9227 for C1. Director was advised that 15 minute checks should be documented for children up to 24 months and infants up to 12 months should have LIC 9227 available for review. Director was advised that a needs and services plan for infants should be available for review for infants. LPA provided the Title 22 regulations (101419.2) for a needs and services plan to the Director. Staff records were reviewed for approved Pediatric First Aid and CPR certification, staff qualifications, LIC 508-Criminal Record Statement, LIC 503- Health Screening Report, LIC 9052- Employee Rights, Proof of immunizations against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, and LIC 9108- Statement of Child and Mandated Reporter Training Certificate. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. LPA did not observe LIC 503 for Staff #2 (S2). Director was advised that LIC 503 should be completed for all staff. Lead Poisoning Facts Flyer (PUB 515) – All licensees (Child Care Centers) must provide the following flyer to parents and families upon enrolling or re-enrolling any child. PIN 21-21-CCP: Release of the Written Directives for Lead Testing of Water in Licensed Child Care Centers Per AB 2370. Per Director, the facility has not tested for lead poisoning in water. Please visit the Lead Toxicity Prevention and Water Testing Information website for additional information and resources regarding lead testing in licensed childcare centers by visiting the following weblink: https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information . For any additional questions, please email: CCCWaterTesting@dss.ca.gov . To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. 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/process . 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 Based on the LPA’s observations, interviews and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety. Deficiencies include two type B violations for not having an operable carbon monoxide detector and for C1 not having a needs and services plan available for review. A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview was conducted and report was reviewed with the Director. Appeal rights were discussed and provided to the Director.