Inspector’s narrative
What the inspector wrote
Licensing Program Analyst (LPA) Maddox met with Kathleen Cannon, Administrator and Pastor and Jennifer Najera, Director, for the purpose of conducting an announced pre-licensing inspection. Director is requesting licensure of an Infant component for children ages 6 weeks to 24 months. The hours of operation will be: Mon through Friday from 7:00 am to 6:00 pm. Applicant/Owner/Director is requesting licensure of 28 Infants. This center is located within New Life Church. During this inspection, LPA toured and measured 2 classrooms and outside play area designated for Infants (pictures taken).
INDOOR ACTIVITY SPACE
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The child care center was toured and found to be clean, safe, sanitary, and in good repair to ensure the safety and well-being of children, employees and visitors
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Floors of all rooms have a surface that is safe and clean (wood flooring)
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A comfortable temperature for children shall always be maintained.
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Furniture and equipment are maintained in good condition, free of sharp, lose or pointed parts. There are a variety of age-appropriate equipment, toys and materials in good condition and in sufficient quantity to allow children present to fully participate in planned activities.
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Tables and chairs were present to meet the needs of the children.
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Drinking water is readily available.
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Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children were stored and inaccessible to children (stored in high cabinets. Stored - locked cabinets in the classroom.
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There is/are fully stocked first-aid kit(s) in locations accessible to staff but inaccessible to children:
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The isolation is located in the office for any child who becomes ill during the day.
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LPA observed operable carbon monoxide detectors and smoke detectors(hard wired). Fire extinguishers are located throughout the facility and fully charged.
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The center has a working telephone
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Sign-in and out procedure (Brightwheel)
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The Director shall conduct a wellness check to ensure infants with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted.
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The indoor activity space for infants is physically separate from space used by children in the child care center and school-age child care center components.
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The sleeping area for infants is physically separate from the indoor activity space.
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LPA observed the following regarding the Infant changing tables: there is a padded surface no less than one-inch thick and covered with washable vinyl or plastic; the sides of the infant table has raised sides at least three inches high; maintained in good repair and safe condition; placed within arm's reach of a sink.
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All such equipment or furniture shall be washed with a detergent/disinfectant after each use
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The diaper changing table shall be washed and disinfected after each diaper change.
CHILDREN\342\200\231S RECORDS:
LPA explained all children's records shall be available to the Department to inspect, audit, and copy upon demand during normal business hours.
OUTDOOR
LPA observed a shaded rest area for the children. There are no bodies of water on the premises
The play yard was free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls (sand). Applicant/Director will send pictures of outside play equipment once received)
RESTROOMS
There is a bathroom located in each classroom, each bathroom has 1 toilet and 1 sink. All toilets and hand washing facilities shall be maintained in safe and sanitary operating condition. Staff bathroom- there is a staff bathroom located in the entrance area (classroom #3).
SUPERVISION:
Sleeping infant(s) shall be directly observed by sight and sound at all times.
This shall include when the infants are going to sleep, are sleeping, or are in the process of waking up.
Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:
Labored breathing.
Signs of distress, which includes but is not limited to
flushed skin color, increase in body temperature and restlessness.
Infants up to 12 months of age who are sleeping in a position other than on their back.
If the infant\342\200\231s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping.
NAPPING
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Each crib, mat or cot shall be occupied by only one infant at a time.
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Bedding shall be changed daily
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Cribs shall be free from all loose articles and objects, including blankets and pillows.
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Pacifiers shall be allowed in the crib if the following provisions are in place: There shall not be anything attached to the pacifier.
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Bumper pads shall not be used.
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LPA observed Cribs, mats or cots arranged so as to provide a walkway and permit staff to reach each infant without having to step over or reach over any other infant.
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LPA explained the following regarding Section
101439.1
Infant Care Center Sleeping Equipment
: Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.
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Prior to the infant's first day at the center, the infant care center director or assistant director shall complete a needs and services plan for the infant.
(b) The needs and services plan shall be in writing and shall
be in compliance with Title 22; Section 101419.2
including the following: Infants up to 12 months of age shall have a completed Individual Infant Sleeping Plan [LIC 9227 (3/20)] which is incorporated by reference.
The needs and services plan shall be maintained in the infant\342\200\231s file and shall be available to the Department for review.
HEALTH RELATED SERVICES:
Medications shall be kept in a safe place inaccessible to children. A refrigerator shall be used to store any medication that requires refrigeration. Director has implemented a written plan to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given.
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
FOOD SERVICES
Director has provided an Infant menu.
There shall be an individual feeding plan for each infant.
The plan shall be completed and available for use prior to the infant's first day at the center.
The director or the assistant director, and the infant's authorized representative and/or physician, shall develop the plan.
The authorized representative shall sign the plan to verify that he/she has participated in developing and updating it.
Pesticides and other similar toxic substances were not stored in food storerooms, kitchen areas, food-preparation areas, or areas where kitchen equipment or utensils are stored. Soaps, detergents, cleaning compounds or similar substances were stored in areas separate from food supplies.
There is a refrigerator available to store any medication that requires refrigeration.
Each Director shall have a disaster and mass casualty plan of action. The plan shall be in writing and shall be readily available.
POSTINGS:
The Director was informed of the required forms that shall be posted after licensure including the telephone number of the local health department and information on child passenger restraint systems pursuant to Health and Safety Code section 1596.95(g) and Vehicle Code sections 27360 and 27360.5
Indoor Activity Space:
Room #112 measured 382
Room #113 measured 326
Total measurements 708/35 = 21 Infants, this total does not meet Directors requested capacity of 28 Infants.
Outside play space:
Outside measurements totaled 1727/75 = 23 which does not meet the Directors capacity of 28.
Based on measurements taken during today's inspection, center can accommodate a capacity of 21 Infants.
Fire Clearance has been received for the requested capacity of 28 Infants.
LEAD TESTING
Lead Testing was completed on 11/17/2022
Director is reminded of the requirement to report and unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC 624B.
CRIMINAL RECORD REVIEW
Director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.
POSTINGS:
The Applicant/Owner/Director/Director was informed of the required forms that shall be posted after licensure including the telephone number of the local health department and information on child passenger restraint systems pursuant to Health and Safety Code section 1596.95(g) and Vehicle Code sections 27360 and 27360.5
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 receive important licensed related information to licensed facilities, visit the CCLD Important Information website at
https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe
and select the Child Care option to receive email communication
Needed Prior to Licensure:
*Final File Review - some missing documents received during this inspection
*Place smoke detectors and carbon monoxide detectors in each classroom
*4 ft barrier needed in Room #112 (between the crib area and indoor activity area)
*Room #113 - Door needs replacing
*Need pictures of pop-up umbrellas for outside shade (there are some trees present that hang over fencing however, does not provide adequate outside shade).
*There is a swing set on the play yard that does not appear to be anchored, also, the swing set is wooden and LPA observed chipping and peeling paint, the wood needs sanding and re-painted.
An exit interview was conducted with the above items discussed and a copy of this report was provided to the Director, Jennifer Najera. Director was informed that the final license determination will be made upon review of the Licensing Program Manager.