Inspector’s narrative
What the inspector wrote
This inspection was conducted in Spanish
Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced 1-year required inspection at the above facility on 05/19/23 at 01:05 p.m. A COVID risk assessment was conducted upon entry- appropriate PPE was used. LPA met with Maria Acevedo, Licensee who guided analyst on a tour of the facility. There were 07 children present during this inspection. Per licensee, 14 children are enrolled. Present during the inspection were the Licensee’s (2) assistants. Operation hours are Monday – Sunday 23 hours a day.
This is a one-story home which consists of 3 bedrooms, 2 bathrooms, living room (FIREPLACE: Barricaded), dining room, kitchen, laundry room, detached garage (converted into a playroom), front and back yard (fenced). Per Licensee, family members residing in the home are 2 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 1 bedroom, 1 bathroom, detached garage (converted into a playroom) and back yard (fenced) for play. The bathroom children use was observed to be safe and sanitary.
Per licensee, areas off limits to children and parents include 2 bedrooms, 1 bathroom, living room, kitchen, dining room, laundry room and front. Licensee has 1 dog with the required vaccines kept in the off-limit side yard (fenced).
LPA toured all areas identified on the facility sketch used by children during this visit and were inspected for safety, comfort, and cleanliness. LPA observed safe toys, play equipment and materials for children. LPA observed a fire place located in the living room barricaded and inaccessible to children.
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Napping: LPA observed appropriate napping equipment: play yard and cots located in bedroom #1. LPA observed that play yard is free from loose articles and objects. There are no objects hanging above or attached to the side of the play yard. LPA observed that the play yard and cots do not hinder the entrance or exit to and from the space they are sleeping in. Mattresses were observed to be firm and covered with a fitted sheet that is appropriate to the mattress size. Per licensee, children nap in bedroom #1. The licensee does understand that licensing staff may have access to off-limit areas during inspection visit if necessary.
**Rooms that are off-limits need to be made inaccessible during operating hours**
Per licensee, food is provided to all children in care. There is telephone service via a cell phone. There is central
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 04:14 p.m. smoke detector was tested and are operable. Per licensee, she purchased a new carbon monoxide detector and will have it installed on 05/20/23. LPA observed the new carbon monoxide detector but it's not operable because it requires installation and it is not battery operated. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was last serviced on 03/21/22, as indicated on service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. Per licensee, she was under the impression that the fire extinguisher was due for service in July or August. LPA provided consultation.
LPA observed a first aid kit readily available. Isolation area for sick children waiting to be picked up is in the bedroom #1 of the home with supervision.
Per Licensee, there are no firearms or weapons stored in the home.
LPA observed the following required posted documentation in bedroom #1 of 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. Last drill documented was 04/07/23. Children's roster was reviewed and is current.
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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’s 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’ Rights, LIC 9227- Infant sleep form (0-12 months, and documentation of 15-minute Infant Sleep Check (0-24 months). Children's records were observed to be complete.
Staff records were reviewed for approved Pediatric First Aid and CPR certification, expires 10/16/23, LIC 508- Criminal Record Statement, 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. Licensee's mandated reporter training expires 02/17/24. Licensee is missing proof of TB test and Assistant #2 is missing proof of MMR, TB, and Tdap vaccine.
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
The licensee is operating within proper capacity and ratios. LPA observed licensee to be present at the home and providing adequate care and supervision.
Currently licensee does care for infants. 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 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 SP, 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.
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No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category.
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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
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.
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/process
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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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. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Exit interview conducted and report was reviewed with Licensee Maria Leticia Acevedo and provided Appeal Rights.
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