Inspector’s narrative
What the inspector wrote
Licensing Program Analysts (LPA) Austin Estrada and Jeanette Estrada conducted an unannounced annual required inspection at the above facility. LPA met with Director Vallrie Brown, who guided analysts on a tour of the facility. Director left at approximately 2:30 PM and Lead Teacher Elizabeth Hernandez assisted LPAs for the remainder of the visit. The facility is located on the same premises of a church. Per Director, children do not enter or exit through the church. The facility has two classrooms where care is provided. LPA observed 11 children napping supervised by three teachers in room 2. Teacher child ratios were observed, and staff names recorded.
The following was observed during the tour of the facility:
LPA observed both classrooms 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 water readily available via water containers. Children use disposable cups. LPA observed cubbies/storage area for children to store their personal belongings. Smoke detector and carbon monoxide detector were observed to be in operable condition. LPA observed Fire extinguisher indicated fully charged last serviced on 9/2/22. First Aid kit was observed and inventoried. Appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, paper towels, and general sanitation. Disinfectants and cleaning solutions were observed to inaccessible to children in care. Per Director there are no poisons stored at the facility.
Napping equipment and bedding were inspected and found to be clean and in operable condition. Per Director, bedding sheets are taken home by the children and washed weekly. Each classroom has a designated isolation area which is away from other children. Each classroom has two bathrooms, and one is designated for ill children if needed.
Per Director, no enrolled children require medication and medication is administered on a as needed basis. Medication would be stored in a high cabinet in the classroom inaccessible to children in care.
LPAs toured the outdoor play area. Outdoor play area was observed to have age-appropriate toys and materials for children. Outdoor play area was observed to be free of loose, sharp, and/or pointed parts.
LPA observed required cushioning under climbing structure to absorb a fall. Per Director, water is provided to children via water containers while outdoors. LPA observed one outdoor water fountain which is not currently in use. LPA observed required shade in the outdoor area and there are no large bodies of water on the premises.
LPA observed the kitchen area (located in the church) 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. Per Director the kitchen will be used for food preparation starting 4/28/23. The kitchen was unavailable due to an accident that was reported timely to the department.
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 in the classrooms.
LPA observed Sign in/out sheets, LIC 9148 Earthquake Preparedness, Daily Activity Schedule, and Verification of Disaster and Fire Drills (last conducted in 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, and LIC 995A Notification of Parents’ Rights. All records were observed to be complete.
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 observed 2 out of 5 staff to not have mandated reporter training certificate, 3 out of 5 staff not to have the required immunizations, 2 out of 5 staff did not have LIC 503, 1 out of 5 staff missing LIC 9108 and LIC 9052, and 3 out of 5 staff to not have the CPR and Pediatric First Aid training certificate.
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. Facility completed the lead testing requirement and no lead exceedance were recorded.
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.
LPA provided and discussed PIN 23-06-CCP Information Regarding Brightly Colored Fentanyl, Also Referred to as “Rainbow Fentanyl”.
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inspectionprocess@dss.ca.gov
. For additional information regarding the inspection and its tools and methods, please visit the
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.
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
Lead teacher 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.
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 2 out of 5 staff not having the mandated reporter training certificate and 3 out of 5 staff not having the required immunization records 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 Lead Teacher. Appeal rights were discussed and provided to the Lead Teacher.