Routine inspection·June 17, 2021

Licensing Program Analyst (LPA) Elka Chavez conducted an unannounced annual random inspection to the above facility. LPA met with Aida Ramos, Licensee, who guided analyst on a tour of the facility at approximately 1:30 pm. Also present during this inspection, Maria Elena Ramos (assistant). Jessica Ramos (assistant) joined Licensee after the touring the facility. Adults residing in the home was discussed and noted. Per Licensee, there are 8 children currently enrolled and 6 children present during inspection. Hours of operation are Monday - Friday 6:00am to 6:00pm. This is a single-story home which consists of 3 bedrooms, 2 bathrooms, kitchen, living room, detached garage, front yard (fenced) and backyard (fenced). Per Licensee, areas off-limits to children and parents are the front yard (fenced), 3 bedrooms, bathroom located inside the bedroom facing the backyard, laundry room and backyard area located in the right side of the detached garage. LPA observed a gate making the area inaccessible to children in care. Per Licensee the two Chihuahuas dogs stay in the front yard (fenced). Areas used by children include : Main house, kitchen, bathroom in the bedroom hallway, living room, backyard (fenced) and detached garage. Areas off limits include : Bedrooms located in the main house, laundry room, front yard (fenced) and backyard area located in the right side of the detached garage. All areas that are accessible to children were inspected for safety, comfort and cleanliness. Per Licensee, there are no firearms stored in the home and no one smokes. There are no fireplaces in the home. LPA observed ventilation units in the main house and the detached garage. LPA observed both units to be on and functioning. Licensee stated that she uses portable heaters. LPA observed the portable heaters and advised licensee to use heaters that are coll to the touch and that don\342\200\231t radiate heat. There is a house phone and a cell phone available on the premises during operating hours. Detergents, cleaning compounds are under the kitchen sink. LPA observed a child safety latch making it inaccessible to children in care. The licensee states that there are no poisons in the home. The licensee does understand that poison must be locked with a key or combination lock. LPA did not observe any bodies of water in the premises. LPA observed child number #1 sleeping in the detached garage. Licensee stated that children don\342\200\231t nap in the detached garage and that child #1 had just fallen asleep. LPA observed Maria Elena Ramos (assistant) holding an infant. Licensee stated that today is Maria Elena Ramos first day as her assistant. LPA did observe finger print clearance, Mandated Reporting training or immunizations for Maria Elena Ramos (assistant). There were safe toys, play equipment and materials observed for children in the detached garage. LPA did not observe Emergency Disaster Plan posted or a disaster drill log. Licensee stated that she would put up the forms and send proof. The valve on the required 2A 10BC fire extinguisher located in the main house indicates it is not fully charged. Licensee stated that she purchased it in 2019. LPA did not observe a service tag. LPA observed a 5-BC fire extinguisher in the detached garage. LPA did not observe a service tag. The valve indicates fully charged. Smoke and carbon monoxide detector located in the bedrooms are in operable condition. LPA observed a functioning carbon monoxide detector and smoke detector in the detached garage. Pediatric First Aid and CPR was completed on 2/2021 expires on 02/2023. LPA did not observe a parent board in the facility. Licensee stated that she would put it up where parents can see it. A children's roster was available upon request. LPA did not observe child #2 on the roster, 2 children were missing dates of birth and 3 were missing physician name and phone number. LPA did not observe a children\342\200\231s file for child number #2 or individual sleeping plan. At 3:25 pm LPA observed child #2 sleeping in a baby bouncer. LPA observed Jessica (assistant) sitting next to child #2. LPA observed children in the off limit detached garage. Licensee stated that she started using the detached garage for additional space to unsure 6 feet of distance. COVID-19 Technical Assistance was provided during today\342\200\231s inspection. LPA observed Covid-19 postings located in the bathroom in the detached garage. LPA did not observe Covid-19 posting the main house. LPA Chavez discussed protocols in place regarding COVID-19. Licensee stated protocol in place is not having parents fully enter the facility and sign-in/out will take place at the front entrance. Licensee understands that if a parent must enter the day care she will ask them to wash their hands, enter and exit the room one person at a time to allow for social and physical distancing and consider asking them to wear facial coverings. Take children\342\200\231s temperature each morning with a no-touch thermometer. Licensee will evaluate children for any symptoms such as fever, running nose, cough or child's behavior and will inform authorized representative child cannot stay if any symptoms related to COVID-19; or if symptoms appear during the day, Licensee will isolate the child and call authorized representative for immediate pick-up. Children will wash their hands during arrival, entering from outdoor play, meal times and from using the restroom. Infants and children under 2 years of age should not wear a mask. Children ages 2 to 8 can safely wear a mask with adult supervision. For napping Licensee will place cots, cribs, and mats 6 feet apart, with heads in opposite directions. LPA Chavez observed hand-washing posters posted in the restroom and it was stated that the Licensee is aware of cleaning, disinfecting, sanitizing and the importance of constant hand-washing. 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 LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov . LPA reviewed Sudden Infant Death Syndrome (SIDS), Shaken Baby Syndrome, and safe sleep practices with the Licensee. *Infants should always sleep on their backs, mouths facing up*. LPA advised the licensee to sleep infants where they can always be directly supervised. LPA also advised against sleeping infants in a separate room. https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep The following was discussed: Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Failure to obtain a criminal record background check clearances prior to initial presence in the home will result in an immediate $100.00 dollar or more per day Civil Penalty. No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility. Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present. The following deficiency listed on the attached LIC 809D is being cited in accordance with California Code of Regulations Title 22. The Notice of Site Visit (LIC 9213) \342\200\223 must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Aida Ramos, Licensee. The Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.