Non-compliance follow-up·June 7, 2024

(Page 1) An unannounced case management inspection was conducted on this date by Licensing Program Analyst (LPA) Giselle Lucero. LPA met with Licensee Maria Ortega. At 1:15 PM, LPA observed licensee and assistant caring for 3 infants and 7 school age children. There was 1 dog present in the facility and was securely separated from the childcare area located by the side patio. A review of adult records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The Department received a complaint on 10/31/2023 alleging a child sustained an injury while in care due to lack of supervision. It was reported the gated fence that keeps the dogs away from the children became open and the dog was with the children. Child #1 (C1) pulled the dog’s hair and the dog bit C1. On 01/03/2024 the investigation for the complaint was Substantiated for Lack of Supervision, due to C1 sustaining injury by licensee's dog. The childcare area consists of an enclosed patio, kitchen, living room, bathroom located in the hallway. There are working carbon monoxide, smoke detector, and fire extinguishers in the home that meet statutory and State Fire Marshall standards. Detergents, cleaning compounds, medicines, and other items which could pose a danger if readily available to children were stored inaccessible to children. Licensee stated there are no firearms and/or other dangerous weapons in the facility and none were observed during today's inspections. There is a firepla ce in the living room covered with an iron gate. The home has age-appropriate toys for the ages served. LPA verified there is a working cellular service. Licensee stated they use the back yard as an outdoor play area. LPA observed a wooden gate by the side patio that separates the dog from the children, gate has an additional steel fence screen installed on the gate to prevent children from sticking their hands through the gate gaps. (continue to page 2) (Page 2) There were no poisons or other items observed which could pose a danger to children or if they were observed, they were locked or inaccessible. There is community swimming pool which is not visible from the facility. Licensee stated she occasionally uses the pool for day care use. The licensees does have a current roster of children in care. During staff file review licensee’s Pediatric CPR/First Aid certification expired 02/18/2025. Beginning September 1, 2016, Health and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a family childcare home if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis, measles for licensee were reviewed and within compliance. During record review, LPA observed Staff #1 (S1) did not have a copy of the immunization records. Beginning March 31, 2018, H&S Code 1596.8662 requires all licensed providers and employees to complete mandated reporting training, and to renew the training every two years. During record review, LPA observed licensee and S1 did not have current mandated reporter certificates. The licensees understand she must be present in the facility and must ensure children in care are always supervised. Children are not to be left alone in parked vehicles. When the licensee is temporarily absent from the facility, arrangements must be made for a qualified substitute adult to care and supervise children while absent. The substitute adult must have the required criminal record, child abuse index clearances, immunization, Pediatric CPR/First Aid, and mandated reporter training. LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian CCLD website www.cdss.ca.gov/inforesources/community-care-licensing was provided to licensee to access regulations, updates, and licensing forms. Licensee was advised to register through childcareadvocatesprogram@dss.ca.gov in order to receive quarterly updates. Licensee was advised of their responsibility to review the Provider Information Notices (PIN) found on the CCLD website. (Continue to page 3) (Page 3) LPA discussed the safe sleep regulations with licensee 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 licensee 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. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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/ . In the areas that were evaluated, 2 Type B deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit. HSC (c) 1597.622 Administration of Child Day Care Licensing and 1596.8662 (b)(1)Administration of Child Day Care Licensing. Exit interview conducted and report was reviewed with the licensee Maria Ortega. A notice of site visit was given and must remain posted for 30 days. Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) 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. First level appeals should be sent to the regional manager to the address listed above. End of Report.