Facility-requested visit·May 14, 2024

Licensing Program Analysts (LPA) Susann Sanchez and Ashley Calderon conducted an unannounced case management inspection for an increase in capacity. An annual/random visit was also conducted on the same day. LPAs met with Natalie Sells, Licensee who gave permission for analysts to give themselves a tour of the facility. There were 1 infant and 4 children present with the Licensee when LPA arrived. Facility capacity is in compliance for a Small Family Child Care Home. Per Licensee, hours of operation will be Monday through Friday, 7:30 am to 5:30 pm and does not to exceed 24 hour care at one time. Licensee states that she will care for children Infants -5 years of age. This is single story home which consist of 3 bedrooms, 2 ba throoms, den, family room, kitchen, dining area, detached garage, front yard and back yard (fenced). Areas accessible to children are: Den, dining area, family room, restroom located across from bedroom #3 and back yard (fenced). Areas off limits to children and parents are : 3 bedrooms, bathroom in the bedroom hallway, kitchen, and detached garage. All off-limit areas need to be made inaccessible to children in care. The licensee understands that licensing staff may have access to off-limit areas during inspection visit if necessary. Licensee provide food for children in care. Knives and other sharp utensils are located in high cabinet in the kitchen. Cleaning products were located in cabinets locked with safety latches in a cabinet and in the kitchen. Smoke and carbon monoxide detectors were tested and are operable. Fire extinguisher was observed to be fully charged and purchased on 12/2/23. The home maintains telephone service via cell phone. The home is observed to be clean and orderly. There are toys and other age appropriate material available for children. LPA observed that detergents, cleaning compounds and medication are stored in the locked kitchen cabinet, inaccessible to children. Licensee states that there are no poisons stored in the home and understands that all poisons must be lock, not only inaccessible to children. Isolation area for sick children waiting to be picked up is in the dining area or the living room. Currently licensee cares for 2 infants enrolled. Napping equipment does not block entrances or exits. LPA reviewed the following infant mattresses need to be firm with tightly fitted sheets. Loose object, bumpers, objects hanging, or objects attached to the cribs/play yards are not allowed. LPA informed licensee of the new Safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 12 months, 15-minute sleep check documentation for infants 0-24 months, and provided PIN 20-24-CCP. LPA discussed the safe sleep regulations with applicant 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 applicant 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. On this date, 05/14/24, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ. Licensee as informed of the MyChildCarePlan.org site, 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. 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 platforms. 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. Licensee has completed the required health and safety training, the Pediatric First Aid and CPR Expires on 03/17/26. Licensee has proof of immunization against pertussis and measles, influenza. At 10:50pm, LPAs asked Licensee for Proof of Mandated Reporter Training. Licensee stated that she has not renewed her training. Type B was cited. Children’s records were reviewed for (LIC) 282- Affidavit Regarding Liability Insurance, Immunization 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) **In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification, TB clearance, immunization, Mandated Reporter training certificate www.mandatedreporterca.gov , and a valid criminal record clearance associated to the facility license. **Children and Staff records must be maintained and updated as needed and must be available for review by the Department. **No infant walkers, No Johnny jumpers, No saucer chairs, and any other item that falls into that category are not permitted in the facility. **Inspection Authority: All adults living and working in the home shall be made of aware of the Department’s right to inspection the home, which includes, but is not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation. **The facility license number must be on all advertisements, publications or announcements with the intent to attract clients. **A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility. Licensee Natalie Sells 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. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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/ . The following was will be emailed to LPA: updated facility sketch mandated reporter The following deficiencies listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22, Division 12, Chapter 1 and Section CCR & H&S. Once all corrections are complete, LPA will submit application for final review. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Natalie Sells.