Inspector’s narrative
What the inspector wrote
Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced 1-year required inspection at the above facility on 06/30/23 at 09:05 a.m. A COVID risk assessment was conducted upon entry- appropriate PPE was used. LPA met with Maria Patrick, Licensee who guided analyst on a tour of the facility. There were 10 children present during this inspection-1 is the licensee\342\200\231s minor child and 3 infants. Per licensee, 10 children are enrolled. Present during the inspection was the licensee\342\200\231s assistants (husband and son).
Operation hours are Monday \342\200\223 Friday 09:00 a.m. \342\200\223 06:00 p.m.
This is a two-story home which consists of 4 bedrooms, 2 bathrooms, living room, dining room, kitchen, enclosed outdoor patio (main day care room), garage, side yard (fenced), and back yard (fenced). Per Licensee, family members residing in the home are 3 adults and 2 minors. All individuals present in the home have obtained a criminal record clearance or exemption prior to working, residing, or volunteering in a licensed home. Individuals living in the home are identified on the attached LIC811.
Areas accessible to children include living room (nap only), enclosed outdoor patio (main day care room), bathroom across from the stairs, and back yard (fenced) for play.
Per licensee, areas off limits to children and parents include second floor: 3 bedrooms, bathroom, living room, dining room, kitchen, garage, and side yard (fenced). Per Licensee, there are 2 dogs on the premises. LPA observed a gate at the bottom of the stairs to prevent children from accessing the second floor. LPA also observed the garage door to be locked and inaccessible to children.
LPA toured all areas identified on the facility sketch used by children during this visit and were inspected for safety, comfort, and cleanliness.
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Enclosed outdoor patio (main day care room): LPA observed safe toys, play equipment and materials for children. Licensee operates her day care home with the Montessori philosophy. LPA observed appropriate napping equipment: mats. LPA observed that the mats do not hinder the entrance or exit to and from the space they are sleeping in. LPA did not observe any hazardous materials throughout the day care room. Exposed outlets were observed to have covers. Per licensee, children nap in the patio and living room with supervision. The licensee does understand that licensing staff may have access to off-limit areas during inspection visit if necessary. LPA observed a first aid kit readily available.
Kitchen: Per licensee, the kitchen is off limits to children and has placed safety locks on cabinets and drawers to make it inaccessible to children. Per licensee, children walk through the kitchen to use the bathroom with supervision.
Bathroom: LPA observed the bathroom sink faucet handle for cold water is broken. LPA tested the hot water handle and felt that initially cold water comes out for about 1 minute. Per licensee, she is able to open the cold water handle by inserting a pen. Per Licensee, children are supervised while washing their hands for approximately 30 seconds that cold water is available.
**Rooms that are off-limits need to be made inaccessible during operating hours**
Per licensee, parents provide lunch and snacks for children in care. Per licensee, she keeps extra snacks available for children. There is telephone service via a landline and cell phone. There is a central unit for
ventilation and heating.
Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be inaccessible to children. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock.
At 09:28 a.m. smoke and carbon monoxide detectors were tested and are operable. The valve on the required 4: A60 BC fire extinguisher indicates fully charged and was serviced on 06/27/23, as indicated on service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually.
Per licensee, isolation area for sick children waiting to be picked up is in the living room or the outdoor area (depending on the weather) with supervision.
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Per licensee, there is a weapon in the home. Licensee asked husband to show LPA location and storage of weapon. Firearm is inaccessible to children and is locked. Ammunition is stored and locked separately from firearm in the off-limits area.
LPA observed the following required posted documentation in the door of the patio 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- Emergency Disaster Plan and Disaster drill log. All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. Licensee does not have a roster and fire drill available for review.
Currently children use the back yard for outdoor play with adequate shade and age-appropriate play equipment for children in care. LPA did not observe any objects that could be hazardous to children in care. Licensee understands that children should be supervised at all times.
LPA did not observe any pools, spas, hot tubs, fishponds, or similar bodies of water during the inspection.
Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.
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). LPA observed child #3 (C3) is missing LIC 995 and LIC 627. LPA also observed C4, C6, and C8 are missing the 15-minute infant sleep chart. C6 is missing LIC 9227.
Staff records were reviewed for approved Pediatric First Aid and CPR certification, expires 03/2024, Proof of immunizations 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. LPA observed Licensee and (2) assistants are missing proof of Mandated Reporter Training. Assistant #2 (A2) is missing proof of MMR vaccine and A3 is missing TB test.
AB1207 Mandated Child Abuse Reporting
\342\200\223 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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The licensee is operating within proper capacity and ratios. LPA observed licensee to be present at the home and providing adequate care and supervision.
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-andresources/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. LPA provided PIN 20-24-CCP, LIC 9227- Infant sleep form (0-12 months, and documentation of 15-minute Infant Sleep Check (0-24 months), and PUB 217 Never Shake a Baby Brochure.
LPA provided consultation on LIC 9227 and 15-minute documentation.
No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category.
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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 Centers and the ADA, available at:
https://www.ada.gov/resources/child-care-centers/
.
Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 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.
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
.
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LPA advised the licensee to access forms, regulations, and quarterly updates on the Child Care Licensing website at:
www.ccld.ca.gov
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.
Licensee Maria Patrick confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.
The following deficiencies were cited in accordance with Title 22 of the California Code of Regulations and Health & Safety Codes. Please see 809D for documentation of deficiencies.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the Licensee Maria Patrick.
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