Routine inspection·November 3, 2021

At 10:30 a.m., Licensing Program Analyst (LPA) Alanna Gontarek conducted an unannounced Annual Inspection on 11/3/2021. LPA met with Alycia Tucker, Director, who guided analyst on a tour of the facility indoors and outdoors. This is an Infant program which consists of 2 classrooms; Infant Room, and Toddler Room. Facility operation hours are Monday to Friday from 6:30 AM to 6:30 PM. LPA observed staff wearing masks per Department of Public Health's current guidance. Census was taken. There were 17 infants and 5 staff present during this inspection. The licensee is in the conditions, limitations, and capacity specified on the license. PHYSICAL PLANT All areas identified on the Facility Sketch, for the Infant program, were inspected. The following was observed during the tour of facility: Disinfectants, cleaning solutions, medication, and other items that are dangerous to children, were inaccessible to children. Per Director, facility has no firearms or poisons on the premises. LPA advised Director to store all poisons in a key or combination locked, off- limit area. Per Director, medications are stored in the kitchen. Cleaning compounds are stored in an upper locked cabinet in both the Infant and Toddler room, and were observed to be inaccessible to children in care. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All toilets and hand washing facilities are safe, sanitary and are operating properly. LPA observed no bodies of water on the premises. The facility has a functioning carbon monoxide detector located in the hallway. LPA observed a smoke detector, meeting the standards, in each room. Director states isolation area is located in the office. Fire extinguishers were last serviced on 2/17/2021. LPA observed complete First Aid supplies stored in each room. Trash cans used to discard food have tight fitting lids. At 10:55 a.m ., in the "Toddler Room," LPA observed labeled "sippy" water cups and labeled sports bottles stored in a mini refrigerator inaccessible to children in care. LPA advised Director and staff to have water and cups readily available, and accessible to the children to retrieve themselves. LPA inspected the kitchen/ food storage area. All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Page 2 LPA inspected the outdoor play yard while children were outside playing. At 10:57 a.m., LPA Gontarek observed no readily available drinking water or cups for the children in care outside. Per Director, outdoor water faucet is turned off and not being used at this time per COVID-19 sanitary practices, but can be turned on if needed. LPA advised to keep available water and cups outside for children to easily access. Outdoor playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. The facility shall ensure that each infant is never left unattended , and is under the direct visual supervision of a staff person at all times. INFANT PROGRAM Infant changing tables have a padded surface no less than one inch thick and are covered with washable vinyl and have raised sides at least three inches high. Toys were observed to be clean and safe. Infant napping equipment and cribs were observed, and are physically separate from activity space. LPA observed 8 cribs, with no objects inside, except a clean, tight-fitting crib sheet, in the separate nap area. Per Director, sheets are provided from the facility and washed daily. LPA observed extra sheets in each classroom. LPA observed an eating area with 4 feeding chairs in the Infant Room, and 3 tables in the Toddler room for meal times. LPA observed 3 "sit me up" chairs in the Infant Room. Per staff and Director, the "sit me up" chairs are only used to help children sit up. LPA advised to use these chairs only for sitting children up. The facility is in compliance with the staff-infant ratios. A fully qualified teacher is directly supervising no more than 4 infants at one time. Each aide is responsible for the direct care and supervision of a group of no more than four infants, and cannot be left alone with the children without direct supervision of a fully qualified teacher. Individual Feeding Plans are on file for each infant. Infant Needs and Services Plan are on file for each infant. Each infant birth to 12 months have an Individual Infant Sleep Plan (LIC 9227) completed for each infant in care on file. Teachers present have proof of the required infant units on file and meet the qualification requirements. FACILITY RECORDS There is at least one person trained in CPR and Pediatric First Aid present during this inspection. The child care center has one fully qualified teacher designated to act in the director's absence, and is on file. Educational background, transcripts, Page 3 training, and/or experience for each staff present are on file and were reviewed. LPA observed all personnel to be in good health, and are physically and mentally capable of performing assigned tasks. LPA advised Director that personnel posing a threat to the health and safety of children shall be relieved of their duties. LPA observed most current on-the-job training regarding building relationships with families, communicating with parents, and responding to children's unique needs, completed on 10/11/2021. At 2:00 p.m., during record review, 2 out of 6 staff files reviewed did not have a current Mandated Reporter Training (AB 1207) on file. Staff #1 did not a completed AB 1207 on file, and Staff #4 did not renew the Mandated Reporter Training and was expired. LPA observed staff immunization records (Influenza, Measles, and Pertussis) on file for each employee. Director was reminded that all adults 18 and over, 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 Child Care Center. 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. CHILDREN’S RECORDS In review of children’s records, files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. All Infant files reviewed have completed Individual Infant Sleeping Plan (LIC 9227) form on file. Menus are posted for a month in advance where it is visible by the child's authorized representative. Per Director, facility prepares and provides breakfast, lunch, and snacks in between meals. LPA observed snack and lunch menus posted. Snacks were reviewed for availability, quantity and appropriateness to children in care. Per Director, children's authorized representatives bring their own formula and bottles from home. Children's roster was reviewed and is current. Per Director, school uses the Care Connect application to sign in and out children, and children's authorized representatives use an iPad to sign children in and out. Children present were signed in. LPA observed each child’s file to contain a medical assessment. At 2:30 p.m., during record review, LPA observed last Fire Drill completed on 11/8/2019, and Earthquake Drill completed on 5/15/2019. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Page 4 Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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 Per Director, one child, in the Toddler Room uses an inhaler. LPA observed labeled Albuterol, with physician's instructions and child's name clearly labeled on medication, stored in medication box in kitchen. LPA discussed the safe sleep regulations with Director 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 Director 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. LPA provided the following documents about SIDS: A Child Care Provider’s Guide to Safe Sleep from the American Academy of Pediatrics, Never Shake a Baby, and Updated/Current Title 22 Safe Sleep regulations. LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov . The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director, Alycia Tucker. 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 .