Routine inspection (3-year)·November 1, 2023

On 11/01/2023 Licensing Program Analys (LPA) Cristina Castellanos and Judy Laureano conducted an unannounced Annual Required Inspection at the above-mentioned facility. LPAs were greeted by Licensee S. Kamran. Present during today\342\200\231s inspection was licensee S. Kamran. The hours of operation are Monday through Friday 8:00am to 5:00pm. LPAs toured the home inside and outside. Currently the facility is available to take children from 8 months to 4 years old. Facility is licensed for a Large Family Child Care license with a max capacity of 14 children. Licensee is not available for overnight care. Currently living in the home is licensee, husband and two adult children. This is a single-family home with 5 bedrooms, 3 bathrooms, 2 living rooms, a kitchen/dining room and attached garage. Families enter the home through the main entrance and kitchen/dining room is used as a walkway to the 2 nd living room. Licensee confirmed child care is conducted primarily on the right side of the home: 2 nd living room and bedrooms 4 and 5. Per licensee bedroom 4 and 5 are used for napping. The back porch is used for eating. The primary bathroom the children use is adjacent to the 2 nd living room. Licensee confirmed the following areas as OFF LIMITS: bedrooms 1, 2, 3 and 2 bathrooms on the left side of the home. LPAs reminded licensees that any area designated as OFF LIMITS should be made inaccessible during the hours of operation and/or while children are present. There are no firearms or ammunition on the premises. Detergents and cleaning compounds are kept in the garage. LPAs observed a screened/barricaded fireplace in the main living room. Licensee confirmed that home is not available to take in a child that might need medication. Currently there are no children that required medication. LPAs observed licensee test the carbon monoxide and smoke detector in the home. LPAs observed a working fire extinguisher in the dining room. LPAs reminded licensee to maintain proof of an annual service for the fire extinguisher. Licensee confirmed that home provides meals. LPA discussed the importance of maintaining a system where allergies and food restrictions are noted. Page 2 Adequate heating and ventilation for safety and comfort were observed in the space. Safe toys and play equipment were observed. The home has a working telephone service and LPAs confirmed the phone number 310-977-4973. Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. Prohibited items in Family Child Care Home flyer was provided. Capacity as specified on the license is not being maintained during today\342\200\231s inspection. Assistant was not present for approximately 30 minutes; licensee is being cited a Type A citation. Safe Sleep regulations were discussed due to program being available for infant care. There is one crib or play yard for each infant in care, cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Infants up to 12 months of age are placed on their backs for sleeping. Individual Infant Sleeping Plan was discussed and LIC form was reviewed. Licensee\342\200\231s Mandated Reporter Training was not available for review. Pediatric CPR/Pediatric First Aid was taken 10/7/2023 by licensee and assistant. LPAs reminded licensee the importance of making sure all vendors providing Pediatric CPR and Pediatric First Aid need to be EMSA approved. LPAs reviewed 7 children\342\200\231s files and observed files to be incomplete. LPA provided licensees with a current copy of the LIC 311D and LIC126 to use as a reference when auditing files. A sample packet was provided to licensee. 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 . Page 3 Family Child Care Homes Licensee 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. LPAs discussed the safe sleep regulations with licensee 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 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 22-02- CCP. 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, S. Kamran, 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. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with S. Kamran.