Inspector’s narrative
What the inspector wrote
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On 07/09/2025 at 8:20 AM, Licensing Program Analyst (LPA), Susan Deschampe was greeted by and entered the facility with, Rochelle Bensley, Assistant Director. LPA conducted an on site inspection for the purpose of an Unannounced Annual Random visit. LPA and director, Sandra Tolmasoff toured the facility inside and outside, the floor and yard plan were verified. Census observed was 2 office staff, 95 children, and 16 teachers and teacher aides. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. Facility hours are 7:30 AM - 2:00 PM, Monday through Friday. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
Director 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.
During the inspection of the indoor activity space, items which could pose a danger to children (detergents and cleaning compounds) were observed to be stored and out of reach of children. Poisons/Hazardous items kept on the premises are inaccessible to children. Food is provided by parents and guardians, with
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water and food options available in the event a child arrives without their own food and water bottle. Food is properly labeled and stored. Floors, equipment, and furniture were clean and observed to be in good repair, free of sharp edges, and age appropriate. Children have access to drinking water via personal labeled water bottles and Brita water pitchers in each classroom. The children's and staff bathrooms are clean and sanitary. Per director, children do not nap at this facility and parents/guardians are notified and in agreement at the time of admission. The director stated, if a child looks tired, the teacher will inform the office in order for parents/guardians to be contacted to pick up the child. Mats are available for naps in the event a child falls asleep. Children's personal items are stored individually, and in a labeled compartment. The facility has conducted an emergency drill within the past six months (07/03/2025), with individual classrooms conducting monthly emergency drills. The facility and each classroom has a working carbon monoxide detector. The facility has multiple fire extinguishers (5), accessible to each classroom. The facility maintains an indoor temperature within regulation. First Aid Kits was complete and staff are aware of the multiple storage locations. Director stated, inventory for First Aid Kits are checked regularly. Facility met all posting requirements
, including the
California Child Passenger Safety Law, posted by the entrance of the facility.
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 director 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 on 12/11/2020 by Kapak Environmental Laboratory in accordance with the Written Directives outlined in PIN 21-21.1-CCP. Parents and guardians provide filled water bottles upon drop-off, and if necessary, water is refilled using the Brita water pitcher, with water obtained from the office water dispenser.
The outdoor activity space was inspected for compliance. The playground was enclosed by a fence at least four feet in height. The surface of the outdoor activity space was well maintained and free of hazards. The cushioning material (sand) around the climbing equipment, slides and other similar equipment appeared to be enough to absorbs falls. The sand is maintained over the weekend, with daily checks from staff prior
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children entering the facility. Drinking water in the outdoor activity space is provided by personal water bottles and the Brita water pitcher. The outdoor equipment and toys were in good repair and free of sharp edges. There are no bodies of water present at the facility. The facility grounds were safe, sanitary and in good repair, with adequate shade. Facility is a smoke free and firearm free zone.
Staff files were reviewed for staff present during the facility inspection on this date, 8 of 8 staff files were reviewed. Health screening and immunization as required were reviewed. Beginning September 1, 2016, Health and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a child care center if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis and measles for staff were reviewed and within compliance. All staff have current influenza declination documentation. Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete mandated reporter training, and to renew the training every two years, all staff have current mandated reporter training documentation.
At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications (expires 06/05/2024).
Information on the additional nutrition training, immunization requirements for children, and Health Schools Act (
http://www.cdpr.ca.gov/docs/pestmgt/schoolipm.htm
) were provided. The director was informed and website given for the
California Child Care Disaster Plan
that has been posted to the UCSF California Childcare Health Program website:
cchp.ucsf.edu/content/disaster-preparedness
. Also provided was information about the E-Learning Modules available at
https://ccld.childcarevideos.org
.
California Department of Social Services Lead Information Brochure was explained to the director.
A random sample of 10 children's records were reviewed. There was a separate, complete, and current record for 10 out of 10 children. In the areas reviewed, the children\342\200\231s files were found to be in full compliance. Sign in/out (completed by parents via brightwheel) procedure was reviewed for compliance.
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
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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/
.
The director was informed that Licensing Quarterly Updates are available at
www.ccld.ca.gov
and may request to be added to an email list to receive a Quarterly Update from
www.ccld.ca.gov
and select
Receive Important Updates link.
LPA provided Guardian Information and website info:
https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian
The director was informed of the
www.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.
In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.
An inspection and exit interview was completed with the director, Sandra Tolmasoff. The report was reviewed and discussed along with the Appeal Rights. The director was provided a copy of the appeal rights(LIC
905
8
) and their signature on this form acknowledges receipt of these rights.
All appeals must be in writing and received by the Regional Office within 15 business days. The director was informed that the \342\200\234Notice of Site Visit\342\200\235 must be posted for 30 consecutive days. The \342\200\234Notice of Site Visit\342\200\235 must be posted on, or immediately adjacent to, the interior side of the main door to the facility. Failure to post will result in Civil Penalties of $100.00.
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
.