Inspector’s narrative
What the inspector wrote
On
06/03/2025
, Licensing Program Analyst (LPA) Cristina Castellanos conducted an unannounced 3 Year Required Inspection for the facility named above. LPA Castellanos was greeted by Director Sheela Deraniyagala. LPA toured the facility both indoors and outdoors and observed a total of 2 children in care, being supervised and cared for by 1 fingerprint cleared staff member. Present during today\342\200\231s inspection was Director Sheela Deraniyagala.
The infant hours of operation are from 7:30am to 5:00pm. Parents sign their children in and out of the facility at the entrance of the infant classroom. LPA advised administrator to ensure that parents sign using their full legal name.
Upon arrival LPA observed staff member S2 with no direct supervision of a director of a fully qualified infant teacher providing care and supervision to two (2) infants. At approximately 09:03am staff member S4 arrived and was switched with S2 in the infant classroom. During record review it was found that S4 is not a fully qualified infant teacher. LPA informed Director Sheela Deraniyagala of the findings and reminded her that
all children shall be under supervision, including visual supervision, of a teacher at all times
. Additionally, LPA reminded the Director that an infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher, except as provided for in Section 101416.5(d)(1). LPA observed on separate occasions S2 and S4 were left alone or together with 2 infants and no direct supervision of a director or a fully qualified teacher during the course of the inspection, which poses an immediate health, safety or personal rights risk to persons in care. The infant program is not in compliance with Title 22 regulations.
Per the Director the infant center does not provide Incidental Medical Services (IMS).
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There are no swimming pools, ponds, or other bodies of water on the premises
.
There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, and other hazardous items are made inaccessible. All poisons are kept in a locked cabinet area. The facility\342\200\231s staff members do the day-to-day cleaning in the infant classroom.
LPA observed one (1) fully charged fire extinguishers and no carbon monoxide detector in the infant facility. Additionally, the entire facility has a Pull Fire Alarm system. LPA observed the First Aid Kit in the kitchen area. LPA reminded the Director of the importance of having the verification of the Disaster and Fire Drills Log available for review.
All toilets and hand washing facilities are in safe and sanitary operating condition. LPA inspected the infant classroom and observed age-appropriate toys, books, and furnishings. 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. Areas around high climbing equipment, swings and slides have cushioning material to absorb all falls.
Per Director parents assure they provide meals and snacks for their children which comply with dietary restrictions and allergies. All food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. Solid waste storage containers have tight-fitting covers and are in good repair.
Drinking water is available to the children in care. Additionally, children bring in their own refillable water container. Inside the classrooms there is a water dispenser.
The facility communicates with families through the online application "Pro Care," newsletters and/or verbal communication during drop-off and/or pick-up time.
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.
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LPA reviewed 4 personnel files and observed files to not be in compliance, 1 file was missing TB Clearance, 2 files were missing immunization records, and 3 files were missing LIC503 Health Screening Report, which poses an immediate health, safety or personal rights risk to persons in care. Additionally, LPA discussed with director the importance of making sure that all training such as Mandated Reporter are done prior to expiration dates, 4 out of 4 personnel files had expired Mandated Reporter Training Certification. At least one person is trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. LPA observed current CPR and Pediatric First Aid for the majority of the staff present during today\342\200\231s inspection. LPA discussed the importance of making sure that all Pediatric CPR and Pediatric First Aid training is EMSA approved.
LPA reviewed 5 children\342\200\231s files and observed 3 out of 5 files to not have test results for tuberculosis, which poses/posed a potential health, safety or personal rights risk to persons in care.
LPA provided Director with the Child Care Center Provider Requirements form, the LIC125 and the LIC311A for further review and reference.
Director 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.
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). Facility has latest test results posted in the Parent Board and dated January 24, 2023.
For IMS information see
PIN 22-02-CCP
. 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
\302\255
centers/
.
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Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.
LPA reminded Director to access the Community Care Licensing website
www.ccld.ca.gov
for 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. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.
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 3, of the California Code of Regulations, there were eight (8) deficiencies cited during today\342\200\231s inspection; 5 Type A & 3 Type B. See LIC 9099-D for additional information. Furthermore, the facility was also given Technical Violations and Technical Assistances.
Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report documenting a Type \342\200\234A\342\200\235 deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgment of Receipt (LIC9224) form must be maintained in each child\342\200\231s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.
An exit interview was conducted, and a Plan of Correction was reviewed and developed with the Director. A copy of this report and appeal rights were discussed and left with the Director, whose signature on this form confirm receipt of these documents.
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