Inspector’s narrative
What the inspector wrote
On April 24, 2025, at 1:25 pm Licensing Program Analysts (LPA) Priscilla Ochoa conducted an unannounced random annual inspection. LPA was greeted by Director, Sandra Wise, who guided LPA on a tour of the facility. This is a infant program that operates Monday – Friday from 6:30 am – 6:00 pm. Per Director, there are 20 children enrolled and LPA observed 8 children in care along with 3 staff members.
There is also an preschool license on the same premise (#198015235). This infant license also acquires a waiver for infants staggered use of outdoor play and shared bathroom among infants and preschoolers.
At 1:30 pm, Director guided LPA on a tour of facility. Parents enter through the front door of the facility which leads them to the main lobby area, where they sign in their child. This infants program consists of 2 classrooms: 3 – 18 months: 5 children and 2 staff and 18 – 24 months: 3 children and 1 staff. 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. LPA observed portable cribs that meet Consumer Product Safety Commission safety standards. Mattresses have an appropriate size mattress with fitted sheets. Cribs were observed to be free of loose items. Cots were observed to be available for infants who are able to climb out of a crib. Bedding was inspected for good condition, appropriate storage, and cleanliness. Sleeping area is physically separated and cribs do not limit staff’s ability to always watch infants. Per director, bedding is changed and sent home every Friday to be washed. LPA reminded director, that bedding for infants must be sanitized and changed daily. LPA advised the director to read the safe sleep regulation to ensure the facility remains in compliance.
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LPA observed the diaper changing table to be at least one inch thick, with raised sides of at least 3-inches, and within arm’s reach of the sink. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All floors are clean and safe. Sufficient individual storage space for children was observed and each child has a cubby. There are age-appropriate toys and supplies for children in each classroom and are in good repair.
The classroom furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. All indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. All materials and surfaces accessible to children are toxic free.
The outdoor playground for infants was observed and fenced. 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 high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard.
At this time, the Main Office is used as an isolation area. Parents are contacted immediately. There is also a play yard is available if needed.
All food preparation areas and food storage areas are kept clean and are free of litter, rubbish, and rodents and/or any other vermin. This facility provides all meals for infants in care. LPA observed the fridge had bottles and food that were labeled and stored individually for each infant in care. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. The facility was observed to be free of flies, other insects and rodents.
Per Director, there are no weapons, firearms, pets, or bodies of water on the premises.
The Licensee is within the conditions, limitations, and capacity specified on the license. All areas were identified on the Facility Sketch were inspected. The following documents were posted: Facility License, Notification of Parents' Rights (PUB 393), Personal Rights (LIC 613A), PUB 269 Child Passenger System Poster, Daily Schedule and Food Menus.
LPA observed a functioning smoke/carbon monoxide detector.
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LPA observed a fully charged 2A-10BC fire extinguisher. The valve on the fire extinguisher was pointing to the fully charged green section. Fire extinguisher was serviced on 12/04/2024. Per Title 22 Emergency Disaster Drill must be conducted at least every 6 months. LPA observed the last Emergency Disaster Drill was conducted and documented on 4/14/2025.
LPA reviewed Sign in/out sheets to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day.
Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. Child records were deemed not complete. 1 out of 3 infants are missing Consent for Emergency Medical Treatment (LIC 627) for LPA to review, 2 out of 3 infants are missing Individual Infant sleep plan (LIC9227) for LPA to review. LPA also observed C2 to obtain an LIC9227 in their file, however the form is not fully complete. C3 obtains prescribed medication at the facility. The facility does obtain proper documentation where the parent and physician are providing instructions on how to administer medication. However, the prescribed medication, epinephrine, is not in its original box. LPA reminded director that all prescribed medication must be in its original box where LPA can observe the prescribed label and identify who the medication is being prescribed to.
Staff records were reviewed to ensure Criminal Records Clearance for adults and verification of CPR/First Aid and health preventative practices documentation. Staff records were deemed complete.
AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018, any person who works in a child care facility shall complete the training and renew the training every 2 years. Website provided:
https://www.mandatedreporterca.com/training/child-care-providers
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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
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CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES: LPA explained to Director that the results are not uploaded to the State of California’s Water Board. Director will contact the company who conducted the lead testing for the facility to make sure the results are uploaded as soon as possible. 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 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 advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at:
www.ccld.ca.gov
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Licensee 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.
Licensee 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.
Based on the LPA’s observations and record 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.
A notice of site visit was given and must remain posted for 30 days during facility’s hours of operation. 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, Sandra Wise.
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