Pre-licensing visit·April 6, 2021

Licensing Program Analyst (LPA), Stacy Torrence conducted an announced Pre-licensing inspection of the facility on today's date. The LPA toured the facility with applicant, Kelly Condon. Currently there are two adult residents and no minor children living in the home. Applicant stated she is not currently registered with any Foster Care agency or holds a foster parent license. Applicant was reminded if changes to notify the licensing office. A review of criminal clearance records on this date indicates adults who require caregiver background checks have received criminal record and child abuse index clearances or exemptions The facility is a single-story home with three bedrooms, two bathrooms, living room, den, kitchen, dining room, laundry room, attached garage, front yard (not fenced) and back yard(fenced). The applicant has designated the den, one bathroom, and backyard as part of the day-care. Applicant has designated the three bedrooms, one bathroom, living room, kitchen, dining room, front yard, and garage as off limit areas. Applicant will place safety latches on the drawers, located in the kitchen. There are locks on the off-limited bedroom\342\200\231s doorknobs, ensuring these areas are inaccessible to the children in care, during operation hours. Applicant or assistant will walk the children through the dining room leading to the children\342\200\231s bathroom. The applicant acknowledged the children may never enter the off-limit areas. Control of property was verified by LPA during today\342\200\231s inspection. The applicant has a cell phone that is used for childcare. The applicant was informed if a cell phone is used for childcare, it must remain on the premises at all times during hours of operation. Applicant was informed and understands the home is to be free from smoking during hours of operation. The facility has a fireplace, barricaded by a safety screen, to ensure it is inaccessible to the children in care. Cleaning solutions/chemicals are inaccessible by means of placing them in a high cabinet located in the laundry room. Utensils, and sharp knives located in the kitchen are accessible to children. Per applicant, she will place safety latches on the cabinet drawers in the kitchen. Poisons/Hazardous items are stored, in the locked garage. There is no body of water located at the facility. The toys are age appropriate and in good condition for the potential ages served. Baby walkers, bouncers, jumpers, and similar items will not be used for children in care. The applicant stated there are no weapons or firearms on the premises. When firearms are present, they must be locked and stored separately from the ammunition. During today's inspection, the smoke detector and carbon monoxide were operable, and the fire extinguisher was charged. EMSA approved pediatric CPR & pediatric First Aid are current for the applicant and assistants, which expires on 02/2023, 02/2023, 01/2023, and 10/2022, respectively. Applicant has completed college courses for the Preventive Health and Safety Training requirement. Lead Poisoning Preventive Course completed on 01/2021. 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. 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 following was discussed with applicant: Individuals who are 18 years of age or older living or working in the home must be fingerprinted cleared prior to being present in the facility. LPA provide applicant with website for Live-Scan locations oag.ca.gov/fingerprints/locations for all adult complete LIC 9163. If adult is fingerprinted cleared and associated to another facility, licensee must submit a Criminal Record Transfer Request (LIC 9182) or Exemption Transfer Request form (LIC 9188). Contact Licensing Office (714)703-2800 ask for Personnel ID#, fax Criminal Background Transfer Request form (LIC 9182 or LIC 9188) with copy of a valid identification issued by State or Federal Government and Criminal Record Statement (LIC 508) to fax # (714)703-2831 prior to hiring adult. Failure to complete the clearance process or license association for any adult resident or assistant will result in a civil penalty assessment against the license. Continue on next page (2 of 5) LPA reviewed Unusual Incident Report (UIR) form (LIC 624B)-advised to contact Licensing Officer of the Day within 24 hours and complete the UIR within seven days by faxing LIC624B to (714)703-2831. LPA advised applicant to report to licensing any unusual incident or child absence that threatens the physical or emotional health or safety of any child or any changes to hours and days of operation and also for any changes to facility, including on/off limit areas and change in phone number. LPA reviewed with applicant requirements of Disaster Preparedness drills (documented every 6 months). The LPA advised of Affidavit Regarding Liability Insurance (LIC 282) if did not purchase liability insurance and to maintain the form in the children's files, and Car Safety Seat pamphlet were discussed and provided to the applicant. Posting requirements which include but not limited to Emergency Disaster Plan (LIC 610A), Earthquake Preparedness Checklist (LIC 9141), Parents Rights (PUB 394), Notice of Site Visit (LIC 9213), and License (LIC 203). LPA reviewed with applicant the need to maintain records including but not limited to Children records and Staff/Adults records, (LIC 311D). Applicant was informed of Mandated Reporter Training for self and all assistants. Department web site form was given to download forms, Title 22 regulations, and trainings on-line at http://www.ccld.ca.gov . The applicant was also informed to visit the website for Quarterly Updates. The applicant was advised o n how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov . LPA reviewed Title 22 Regulation Section 102423 Personal Rights including but not limited to: no intimidation, no humiliation, and no corporal punishment. A copy of \342\200\234A Child Care Providers Guild to Safe Sleep\342\200\235 was provided to applicant: English: https//www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf Spanish: https//www.cdph.ca.gov/programs/SIDS/Documents/ChildCareProvSleepSPAN2011.pdf AAP: https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx Continue on next page (3 of 5) NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials LPA reviewed with applicant the following safe sleep best practices: \302\267 Always place infants on their backs for sleeping \302\267 Use only a tight-fitting sheet on the crib or play yard mattress \302\267 Do not hang any items from the crib or above the crib \302\267 Keep all items, including blankets, out of the crib or play yard \302\267 Pacifiers may be used as long as they do not have items attached to them \302\267 Infants should not be swaddled or have any items covering them while sleeping \302\267 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 The applicant was given a pamphlet on Lead Exposure and was discussed with provider. Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org . The Chaptered Legislation for AB 2084 (Nutritious Beverages) is available to view on the website at: http://ccld.ca.gov/res/pdf/12APX-11.pdf The facility was not in compliance for a Large Family Child Care Home with Title 22 Regulations at the time of inspection. The following was observed and needs correction before a license can be issued: 1. Need to place safety latches on three kitchen cabinet drawers 2. Need to place safety gate around the air conditioner unit located in the backyard Applicant will submit proof of corrections, in the form of pictures of safety latches on the three cabinet drawers and the gate around the air conditioner unit , which need to be submitted to Licensing Office before the due date of 04/16/2021. If an extension is needed, please submit a letter in writing before the due date. A license will be issued after final review, in the event additional requirements are needed, the applicant will be notified . Continue on next page (4 of 5) An exit interview conducted where the report was reviewed with the applicant. Appeal Rights and the appeal rights process was discussed with the applicant. The applicant was informed all appeals must be in writing and received by the licensing office within 15 business days. The Notice of Site Visit was posted and discussed as required by H&S Code Sec. 1596.817. Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00. The Notice of Site Visit must be posted on or adjacent to the door. End of Report (5 of 5)