Routine inspection·June 7, 2023

On 06/07/23, Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced random inspection to the above facility. LPA met with Patricia Butler, Licensee who guided analyst on a tour of the facility. The licensee states that she currently has ten children enrolled based on the roster. There was 4 children and 3 infants with the Licensee and Licensee assistant. Licensee has a dual license #191593007. Hours of operation: Monday to Friday 6am to 6pm. Licensee states that sometimes hours are extended based on parents needs. This is a two story home which consists of 6 bedrooms, 3 bathrooms, kitchen, living room (FIREPLACE inaccessible), family room, garage and backyard (fenced). The children use the family room, garage (No napping or feeding takes place in the garage), one bedroom and kitchen and front yard. There is a restroom in the hallway which the children use. Per licensee, areas off limits to children and parents include: living room, (1) downstairs bedroom, all upstairs, 2 bathrooms, backyard (with pool) . LPA observed safety gates installed to make the off-limit upstairs area/rooms inaccessible to children. Areas accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for the safety of the children. LPA observed age appropriate toys and other equipment inside the home and yards. LPA advised Licensee to always ensure careful supervision for all outdoor play equipment. There is a working phone maintained in the home. LPA observed detergents, cleaning compounds, medications, and other items which can pose a danger to children to be inaccessible areas or out of children's reach once LPA asked Licensee to removed items from under the kitchen sink. Technical Violation was given. LPA informed Licensee that poisons must be locked with a key or combination lock. Per Licensee there are no firearms or weapons in the facility. The License, Parents Rights Poster, and Earthquake Preparedness was posted in the garage. The roster is current and the last disaster drill was conducted on 06/07/23 during inspection. LPA observed that the Licensee and Licensee assistant have documentation indicating immunization regarding measles, pertussis and tuberculosis on file. At 1:15pm during staff file review, Licensee and Licensee assistant have a current CPR & First Aid, however CPR & First Aid are not ESMA approved and training was taken online. Type B was given. There are first aid supplies available. At 12:25pm, LPA observed that Licensee has 2 fire extinguishers, 1 located in the kitchen without a service tag and the 2nd one in the garage and was expired. Type B was cited. Children\342\200\231s records were reviewed, including emergency information and were observed to be complete.Staff records were reviewed for approved, LIC-501: Personnel Record, LIC 508-Criminal Record Statement, LIC 9052- Employee Rights, Proof of immunization against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse and current Mandated Reporter Training Certificate and expires on 05/16/24. Licensee states that she is currently caring for infants and there are 3 infants enrolled. Licensee states that the infants will sleep in the nap room and the younger infant sleeps in the family room, where they are constantly supervised. Appropriate sleeping arrangements and cots were observed. Licensee was advised cribs or play yards cannot hinder the entrance or exit from the sleeping space, mattresses shall be firm and covered with a fitted sheet that overlaps the underside, so it cannot be dislodged. Cribs and play yards must be free of loose articles and objects. No objects can be hung above or attached to the side of the crib. LPA advised the Licensee that infants cannot be swaddled, shall be placed on their backs for sleeping and shall be supervised. Infants shall be checked on every 15 minutes and the time of each 15-minute check shall be documented with child\342\200\231s name and date. The LIC 9227 Individual Infant Sleeping Plan shall be completed for each infant up to 12 months of age. LPA reviewed and provided PIN 20-24, LIC 9227 and a sample of a 15 minute sleep log. Licensee stated she was not aware of the new safe sleep regulations. Licensee was reminded that there is no smoking, no infant walkers, no Johnny jumpers, no saucer chairs, and any other item that falls into that category are not permitted in the facility. The licensee is observed to be operating within the license capacity limitations. LPA did not observe any children left in parked vehicles. Car seats shall only be used for transportation. LPA did not observe any children sleeping in car seats. LPA reminded Licensee that children can not sleep or eat in the garage. Currently, children are using the front yard for outdoor play time. The outdoor play area was observed to be fenced. The licensee states that supervision is always provided when children are outside. The backyard is "off limits" and has a pool that is fence. During inspection all children were observed to be treated with dignity and respect, they were observed to be receiving safe, healthful and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment. LPA gave consult regarding the departments Technical Support Program (TSP) and left a brochure. There are no pets on the premises. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual \342\200\223 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. 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 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. 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 LPA advised the licensee to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov . Based on the LPA's observations and records review the following deficiency will be cited today in accordance with California Title 22 Regulations. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, P. Butler.