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Inspection visit

Routine inspection

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On December 9, 2025, at 3:38 P.M., Licensing Program Analyst (LPA) Joselito L. Del Mundo met with the director, Daniela Delgado Ramirez, to conduct an unannounced annual inspection for the Preschool license in accordance with the facility sketch. The preschool component is located in the Mammoth Lakes Lutheran Church downstairs. A tour of the facility was conducted. LPA observed five children inside the classroom with the director providing care and supervision. During this visit, the Environmental Science Technician is also present in the facility. The hours of operation are Monday to Friday, from 7:45 A.M. to 5:15 P.M. Incidental Medical Services (IMS) was discussed. Licensing fees are current. Indoor/Children\342\200\231s Area: Child care center is clean, safe, sanitary and in good repair; floors of all rooms have a surface that is safe and clean, cleaning compounds are inaccessible, poisons are locked, furniture/equipment is in good condition. Indoor activity space for children is equipped with age-appropriate furniture and equipment including tables, chairs, and cubbies to meet children\342\200\231s needs. Per Director Ramirez, tables, chairs, and other furniture are sanitized at the beginning and at the end of the day. Toys are sanitized every week. All play equipment and materials used by children are age-appropriate, each child has an individual or portable storage space (cubby, individually labelled with name ) for his/her clothing and personal belongings. The facility has a working telephone. Trash bins have tight fitting lids. Soiled and wet diapers are placed inside trash bins with lids located inside the bathroom. Children bring their own bottled water. All materials and surfaces are toxic free and are inaccessible. There is no fireplace in the facility. The center has an internal pull-down fire alarm system, and it has a 2-A:10-B:C type of fire extinguisher. Carbon monoxide devices are in operable condition (tested at Pg 2 5:12 P.M.).During this visit, the director provided the LPA with copies of the lead test results that was conducted on November 12, 2024. Restrooms: LPA inspected and observed a total of 2 toilets and 2 sinks inside the bathroom. There is an additional sink located outside of the bathroom. Staff members have a separate restroom to use. The LPA also observed liquid soap, toilet paper, trash bins with covers, and paper towels inside the bathroom. Water temperature is appropriate. There is an isolation area in the corner of the room (tent area) and parents are called to pick up their children. Per Director Ramirez, parents have 20 minutes to pick up their children. The facility maintains a comfortable temperature at all times, first aid supplies, and electronic sign in/out sheets are available and completed daily. LPA observed the first aid kit has no emergency manual/guide. LPA advised the director to include an emergency guide inside the first aid kit. Smoking is prohibited on the premises, daily inspection for illness, no prohibited child care items observed. Firearms/weapons are not allowed or stored on premises. There is no body of water on the premises. Napping : LPA observed sleeping cots for napping. Per Director Ramirez, parents provide sheets to their children in care for nap time and the sheets are washed every Fridays. Sleeping cots are also wiped/cleaned/sanitized every Friday. Outdoor: The facility has a playground area for preschoolers. Per Director Ramirez, children used the outdoor playground in the morning around 10:00 A.M. Children bring their own bottled water, and the facility refills the children\342\200\231s bottle. At 5:30 P.M., outdoor play equipment was inspected for health, safety, good repair, and age appropriateness. The outdoor play is partly turf and dirt. LPA observed climber, seesaws, sand toys, toy cars, and slides. The area was observed to be free of debris, free from hazards, holes, broken items, debris. No bodies of water were observed. Teacher child ratios were observed, and staff name recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Pg 3 Health Related Services: According to Director Ramirez, they were providing medications for just one child. Per Director Ramirez, Director Ramirez and Rachel Guinn were trained to administer medications. Children are inspected for illnesses (wellness policy) as they arrive. This facility provides Incidental Medical Services \342\200\223 IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children\342\200\231s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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 Food Service : There is a clean microwave, refrigerators, and freezers available in the facility. Per Lead Teacher Ramirez , the morning snacks are provided at around 9:00 A.M. Staff/Personnel Records : Director (qualified) qualifications were verified, Designation of Responsibility observed, immunization's, TB clearance for staff, health screening, criminal record statement, statement acknowledging suspected child abuse and mandated reporter were observed in file. The director has current pediatric First Aid/CPR training and mandated reporter training. Facility Records: Roster , fire/disaster drills log was last completed on November 18, 2025, at 9:00 A.M. Per children\342\200\231s records review, children\342\200\231s files are complete. LPA observed LIC 3221 Parent Consent for the Administration of Medications. The Posting Requirements : Failure to comply with posting requirements shall result in an immediate civil penalty. The following were observed posted as required: facility license, Personal Rights (LIC613A), Parent\342\200\231s Rights Poster (PUB 393), PUB 269 Child Passenger Restraint System Poster, emergency disaster plan, and earthquake preparedness checklist. Documents Provided and or Discussed: Forms and records to keep at the facility and IMS. Advisory/Other: First Aid kit was observed with supplies readily available except for the emergency guide. The director was advised to include emergency guide inside the first aid kit. The thermometer is kept separately Pg 4 from the first aid kit. Sign in and out sheets were reviewed. The facility uses electronic sign in and out sheets and were recorded daily. The parent board was reviewed and has all the required forms posted. Director was advised of the requirement to report Unusual Incidents . Licensee informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department (email address on the website: www.unusualincidentreport@dss.ca.gov ). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of a day care center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The director was reminded that all adults 18 and over, 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 Child Care Center. 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. Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. Director shall permit the Department to inspect the day care center, and to privately interview children or staff, to determine compliance with or to prevent violations of child care center or regulations, also enter and inspect any place providing personal care, supervision and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation. 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 No deficiencies were cited during this inspection. 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. The On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8:00 A.M. to 5:00 P.M. Exit interview conducted and a copy of this report, Notice of Site Visit, and appeal rights were provided to Director Daniela Delgado Ramirez.

Citations

No citations recorded on this visit

The inspector found no violations of California child care regulations during this visit.

FAQ · About this visit

Common questions about this visit

What happened during the December 9, 2025 inspection of LITTLE LUPINS/MAMMOTH HOSPITAL?

This was a inspection inspection of LITTLE LUPINS/MAMMOTH HOSPITAL on December 9, 2025. The inspection found no deficiencies and no citations were issued.

Were any citations issued to LITTLE LUPINS/MAMMOTH HOSPITAL on December 9, 2025?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

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