Routine inspection·May 20, 2024

On 5/20/2024, at approximately 10:35AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Director, Kira Rivera (D1). LPA explained the purpose of the visit. The facility is an infant center with a toddler component. The facility is a combination infant/preschool center. The preschool center attached is facility #214005503. Present during the visit was D1, two teachers, and five toddlers. The facility is in compliance with staffing and ratio requirements on this day. The facility’s operating hours are from 7:00AM to 6:00PM. LPA inspected the facility for any health or safety hazards. LPA observed the facility to be in clean and orderly condition. There are carbon monoxide detectors installed in the facility that are operational. Fully charged fire extinguishers that are at least size 2A10BC are present and accessible in each classroom. Evacuation routes are posted and accessible for review. Emergency exits are clearly labeled. Each classroom is equipped with a fully equipped first aid kit. During today’s visit there were no infants present. There are two separate rooms for infants (Nido Room) and toddlers (Toddler Room). LPA observed the Toddler Room to contain two functional toilets and two handwashing sinks. Furniture is age-appropriate and free of rough or sharp edges. There are age-appropriate toys and learning materials present. There are cubbies available for each child that are labeled with their names. Diapers and extra clothes are stored in separate labeled containers. Toddlers nap on cots that are labeled and provided by the facility. The facility provides toddlers with bedding for napping. Bedding is washed once a week at the facility. Water bottles are brought from home and refilled at a non-contaminating fixture. Water is available through a filter. The facility provides snacks for toddlers, while toddlers bring their own lunch from home. Continued on Page Two Page Two LPA observed the Nido Room to be in clean and orderly condition. There is a diaper changing station that is within hands reach of a handwashing sink. Furniture is age-appropriate and free of rough or sharp edges. Lunch and snacks are provided from home for infants in care. Snacks are available for infants if needed. There is an emergency crib in the Nido Room and the separate infant napping room. The facility has a waiver to use mats for sleeping infants instead of cribs. LPA discussed the terms and conditions of the waiver with D1 during the visit. The facility provides bedding for infants in care and washes it daily. There are two evacuation cribs available for use in the Nido Room and the infant napping room. LPA observed the emergency exit route to contain a ramp for the evacuation cribs. LPA observed the outdoor play area to be free of debris and other loose articles. Equipment is age-appropriate and maintained in good repair. There is resilient padding in the form of woodchips and artificial turf. There are no pools or other bodies of water in the facility. The facility has a waiver for rotational use of the outdoor play area. LPA advised that the facility shall not co-mingle infants and toddlers. LPA reviewed six staff files, seven children’s files, and facility records. LPA observed there to be at least one staff member with current Pediatric First Aid/CPR training. All staff members have current Mandated Reporter Training. LPA advised that the facility shall maintain Health Screening Reports (LIC503) and immunization records (MMR, Tdap, and Influenza) for each staff member. See LIC9102-TA for technical assistance given today. LPA observed that children’s files contained Emergency Identification and Information (LIC700) and Consent for Emergency Medical Treatment (LIC627). Infant sleeping logs are maintained and available for review. Children are signed in via the SmartCare app, and each family has their own individual QR code to sign their children in. LPA advised that a Physician’s Report (LIC701) shall be maintained in each child’s file. All required postings were observed to be posted and accessible for review. The facility reopened in April 2024, and an emergency drill is planned for the month of May. LPA advised that drills shall be documented and logged. The facility tested its fixtures for lead on 3/22/2024, prior to reopening, and as such is in compliance with the Written Directives specified in PIN 21-21.1-CCP. There are no exceedances of lead in the facility's fixtures. Continued on Page Three Page Three 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. 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 licensee [or 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. Continued on Page Four Page Four Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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) 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-care-centers/ . 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. No deficiencies were cited during today’s visit on 5/20/2024. See LIC9102-TA for technical assistance provided today. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Kira Rivera.