Routine inspection·December 2, 2024

On 12/2/24, Licensing Program Analyst (LPA) Lilli Babcock conducted an unannounced annual inspection. A Covid risk assessment was conducted. LPA met with Assistant Director, Danielle Rojas, to whom the reason for the visit was explained. Assistant Director stated the Director was out for the day. Assistant Director guided LPA on a tour of the facility. This is an infant program which is currently licensed for a capacity of 28 children and operates Monday – Friday from 6:15 am AM – 6:00 PM. Per Assistant Director there are 8 children enrolled. This facility is approved to provide child care services for children of military families. Per Assistant Director, the facility has military families enrolled in the program at this time. The Infant License contains one room. Census was taken upon arrival and LPA observed two staff and five infants present in the infant room. Teacher-child ratios were observed to be in accordance with Title 22 Regulations. Staff names were recorded. LPA confirmed all individuals present have obtained a criminal record clearance. All children were observed by LPA to be under supervision, including visual supervision, of a teacher at all times when LPA was present in the classroom. The licensed facility is within the conditions, limitations, and capacity specified on the license. All areas identified on the Facility Sketch were inspected and the following was observed: The indoor classroom was inspected to ensure that furniture and equipment are age-appropriate and in good repair, and the floors have a surface that is safe and clean. Napping equipment including cribs were Page 1 of 5 inspected for good condition. Per Assistant Director, the facility washes bedding for infants on a daily basis. Storage for children's belongings were inspected and LPA observed children have their own labeled cubbies to store their belongings in the infant room. Children bring sippy cups from home and are allowed to drink freely at any time. Sippy cups are refilled on demand from a water jug located in the classroom. LPA observed toys and materials for children in the infant room. A changing table was observed to be in arms reach of a sink. Per Assistant Director, the office is used as an isolation area and ill children use the staff restroom. Per Assistant Director, staff provide 100% supervision when ill child is using the isolation room and/or restroom, and parents are contacted immediately when children are determined to be ill, and staff are ensuring that children with obvious symptoms of illness are not being accepted. Food menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. Menus for the past 30 days are available upon request. The facility provides breakfast and occasionally PM snack. All storage containers for solid waste, including moveable bins, have tight fitting covers on and are in good repair. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Per Assistant Director, there are no poisons at the facility and none were observed on this day. Per Assistant Director, there are no children currently that use medications. A first aid kit was located in the infant room. Telephone service, heating, lighting, and ventilation were evaluated. LPA observed the facility to have operable carbon monoxide and smoke detectors on this day. Page 2 of 5 The facility has an outdoor play area that is fully fenced. Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. There is adequate shade in the play yard. There are safe toys, play equipment and materials observed for children outside on the playground. Availability of outdoor drinking water was observed. Per Assistant Director, children bring sippy cups from home and when infants go outdoors, staff bring the sippy cups out to the outdoor play area, each time the classroom goes outdoors. Sign-in and Sign-out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. LPA reviewed facility roster and Disaster Drill log. Last drill was conducted on 10/17/24. LPA observed all required posted forms to be posted in the hallway of the main office, where parents walk by to reach the infant room. Staff Records and Children’s Records were reviewed. LPA observed children’s files reviewed to be complete. Inspection of required forms were made. Children’s files reviewed contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. At 10:00 am, LPA observed the facility is not documenting the time of 15-minute checks on sleeping infants. Assistant Director stated the facility does note the beginning and ending time the infants sleep, however they do not document the time of 15-minute checks, nor do they document any signs of labored breathing or distress, which include but are not limited to flushed skin color, increase in body temperature and restlessness. LPA observed at least one person present during the inspection to be trained in Pediatric First Aid and CPR. LPA reviewed staff files, including Health Screenings. LPA observed all personnel to be in good health and are physically and mentally capable of performing assigned tasks. Page 3 of 5 LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov . Based on the LPA observations 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 and safety. 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. Facility representative was reminded that all adults 18 and over, 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. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of Page 4 of 5 the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. LPA discussed the safe sleep regulations with facility representative 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 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. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/ . PIN 22-05-CCP Facility representative 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 the facility representative, Danielle Rojas. Page 5 of 5