Routine inspection (3-year)·April 23, 2024

On 4/23/24, Licensing Program Analyst (LPA) Lilli Babcock conducted an unannounced annual inspection. A risk assessment was conducted. LPA met with Director, Christina Gudino , to whom the reason for the visit was explained. Director guided LPA on a tour of the facility. This is an infant program which is currently licensed for a capacity of 18 children and operates Monday \342\200\223 Friday from 6:30 AM \342\200\223 6:00 PM. Per Director there are 11 children enrolled. Census was taken during the tour of the facility. LPA observed 3 staff caring for 7 children. 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 in good repair, and the floors have a surface that is safe and clean. Changing tables are within an arm\342\200\231s 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 Director, crib sheets are provided by the parent 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 Page 1 of 4 physically separated from the activity space in the infant Ramblers Room. Parents provide formula and bottles. 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. Food preparation areas were toured for safety, cleanliness and proper equipment. Bottles, dishes, and containers were labeled with infants\342\200\231 names; dates were visible on all children's bottles and other refrigerated items. LPA Babcock advised Director 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 Director, the office is used as an isolation area. Per 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. 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 Director, preschool has their own land line. LPA observed a fire extinguisher with a service tag date of 10/31/23. Smoke detector and carbon monoxide detectors were tested and were operable on this day.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. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. There are safe toys, play equipment and materials observed for children outside on playground. 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 3/12/24. Page 2 of 4 Staff Records and Children\342\200\231s Records were reviewed. Children\342\200\231s 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. LPA observed sleep logs for the infants. Staff files reviewed had current mandated reporter training certificates and at least one staff member was present with pediatric first aid and pediatric CPR training from the American Red Cross. 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\342\200\231s observations, the following deficiency listed on the attached LIC 809D (deficiency page) is being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children\342\200\231s 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 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. Page 3 of 4 Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. LPA discussed the safe sleep regulations with 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. This facility provides Incidental Medical Services \342\200\223 IMS. LPA reviewed storage of \342\200\234medication and equipment/supplies, and reviewed children\342\200\231s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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-carecenters/ . 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 representative, Christina Gudino. Page 4 of 4