Routine inspection·August 11, 2022

On 8/11/22 Licensing Program Analysts (LPAs) Jeanette Estrada and Austin Estrada conducted an unannounced required 1 year inspection at the above facility. LPAs met with the Licensee Elvia Pineda and informed her of the purpose for the visit. LPAs provided Licensee with a copy of the Facility Entrance Checklist. Licensee guided LPAs on a tour of the facility. There was 1 child present during the inspection. All residents were noted and verified. Also present was Staff 1- Licensee's spouse who is the Assistant. Facility provides care to children ages 0 to 12. Facility is open Monday to Friday 6 AM to 6 PM. This is a one story, 2 bedroom, 2 bathroom home, with a living room (daycare area), dining room, kitchen, back yard, detached garage with an additional dwelling unit (ADU) with one bedroom attached and a fenced front yard. Per Licensee areas on limits to children are: living room, dining room, hallway bathroom, kitchen and front yard. Per Licensee areas off limits to children are: 2 bedrooms, entire back yard and detached garage including ADU. Licensee was advised to submit an updated facility sketch which indicates clearly off limit areas. A previous report dated 5/16/2018 identified the front yard and garage as off limits. All areas that are accessible to children were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection: LPA discussed required posted documentation with Licensee and advised the following shall be posted in a Licensed facility. Facility license, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. LPAs did not observe those forms posted at the facility. LPAs did not observe a disaster drill log or a children's roster. Per Licensee, the last disaster drill took place in May 2022. There is an operable carbon monoxide detector and a smoke detector in the facility. LPAs observed a 2A10BC Fire Extinguisher in the facility which was serviced in April 2022. The home maintains telephone service (Land line and cell phone). Food is provided by Licensee. Licensee was reminded if children bring food from home it must be labeled with the child’s name and properly stored or refrigerated. Page 2 There are toys and other age appropriate materials available for children. Sharp objects, detergents and cleaning compounds were not inaccessible to children in care. LPAs observed knives on the kitchen counter, accessible to children in care. Licensee removed the knives, placed them in a container and placed the container in an upper cabinet in the kitchen. Cleaning products are kept in the cabinet under the kitchen sink. Licensee installed a latch on the cabinet. LPAs observed a container of laundry detergent on the kitchen counter. Licensee removed the detergent and placed it in the locked laundry room. LPAs observed two containers with prescription medication on the kitchen counters and a container of Tylenol in the living room. Per Licensee no children enrolled require medication. At the time of arrival, Child 1 was present in the kitchen. LPA observed Licensee remove the prescription medication and place it in an off limits bedroom. LPA discussed with Licensee the importance of maintaining the kitchen inaccessible to children due to the hazards observed. Licensee stated the kitchen will only be accessible from now on in passing to the back yard when the back yard is on limits and children will be escorted through. Licensee stated she will place a safety gate at the entrance of the kitchen. Licensee asked Child 1 to move to the living room during the inspection. There is an air conditioning unit in the living room. There is a wall heater in the living room which has a safety gate installed. Children use the restroom in the hallway. LPA observed cleaning products are contained in a latched cabinet under the sink. Per Licensee the children use the back yard and the front yard for outdoor play. LPAs observed the back yard which contained a large amount of toys, furniture and equipment for children. The majority of the items observed were not in good condition. Per the Licensee, she is in the process of cleaning and getting rid of items which cannot be used anymore. Licensee also stated the detached garage is used by children for activities. LPAs observed a section of the garage set up for day care. During this inspection LPA discussed use of the backyard with Licensee. Per Licensee, the backyard was previously accessible to children but children have been using the front yard for outdoor play. Licensee stated the back yard will be off limits while it is being cleaned. Licensee was advised to notify the Department when before back yard is made accessible. LPAs observed some items in the front yard that per Licensee will be removed, such as a recliner couch and a set of blinds. The front yard is fenced and per Licensee, the children are supervised when they are outside. Per Licensee, there are no poisons in the home. Licensee understands that all poisons must be locked, not only inaccessible to children. Isolation area for sick children waiting to be picked up is in the children's living room. Per Licensee, there are no firearms or weapons stored in the home. LPA did not observe pools or spas, or other bodies of water. Page 3 Infant Care : Currently licensee has no infants enrolled. Licensee was advised that napping equipment should not block entrances or exits. Infant mattresses should be firm with tightly fitted sheets. LPA discussed that each infant enrolled must have their own crib/ napping mat and bedding. LPA informed licensee of the new Safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 12 months, 15-minute sleep check documentation for infants 0-24 months, LPA provided PIN 20-24-CCP. Overnight Care : There is no overnight care provided at the moment. LPA discussed the following: Licensee is aware that they must remain awake while children are awake. If children sleep in separate area from licensee, the door must remain open. If licensee cannot hear children when they wake up, video or audio device can be used. Children's records were discussed. There was no record for Child 1 available at the facility. LPAs advised Licensee that Children's records shall contain (LIC) 282- Affidavit Regarding Liability Insurance, Immunization Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights. Licensee's and Staff 1s records were reviewed. Licensee's and Staff 1's Pediatric CPR/First Aid expires 3/2024. Licensee and Staff 1 did not have proof of required immunizations (measles, pertussis, flu), proof of TB clearance or Mandated Reporter Training certificate. During inspection the child present was observed to be treated with dignity and respect, and free from corporal and/or unusual punishment. Issues with safe and comfortable accommodations were cited on LIC 809-D. Incidental Medical Services (IMS) : Incidental Medical Services (IMS) policy was discussed. Per Licensee, no children enrolled require medication. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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. Page 4 LPA 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-and-resources/safe-sleep https://www.cdss.ca.gov/inforesources/child-care-licensing/ public -information-and-resources/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. To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process . The deficiencies listed on the following page were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. One type A citation was issued today for CCR 102417(g)(4) Operation of a family child care home regarding the hazards that were observed in the kitchen: accessible medication, knives and cleaning products. Please see attached LIC 809-D for all citations. Deficiencies that are being cited need to be cleared to protect the children’s health & safety. The notice of site visit was posted where the parent/guardian of children enter and exit the facility. A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility. Both the notice of site visit and licensing report shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 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 their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt. Exit interview conducted and report was reviewed with the Licensee, Elvia Pineda. A notice of site visit was given and must remain posted for 30 days. Page 5 The deficiencies listed on the following page were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. One type A citation was issued today for CCR 102417(g)(4) Operation of a family child care home regarding the hazards that were observed in the kitchen: accessible medication, knives and cleaning products. Please see attached LIC 809-D for all citations. Deficiencies that are being cited need to be cleared to protect the children’s health & safety. The notice of site visit was posted where the parent/guardian of children enter and exit the facility. A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility. Both the notice of site visit and licensing report shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 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 their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt. Exit interview conducted and report was reviewed with the Licensee, Elvia Pineda. A notice of site visit was given and must remain posted for 30 days.