Routine inspection·March 28, 2022

Licensing Program Analyst (LPAs) Fabiola Vasquez and Steven Tung conducted an unannounced required inspection at the above facility on 03/28/22 at 12:30 PM. Visit was conducted in Spanish. LPA met with Salome Zambrano, Licensee who guided analyst on a tour of the facility at approximately 12:35 PM. There were 4 children (3 being infants) present adults were Licensee, S1,S2,S3 present upon arrival. Facility capacity is in compliance for a Large Family Child Care Home. Per licensee 4 adults and 3 minors live reside in the home. This is a one-story home which consists of three bedrooms, one restroom, kitchen, dining room, Living room, shed, detached garage, front and back yards (fenced). Per Licensee, areas off limits to children and parents include: the bedrooms, detached garage, and shed. Hours of operation are Mon-Fri 6:00 AM - 6:00PM. Food is provided by Licensee. LPAs observed bird cages in the backyard inaccessible to children. LPA observed the following required posted documentation in the main entry way of the facility: Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. LPA reviewed facility records for LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan and Disaster drill log. Last drill was conducted on 2/20/22. Smoke and carbon monoxide detectors were tested and are operable. Fire extinguisher indicated fully charged. The home maintains telephone service via landline and cell phone. The home is observed to be clean and orderly. There are toys and other age appropriate material available for children. LPA observed a wall heater in the living room (screened). LPA observed that detergents, cleaning compounds and medication are stored in in an area that is inaccessible to children. LPAs observed a can of Lysol, 2 Clorox containers and a Clorox spray accessible to children. Licensee understands that all poisons must be lock. Isolation area for sick children waiting to be picked up is away from the other children. Per Licensee there are no firearms or weapons stored in the home. PAGE 1 OF 3 Infant Care : Currently licensee cares for infants birth to 24 months. LPA observed two cribs in the dinning room. Napping equipment does not block entrances or exits. Infant mattresses were observed to be firm with tightly fitted sheets. LPAs observe blankets inside the cribs. LPAs did not observe bumpers, objects hanging, or objects attached to the cribs. Per licensee wet or soiled sheets are put in a basket and washed by licensee. Each infant has their own crib and bedding. Bedding changed daily. LPA discussed with 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. Licensee states the following as a sleep supervision plan for infants: We sit in the main care area and supervise the children. Child (C) C1, C2, C3 were missing proof of Safe Sleep Plan documentation. Child (C) C3 is missing the LIC 9227 Individual Sleeping Plan. Children are using the front yard for outdoor play. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with. LPA did not observe any objects that could be hazardous to children in care Children\342\200\231s records were reviewed for (LIC) 282- Affidavit Regarding Liability Insurance, Immunization's Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents\342\200\231 Rights, LIC 9227- Infant sleep form (0-12 months, and documentation of 15-minute Infant Sleep Check (0-24 months). Child (C) C3, C4 are missing proof of Notification of Parent's Rights. Staff records were reviewed for approved Pediatric First Aid and CPR certification, LIC-501: Personnel Record, LIC 508- Criminal Record Statement, LIC 9052- Employee Rights, Proof of immunization's 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. Licensee, S1, S2, S3 Missing: Flu/TB/Tdap/MMR. 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 observed that licensee is implementing COVID-19 precautions and procedures. PAGE 2 OF 3 Incidental Medical Services (IMS) : 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 The following deficiencies are cited in accordance with Title 22 of California Code of Regulations. See 809 D attached. 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 . 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 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. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the licensee, Salome Zambrano. PAGE 3 OF 3