Routine inspection·January 10, 2022

On 01/10/2022 an Annual required inspection was conducted at the facility by Licensing Program Analyst (LPA), Stella Gutierrez. LPA observed licensee and Batul Zamanian, Assistant caring for 6 children; which included 2 infants and 4 preschool age children. Licensee was operating within the licensed capacity as specified on license. A review of the Facility Personnel Report Summary conducted on 01/10/2022 indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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. Facility Checklist (LIC 126) was provided to Licensee. During today\342\200\231s inspection, LPA and Licensee toured the inside and outside areas identified in the facility sketch as accessible to child care children. Off limits areas are made inaccessible by means of closed locked door and safety first security gate. The on limits are include the living room, Bathroom #1, Bedrooms #1 and #2. Areas on limits are accessible through the front door with other on limits accessible when entering hall area. Licensee stated that the primary care supervision for the children is conducted in the living room area and bedrooms are for nap time purposes. There are working carbon monoxide, smoke detector, and fire extinguisher 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 not any firearms and/or other dangerous weapons in the facility and none were observed during today's inspection. There is a fireplace in the living room that is boarded and barricaded by a book shelf and inaccessible to children in care. The home has age appropriate toys for the ages served. Page 1 of 5 LPA verified there is a working telephone service (cellular service). LPA, Gutierrez conducted and outdoor inspection during today's visit. Back yard which is accessed through the hall area toward the back of the home and is gated. LPA observed a sand box with no sand, bikes, toys and other age appropriate tike toys. Licensee was reminded that outdoor has concrete and to provide 100% supervision when children are outside.Licensee stated that there are no bodies of water on the premises. LPA, Gutierrez did not observe any bodies of water during today's inspection. Gate that surrounds the perimeter of the back yard is wood and Licensee was reminded to check for any weathered damage that can cause splinters and if needed to hire or perform maintenance to fix the gate so there will not be a potential hazard to the children in care. The licensee does have a current roster of children in care and pictures taken today of the facility roster. Children's records for children present during LPA\342\200\231s inspection were reviewed for a copy of the emergency information card that contains all the information specified by regulation (LIC 700) and found to be in compliance.) The licensee and assistant\342\200\231s Pediatric CPR/First Aid certification expired 07/13/2023 and 01/20/2023. Beginning September 1, 2016, Health and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis, measles for licensee and assistant were reviewed and within compliance. The licensee does not have proof of immunization against pertussis, and measles, and influenza or written declaration to decline. 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. Assistant did not have proof of mandated reporter training during today's inspection. Licensee Mandated reporter Training completed on 09/20/2021. Licensee does not currently provide Incidental Medical Services to any of the children in care. Licensee ws advised that if enrolling a child that need IMS provided that Licensee will report this change to assigned LPA or any other Licensing Program Analyst before providing services to develop a plan for the medical service needed. ** Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. Page 2 of 5 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 The licensee understands she must be present in the facility, must ensure children in care are supervised at all times, and children are not to be left 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's, Pediatric CPR/First Aid, and mandated reporter training. CCLD website www.ccld.ca.gov 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. A copy of the California Department of Social Services Lead Information Brochure was explained and provided to the licensee. Safe Sleep Consultation Provided: 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 [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. English: https//www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf (IF SPANISH) Spanish: https//www.cdph.ca.gov/programs/SIDS/Documents/ChildCareProvSleepSPAN2011.pdf Page 3 of 4 AAP: https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials \342\200\242 Always place infants on their backs for sleeping \342\200\242 Use only a tight-fitting sheet on the crib or play yard mattress \342\200\242 Do not hang any items from the crib or above the crib \342\200\242 Keep all items, including blankets, out of the crib or play yard \342\200\242 Pacifiers may be used as long as they do not have items attached to them \342\200\242 Infants should not be swaddled or have any items covering them while sleeping \342\200\242 The temperature of the room should be comfortable enough for an adult to wear a T-shirt and not be too hot or too cold Licensee stated that she/he understood Safe Sleep and LPA, Gutierrez asked if the Licensee had any questions regarding Safe Sleep for infants. Licensee stated, that she understands and what is required at 10:54 AM . Today LPA did provided proof of infant care plan for both infants present today and a 15 minute log of the infants activities while napping at the facility. Licensee was reminded that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. PIN 21-29-CCP Face Covering Requirements and Guidance for Child Care Providers Regarding Coronavirus Disease 2019 (COVID 19) was provided and licensee was to continue to message the \342\200\234Three W\342\200\231s\342\200\235: Wash your hands. Watch your physical distance. Wear a mask. This face covering guidance is for all individuals 2 years and older, except for the exceptions (child\342\200\231s development, medical exemptions, etc.) that are outlined by CDPH. Staff Interview conducted with Licensee at 11:30 AM. Page 4 of 5 Based on LPAs (observations, record reviews and interviews) the following violation(s) was/were observed is/are being cited in accordance with California Code of Regulations, Title 22, Division 12, Chapter 3, Type B citations are being cited during today's inspections. Please see LIC 809D. Exit interview conducted and report was reviewed with the licensee , Eliza Dasmah. Appeal Rights and Deficiencies cited today were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 ) 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. 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. 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 . Page 5 of 5