Routine inspection·May 3, 2023

On 5/3/2023, Licensing Program Analyst (LPA) Carol Heath met with the Director, Angelee Oster, to conduct an unannounced 5 year required inspection for the infant program. LPA disclosed the purpose of the inspection and was granted entry to the facility. The operating hours of the infant center are Monday through Friday from 7:00 AM to 6:00 PM. There are three classrooms utilized for the infant license. During today\342\200\231s inspection, LPA observed 12 infants, 5 teachers in the Infant room. The center also has a Pre-School and Toddler age component. Incidental Medical Services (IMS) were discussed. Physical Plant : Furniture and equipment were inspected for age appropriateness and good repair. There are no walkers on the premise. The bedding is changed weekly (washed). The bedding is stored separately and properly inside the cubbies. Floor mats and cots (stored in a locked area) were observed. Used diapers are put a trash (diaper pail) container with a lid underneath changing table. Each child will have a container labeled (photo and name) with personal items. The infant room is clean and safe. There is a bathroom with one toilet. There is a sink (age appropriate) near the changing area for children. Sanitation solution is not accessible to infants (under the sink with lock). Age-appropriate cribs, cots, changing tables, and feeding chairs were observed to be clean and in good repair. The staff bathroom is located in the Infant playground. Cots are available for older infant napping. The director states they are sanitized daily (bleach & water), and linens are also washed and changed weekly. They are stored separately within separate cubbies. Sign-in and Out sheets were printed out and reviewed. LPA observed wires accessible to the children. LPA observed 17 crib beds . The director states there are 4 cribs used as evacuation cribs. LPA observed staff wearing disposable booties in the infant room. Both rooms\342\200\231 disinfectants, cleaning solutions, poisons, and other items that are dangerous or hazardous were inaccessible to children and stored by magnetic locks in cabinets. LPA observed the first-aid supplies in a location accessible to staff but inaccessible to children. LPA advised the director the following supplies need to be in each First Aid backpack: (1) A current edition of a first-aid manual. (2) Sterile first-aid dressings. (3) Bandages or roller bandages. (4) Adhesive tape. (5) Scissors. (6) Tweezers. (7) Thermometer. (8) Antiseptic solution. The outdoor : The outdoor play equipment was inspected for health, safety, good repair, and age appropriateness. All equipment is securely anchored to the ground. There is a grass and concrete area for active play. The area was observed to be free of debris. There were no bodies of water observed in the playground area. The playground was observed to be properly gated all around. Equipment was inspected for safety, cushioning material, good repair, and age appropriateness. The infants have their own playground area. LPA observed several soft toys for. The director indicated that no milk is taken outside, only water cups. The playground area has a shaded rest area for the infants. Care and Supervision: Center was found to be operating within its specified ratio and capacity. LPA observed 5 teaching staff with 12 infants. LPA observed children and contained emergency contact information. The sleeping log was reviewed. The staff did follow Safe Sleep Regulation to conduct 10-15 minute checks. All infants have an Individual Infant Sleeping Plan (LIC 9227) in their file. Staff Records/ Children Records: Children's records and staff records were reviewed. LPA verified there is at least 1 staff person present with current CPR and First Aid Training (exp. 2024). All staff completed the Mandated Reporter training every 2 years. All staff receives Measles, Pertussis, and Influenza vaccination. All staff has required fingerprinting associated with the facility. LPA observed 5 children's files contained all required licensing documents. There were no bodies of water observed in the playground area. The outdoor playground was inspected and was observed to be free of hazards, loose and sharp parts. The playground was observed to be properly gated all around. Equipment was inspected for safety, cushioning material, good repair, and age appropriateness. LPA observed bottles labeled with the infant's names and current date. Soaps, detergents, cleaning compounds, or similar substances shall be stored in areas separate from food supplies. Other: \302\267 Telephone service, heating, lighting, and ventilation were evaluated. \302\267 The isolation area for sick children is located in the Director\342\200\231s office. \302\267 A review of medication policy indicated that prescription medication is administered only with the parent's written permission. The Director and other administration staff administer medication and document the dosage, date, and time on a log. Medication is properly labeled and stored in its original container. Criminal Record Statement (continued) 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. Deficiencies cited: (See LIC 809D). The following Type B deficiencies are being cited in accordance with Title 22 of the California Code of Regulations and Health & Safety codes. Exit interview conducted and report was reviewed with the Director, Angelee Oster