Facility-requested visit·September 24, 2021

On 9/24/2021 Licensing Program Analyst (LPA) Dalicia Adkins conducted an announced licensee initiated case management visit. LPA met with Director Estala Padilla'Salazar who guided LPA on a tour throughout the facility This a infant Day Care program that serves children birth to 24 months. The infant center was closed due to taking COVID 19 to take precautionary measures. The purpose of today's visit is to conduct a facility evaluation prior to re-opening infant program. The infant program will utilize the infant room to provide care for up to 5 infants. Operation hours are 8:00am- 6pm. LPA observed posting requirements: Emergency Disaster Plan (LIC 610A), Earthquake Preparedness Checklist, Notification of Parents Rights (LIC PUB 394), Parents Rights (LIC 9148), Facility License (LIC 203), Personal Rights (LIC 610A), Child Passenger Restraint System (PUB 269), Daily Activity Schedule and Weekly Menu. LPA Observed General Requirements: fully charged fire extinguisher (2A:10BC) Carbon Monoxide Detector , Fire alarm and working landline located in the main office. First Aid Kit Facility observed to be well ventilated with adequate lighting. LPA did not observe any baby walkers on premises. LPA observed required COVID 19 posting. Health screening will be conducted upon arrival for all staff and children. Non touch thermometer will be used for temperature taking. LPA Observed essential protective equipment and supplies available at front office. LPA observed decals on floor to help with staying at least six feet apart. Program will utilize digital system to document attendance, daily activities, feeding log, diaper changing log. Page 1 Food/bottle preparation area inaccessible to infants, food preparation area adequately equipped, clean and free of hazards. Operating refrigerator meeting temperature standards. Parents will be responsible for brining already prep bottles, facility will provide children with snacks. Cleaning supplies are stored separately and are inaccessible to children. LPA observed infant furniture to be age/developmentally appropriate and in good repair. Toys are safe, age/developmentally appropriate, and free of small parts. COVID 19 signage posted at children's eye level. LPA observed one diaper changing station with at least 1 inch padding covered with exam paper over washable plastic material. Sides are raised at least 3 inches and sink within arm\342\200\231s length. Floor mats available for children who are capable of independently climbing out of a crib. Individual storage provided for each infant, bedding and other personal belonging labeled and stored. LPA observed adequate open floor space for placement mats if needed, without blocking the entry or exit. Parents will be responsible for providing diapers for their child. Children who may become sick or develop any COVID 19 symptoms parents will be contacted immediately to pick up child. All children files are updated with all medical emergency information and contact numbers. Staff files also reviewed. CPR Pediatric first aid completed, certification issued on 1/21/21. Mandated reported training completed on 8/2/21. Exit interview conducted, COVID 19 self assessment completed and the following discussed: COVID 19 guidelines with director: drop off/ pickup/ daily screening for illness, wearing mask, educating families about COVID, physical distancing, ventilation, cohorting, cleaning and disinfecting. SIDS : New proposed Safe Sleep Regulations and Best Practices, link http://safetosleep.nih.gov MANDATED REPORTING : must stay current and renew every two years, www.mandatedreportereporterca.com IMS/ Americans with Disability Act (ADA): Disability rights laws prohibit child care providers from excluding children solely because they have a disability related need for medication. As a child care provider you must have an individualized plan included in plan of operation submitted to the department. page 2 Child Care Advocate Program: promotes the delivery of quality child care, link childcareadvocatesprogram@dss.ca.gov CHILD CARE QUARTERLY NEWSLETTER : advised to sign up and provided, www.ccld.ca.gov EFFECTS OF LEAD EXPOSURE : For more information, go to the California Childhood Lead Poisoning Prevention Branch\342\200\231s website at www.cdph.ca.gov/programs/clppb , or call them at (510) 620-5600. You can also visit The California Department of Public Health\342\200\231s website at https://www.cdph.ca.gov . Information testing water for lead visit www.epa.gov/lead/protect-your-family-exposures-lead or call (800) 426-4791. National Center on Shaken Baby Syndrome http://www.dontshake.org The facility was found to be in compliance per Title 22 Division 12, Chapter 3 of the California Code of Regulations, no deficiencies cited. This report was reviewed with Director. A copy of this report , notice of site visit and appeal rights will be sent to director via email. Page 3