Routine inspection (3-year)·January 17, 2024

On 1/17/24, Licensing Program Analyst (LPA) Lilli Babcock conducted an unannounced annual inspection. A risk assessment was conducted. LPA met with Assistant Director, Magali Perez and Office Administrator, Cynthia Alvarez , to whom the reason for the visit was explained. Assistant Director guided LPA on a tour of the facility. This is an infant program which is currently licensed for a capacity of 40 children and operates Monday – Friday from 6:00 AM – 6:00 PM. Per Assistant Director there are 34 children enrolled. Census was taken and the following staff and children were observed by LPA to be present: Room 3 (0-12 months): 2 staff with 6 children; Room 14A (12-18 months): 3 staff with 9 children; Room 14B (18-24 months): 2 staff with 8 children. Rooms 14A and 14B are located in the same large room, with a divider in the middle. Teacher-child ratios were observed to be in accordance with Title 22 Regulations. Staff names were recorded. LPA confirmed all individuals present have obtained a criminal record clearance. All children were observed by LPA to be under supervision, including visual supervision, of a teacher at all times. The licensed facility is within the conditions, limitations, and capacity specified on the license. All areas identified on the Facility Sketch were inspected and the following was observed: All indoor classrooms were inspected to ensure that furniture and equipment are age-appropriate and Page 1 of 6 in good repair, and the floors have a surface that is safe and clean. Changing table is within an arm’s reach of a hand washing sink. Toys were observed to be clean. Napping equipment including cribs, cots and bedding were inspected for good condition. Per Assistant Director, crib sheets are provided by the facility and changed daily. Storage for children's belongings were inspected and LPA observed children have their own cubbies to store their belongings. LPA observed the sleeping space is not physically separated from the activity space in the infant Room 3. Availability of drinking water was reviewed. The children have their own bottles with their names written on them. Children bring bottles from home and are allowed to drink freely at any time. Water bottles are refilled as needed by the facility. Per Cynthia Alvarez, the only water given to children is via a top loading water dispenser from Sparkletts, and does not come from the water pipes in the facility. 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. LPA Babcock advised Office Administrator that all Infants need to be within the direct care and supervision, including visual supervision, of the teacher(s) at all times. LPA observed toys and materials for children in the classroom. Per Assistant Director, the office is used as an isolation area. Per Assistant Director, staff provide 100% supervision when ill child is using the isolation room, and parents are contacted immediately when children are determined to be ill and staff are ensuring that children with obvious symptoms of illness are not being accepted. Food menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. Parents provide formula and bottles. The facility offers AM and PM snack, and children bring lunch from home. Page 2 of 6 Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Assistant Director states that there are no poisons, weapons, or firearms on the premises. First aid kits were located in each classroom. Telephone service, heating, lighting and ventilation were evaluated. Per Assistant Director, the center has their own land line. LPA observed the facility classrooms to have a functional carbon monoxide detector on this day. Fire extinguisher is expired with a service tag date of 10/7/22. The facility has an outdoor play area that is fully fenced. Outdoor playground equipment is in a 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. There is adequate shade in the play yard. There are safe toys, play equipment and materials observed for children. Per Assistant Director, children bring their water bottles outside each time the children go outdoors. Sign-in and Sign-out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. LPA reviewed facility roster and Disaster Drill log. Last drill was conducted on 10/19/23. Staff Records and Children’s Records were reviewed. LPA observed children’s files to be missing a sleep log and LIC 9227 Individualized Sleeping Plan. Assistant Director stated they were not aware of the Safe Sleep regulations. LPA consulted with Assistant Director and Office Administrator regarding Safe Sleep regulations. Children’s files reviewed contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. Page 3 of 6 SB792 (Immunization Requirements for Staff and Employees) was discussed with the Assistant Director. LPA observed 3 of 5 staff files reviewed did not have proof of all measles, pertussis, or influenza immunizations on file. Per Office Administrator, the facility has not had lead testing completed and no testing was observed in the state lead portal. Office Administrator states the facility only uses bottled water and has never used water other than bottled water for drinking, cooking, or food preparation during the history of the facility. LPA observed a 2-spout bubbler between Room 4 and the Storage Room. The bubbler was observed to be operational with water coming from the spout. Office Administrator stated they will contact the school district to have the bubbler removed or made non-operational. No other bubblers were observed on this day. LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov . Based on LPA observations and record reviews, 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. To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process . Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record Page 4 of 6 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. LPA discussed the safe sleep regulations with licensee facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed 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. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https:// www.ada.gov/resources/child-care-centers/. PIN 22-05-CCP Page 5 of 6 Facility representative 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. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with facility representatives, Magali Perez and Cynthia Alvarez. Page 6 of 6