Routine inspection·July 7, 2023

On 7/7/2023 at 9:15 AM, Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced required Annual inspection. LPA met with Director, Maria Carmen Millner. At 9:30 AM LPA was guided on a tour of the facility indoors and outdoors. This is an infant program licensed for 10 children, which operates Monday through Friday from 6:00 AM to 6:30 PM. Per the Director, there are 9 children currently enrolled, and facility offers care for military families. The following classroom was inspected: Infant room had 6 infants in care ages 0-18 months with 2 staff members which are fingerprint cleared. Teacher-child ratios were observed to be in accordance with Title 22 Regulations. Staff names were recorded. All children were observed to be under supervision, including visual supervision. Licensed facility is within the conditions, limitations, and capacity specified on the license. Infant classroom is currently inside a child care center located in a shopping center area and hold a preschool license as well. The classroom furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. Indoor classroom was inspected to ensure that the floors have a surface that is safe and clean. Telephone service, heating, lighting, and ventilation were evaluated. Storage for infants’ belongings and napping equipment/cribs was inspected and meet all regulatory requirements. Availability of drinking water was reviewed and per Director the classroom provides water with a filtered jug. The children have their own sippy cups/bottles with their names written on them. Changing table has raised sides at least three inches high and is within an arm’s reach of a hand washing sink. Toys observed to be clean. Carbon monoxide detectors and smoke detectors are present in the facility. Fire extinguishers are serviced annually and was last serviced 6/29/2023. Storage cabinet in classrooms was locked and hazardous items including poisonous cleaning compounds were stored inaccessible to children. Emergency disaster drill was last conducted on 06/2023. There is a First Aid kit available inside the classroom; the supplies were inventoried and found to be in good condition. Page 1 of 4 Children bring their own bedding, which are sent home at the end of each week to be laundered. Storage for children's belongings was reviewed. Food preparation areas were toured for safety, cleanliness, and proper equipment. Bottles, dishes, and containers were labeled with infants’ names; dates were visible on all children's bottles and other refrigerated items. Table food items are served by the Center, as well as formula unless a parent wants to provide a different brand of formula. LPA provided the Director with a Safe Sleep Handout and reviewed the 15-minute log for children 0-24 months, which is done on an electronic tablet and was reviewed by the LPA. LPA consulted with Director regarding the IMS procedures and advised to review PIN 22-02-CCP Best Practices related to the Provision of Incidental Medical Services in Child Care Centers. LPA and Director discussed Safe Sleep Plan to be filled out by parents, which is being implemented for children who begin the program under the age of 12 months. The following was discussed with the Director: Rooms that are off-limits need to be made inaccessible during operating hours. Smoking is prohibited. No infant walkers, no Johnny Jumpers, no baby saucers or any other item that falls into that category are allowed in facility. The Director was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Sudden Infant Death Syndrome (SIDS) and Never-Shake-a-Baby were discussed. The facility provides breakfast, lunch and afternoon snack and it is prepared in the kitchen area. Snack/Lunch menu was posted on parent board located in the lobby area of the facility. Outdoor playground equipment is in 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. All areas around or under climbing equipment, slides, and similar equipment are cushioned with a soft surface and fake grass. There is adequate shade in the play yard. There is enough equipment for the children to use in the play area. Area is gated with iron gates at least 6 feet tall and staff check the area for any harmful objects prior to children playing in the yard. LPA advised the Director to have the playground blown due to finding leaves and some bird feathers. Director stated that gardeners come once a week, but they have a blower to clean area prior to children playing in the yard. Page 2 of 4 Sign in and out is done electronically and per Director is able to print a report for review. Parent uses a code associated to that their child and records the time of the day signing in and signing out. It also has information on adults authorized to pick up children. reviewed staff records and they were complete. Clearance for adults and verification of CPR/First Aid, current mandated reporting certificates, educational requirements and health preventative practices documentation was reviewed. Children’s records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. The Director and staff currently have immunization documentation. AB207 Mandated Child Abuse Reporting – On or before March 30, 2018 any person who works in a childcare facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers . Per Director Medication is kept in a locked box in the kitchen and with authorized form and original packaging. IMS plan is available in the child’s file. Per Director there are no children currently who have an IMS Plan. 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 LPA advised Director to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov . Director was reminded that all adults 18 and over, 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 Child Care Center. 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 3 of 4 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 . Based on the LPA’s observations and records reviews, no citations are being issued at this time. 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. An exit interview was conducted, and a copy of the report was provided to Director, Maria Carmen Millner along with Appeal Rights. Page 4 of 4