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Inspection visit

Routine inspection

KEOUGH-SOMMA, GINALicense 30431081011 citations on this visit
11 citations recorded

Inspector’s narrative

What the inspector wrote

An Annual Random inspection was conducted at the facility by Licensing Program Analyst (LPA) Bootorabi. The Facility Day care hours are 7:30 am-5:30 pm, Monday through Friday stated by the licensee. Census: Infants: 2 Children Over Two: 3 School Age: 0 Adults Working Directly with Children: 1 Other Adults: 1 During today\342\200\231s inspection, LPA observed children playing in the living room area. The licensee had 1 infant in a high chair, 3 other children playing with toys in the living room. During the inspection another child arrived for drop off shortly after. Posted Requirements were reviewed during today\342\200\231s visit. Upon arrival, the LPA verified that the following documents were posted in a prominent, publicly accessible area; License, PUB 394 Notification of Parents\342\200\231 Rights, and LIC 9148 Earthquake Preparedness. LPA provided a consultation regarding documents that must be in a prominent and publicly accessible. Inside Tour: The LPA and licensee toured the facility inside. The facility sketch (LIC 999) was verified. Areas stated to be off-limits by the facility sk etch were made off-limits by baby safety gates in the following areas, stairs and by closed doors. There is a fireplace in the great room screened by a metal gate and mesh screen. The licensee stated the children's primary care and play areas consist of the living room and great room. The licensee stated that children nap in the nap room in cribs and great room in mats. The licensee stated children eat in the living room on a child size table. The LPA and licensee toured the living room, kitchen, bathroom, and great room. Detergents, cleaning compounds, medicines, and other items that could pose a danger if readily available to children were not observed to be accessible to children in care. Floors, equipment, and .... Page 1 furniture were clean and were observed to be in good repair and free of sharp edges. The children's bathrooms are clean and sanitary. The licensee stated there are no firearms and/or other dangerous weapons in the facility and none were observed during today's inspections. Napping Area: The licensee washes soiled blankets in her home and provides all bedding. The home ha s some age-appropriate toys for the ages served in the living room. Diapering occurs in the napping room and children use the bathroom across from the napping room. Currently the bathroom does not have a hand washing station due to a plumbing issue and licensee stated that children wash their hands in the kitchen. The location & functioning of the carbon monoxide, smoke detector, and fire extinguisher were reviewed with the license. The fire extinguisher is under the sink in the kitchen and marked full. The smoke detector and carbon monoxide was tested and functional. Outdoors: There are bodies of water (pool/hot tub) present at the home. The hot tub and pool are gated. The facility\342\200\231s outdoor grounds are safe, sanitary, and in good repair. LPA observed some children pretend home x2, art station and water play station (empty). The licensee stated that children do not go outdoors without outdoor supervision by her. Records Reviewed: T he LPA requested to review the LIC 610A Emergency Disaster Plan, Verification of Disaster and Fire Drills, and LIC 9040 Facility Roster. The LPA reminded the licensee of the importance of keeping documents up to date. The licensee did not have an updated LIC 9040 or a drill log for review. A consultation was provided. Personnel Records: The LPA requested to review 1 of 1 records of adults working directly with children. The following documents were requested for review CPR First Aid Certification, LIC 9052 , Immunization records, TB clearance and LIC 9108 , and a Mandated Reporter Training Certificate. The LPA observed 0 of 1 completed files. A consultation was provided. Page 2 Children\342\200\231s Records Reviewed : The LPA requested complete children\342\200\231s records of 5 of 5 children enrolled. Children's records were reviewed, and there was not a separate, complete, and current record for each child. The LPA reviewed files to verify the following documents Immunization Records, LIC 700 Identification and Emergency Medical Treatment, and LIC 995A Notification of Parents\342\200\231 Rights. The children\342\200\231s records were (not) complete currently. A consultation was provided due to licensee not having 2 complete files for children, and immunization records not updated. A consultation was provided. Individual Sleep Plans : The LPA observed 1 infants from 0-24 months. An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and maintained at the facility in the infant\342\200\231s file. LPA observed and reviewed 0 of 1 LIC 9227 Individual Infant Sleeping Plan in children\342\200\231s files. Sleep Logs: Staff shall physically check on sleeping infants every 15 minutes and document the following: 1. Labored breathing. 2. Signs of distress, which include but is not limited to flushed skin color, increase in body temperature, and restlessness. 3. Infants up to 12 months of age who are sleeping in a position other than on their back. The licensee provided 0 of 1 sleep logs of children 0 \342\200\223 24 months. 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-andresources/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. The licensee was informed of the important updates available at www.ccld.ca.gov and may request to be added to an email list to receive Community Care Licensing Important Notifications from the above website and selecting Receive Important Updates: https://www.cdss.ca.gov/inforesources/community-care-licensing/policy/provider-information-notices/child-care Page 3 Family childcare, home providers, have an important role in protecting the health and safety of children. Watch these brief, informative videos to learn more about putting Licensing regulations and requirements into practice. https://ccld.childcarevideos.org/family-child-care-providers/ 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/ MyChildCarePlan.org: Family Child Care Homes Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. www.mychildcareplan.org The licensee understands they 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 for and supervise children while absent. The substitute adult must have the required criminal record, child abuse index clearances, immunization's, Pediatric CPR/First Aid, and mandated reporter training. The facility was not in compliance and violations of the California Code of Regulations, Title 22, Division 12 were observed, discussed, and cited at the time of the visit. The following violations of the California Code of Regulations, Title 22; Division 12, were observed and cited today: 102421(a) , 102421(b) , 102417(g)(9)(A)1 , 102425(j)(2) , 102417(g)(7) , 102417(g)(8) , 102425(c) , 102425(c)(2) Due to the Type A violations cited today, the licensee shall post, and provide copies, of the report to parents/guardians of the children in care at the facility by the next business day and shall provide them to the parents/guardians of children newly enrolled at the facility during the next 12 months. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child\342\200\231s file. In addition, the licensee shall immediately post upon receipt of the Proof of Correction for 30 consecutive days. An exit interview was conducted with Gina K Somma . Appeal Rights were explained. Family Child Care Homes During the exit interview, the LICENSEE Gina confirmed that there are no Registered Sex Offenders living in the facility. 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 at the address listed above. A notice of site visit was given and must remain posted for 30 days. 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 . End of Report

Citations

11 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • OPERATION OF A FAMILY CHILD CARE HOME

    Based on observation, interview and record review, the licensee did not comply with the section cited above by means of not having a complete emergency information cared for C4 and C5 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • OPERATION OF A FAMILY CHILD CARE HOME

    Based on observation, interview and record review, the licensee did not comply with the section cited above by means of not having a roster for children which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 102417(g)(9)(A)1Type B

    Based on observation, interview, and record review, the licensee did not comply with the section cited above by means of not having documentation for drill logs which poses/posed a potential health, safety or personal rights risk to persons in care.

  • IMMUNIZATIONS

    Based on observation, interview and record review, the licensee did not comply with the section cited above by means of not having updated immunization records for children enrolled in the program which poses/posed a potential health, safety or personal rights risk to persons in care. LPA provided a resource to obtain records. CA Vaccination Records website.

  • 102421(a)Type A

    CHILD'S RECORDS

    Based on observation, interview and record review, the licensee did not comply with the section cited above by means of not having children records for C4 and C5 which poses an immediate health, safety risk to persons in care.

  • 102421(b)Type A

    CHILD'S RECORDS

    Based on observation, interview, and record review, the licensee did not comply with the section cited above by means of not having an emergeny information card for C4 and C5 which poses an immediate health, safety or personal rights risk to persons in care.

  • 102425(c)Type B

    INFANT SAFE SLEEP

    Based on observation, interview, and record review, the licensee did not comply with the section cited above by means of not having a LIC 9227 available for review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 102425(c)(2)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above by means of not maintaning a LIC9227 for infants in care which poses/posed a potential health, safety or personal rights risk to persons in care.

  • INFANT SAFE SLEEP

    Based on observation, interview, record review, the licensee did not comply with the section cited above by means of not having sleep logs available for review for infant enrolled which poses/posed a potential health, safety or personal rights risk to persons in care.

  • INFANT SAFE SLEEP

    Based on observation, interview and record review, the licensee did not comply with the section cited above by means of not having an infant file available for review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • OPERATION OF A FAMILY CHILD CARE HOME

    N/A licensee had a emergency disaster plan. A consultation was provided to update the form.

FAQ · About this visit

Common questions about this visit

What happened during the September 27, 2023 inspection of KEOUGH-SOMMA, GINA?

This was a inspection inspection of KEOUGH-SOMMA, GINA on September 27, 2023. 11 citations were issued: 2 Type A (serious) and 9 Type B.

Were any citations issued to KEOUGH-SOMMA, GINA on September 27, 2023?

Yes, 11 citations were issued (2 Type A, 9 Type B). The first citation was for: "Based on observation, interview and record review, the licensee did not comply with the section cited above by means of ..."

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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