Routine inspection·January 31, 2023

On 1/31/2023 at 9:56AM Licensing Program Analyst (LPA) Jennifer Hua conducted an unannounced Required - 1 Year on-site inspection. LPA was greeted by assistant Jiovondra Cullins, per assistant licensee left to pick up/drop off kids. A COVID-19 risk assessment was conducted. Assistant allowed LPA inside the home, Upon entry LPA observed infant was napping in car seat, the car seat was entirely covered and the car seat was on the living room sofa. Assistant stated that baby was just dropped off. LPA also observed assistant was alone with 12 children, 7 of whom are infants. Licensee Fallon Graham arrived to facility at 10:02AM. LPA stated the purpose of the visit and provided LIC 126 Entrance Checklist to facilitate the inspection. LPA was guided to a tour by Licensee. This is a single story home with 3 bedrooms and 2 bathrooms. There are a total of 1 adult and 0 minor residing in the home. At 10:17am, another child was dropped off. There were 13 children in care during the inspection 7 of whom are infants. At 10:21am, licensee's mother Gail Graham (licensee #191511402) arrived. Licensee stated that due to emergency her mom's day care kids were here and her mom is here to take them back to her day care. Licensee stated that parents are aware. At 10:26am, licensee's mom left with 5 children leaving the facility with 8 children in care. At 10:45am licensee left with 1 child to drop child off at home, leaving assistant alone with 7 children. At 11:10am, a child was picked up by parent. Licensee returned to facility at 11:41am alone. The licensee was observed not to be operating within the licensed capacity and is exceeding the required limitations of capacity and ratio. Operating hours are Monday-Friday 5am - 6:30pm. All child care areas identified on the Facility Sketch were inspected to include the following: · Childcare areas: Living room, family room, dining area, 1 bedroom, hall bathroom, and fenced backyard is used for outdoor play. Primary care is conducted in the family room. · Off limit areas: 2 bedrooms, front yard, kitchen, and bathroom in bedroom and garage.. All areas used by children were inspected for safety, comfort, cleanliness, telephone, ventilation and heating (central). The licensees state that there are no poisons in the home. The licensees understand that any poisons must be locked with a key or combination lock. Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are inaccessible. The valve on the required 2A 10BC fire extinguisher indicates it was fully charged and serviced on 1/20/22. Smoke and carbon monoxide detector were tested and were operable. Per licensee, there are no weapon on the premise. There are 3 dogs and isolated in the off limit bedroom away from the children. There are age appropriate toys, equipment were observed for children. Posting requirements were observed to be posted at the time of inspection. There are no bodies of water on the premise Children Forms/Records to Keep in Your Family Child Care Home were reviewed. LPA advised the licensee how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov 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-and-resources/safe-sleep as an additional resource. LPA also informed licensee 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 Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm Per licensee IMS is not provided at this time. Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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. All adults present have obtained a criminal record clearance. The licensee has proof of current pediatric first aid and CPR (expires: 8/1/24 from the American Red Cross ). Assistant has current American Red Cross Pediatric CPR/First Aid certificate that will expire on 8/1/2024, Licensee has completed required mandated reporter training on 4/19/2022. Roster reviewed but is not current. Per licensee, drills were conducted monthly, Fire drill conducted on 12/16/22 and Earthquake was conducted on on 10/21/22 as observed on the drill log. No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into this category are not permitted in a family child care facility. INFANT CARE: The infant will sleep in the day care where they are constantly supervised. Appropriate sleeping arrangements and cribs will be available/observed. (one crib for each infant in care is required). Cribs or play yard will not hinder the entrance or exit from the sleeping space, mattresses shall be firm and covered with a fitted sheet that overlaps the underside so it cannot be dislodged. Cribs and play yards shall be free of loose articles and objects. No objects shall be hanging above or attached to the side of the crib. LPA did not observe any infants swaddled while in care. LPA advised the Licensee that infants shall be placed on their backs for sleeping and shall be supervised. Infants shall be checked on every 15 minutes and document the time of each 15-minute LIC 9227 Plan shall be completed for each infant up to 12 months of age. LPA provided the licensee with a copy of A Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics. LPA also consulted and explained Child Abuse Reporting, Never Shake a Baby, and Safe Sleeping practices. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. 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/tion-process . Deficiencies cited on attached 809Ds Upon receipt of this report documenting a substantiated complaint allegation and a Type A deficiency, the licensee shall do the following: 1. Post the Notice of Site visit and any licensing report documenting a Type “A” deficiency. 2. The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. 3. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). 4. The Acknowledgement form (LIC 9224) must be maintained in each child’s file immediately upon receipt from parent. A copy of the parent Acknowledgement of Receipt of Licensing Reports Form was provided during this visit. Exit interview was conducted with Fallon Graham, licensee, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role. .