Routine inspection (multi-day)·July 21, 2023

On 07/21/2023 Licensing Program Analyst (LPA), A. Bootorabi conducted an onsite visit for the purpose of a 1 year continuation required inspection. LPA a nd director Monica Lunn t oured the facility inside and outside and the floor and yard plan (LIC 999) were verified. An Entrance Checklist (LIC 125) was provided on 7/20/2023 to the director. The director will provide LPA an updated LIC 999 via email. Census was taken upon entry of each classroom (Class Name-Children-Teacher): Twos's Classroom - 22-2 / Pre-K1-22-3 / Pre-K 2-19-2/ Jr Pre-k - 21 - 2 The LPA and director toured the facility inside. The updated facility sketch (LIC 999) was reviewed and suggestions were made. Director will send updated form to LPA. Areas stated to be off-limits by the facility sketch were made off-limits by means of closed doors and gates with latches. Classrooms 4 out of 4 were toured with the director during today's visit. Classrooms 4 of 4 were inspected and the activity space, and items that could pose a danger to children (detergents, cleaning compounds, and medications) were observed to be stored out of t he reach of children. Cots used for napping were observed to be maintained in a safe condition. The LPA observed medication being stored in a locked cabinet inside the director's office. The LPA reviewed the record of current medications, including the name of the prescribing physician, and instructions. Medications observed today were not expired but PARENT CONSENT FOR ADMINISTRATION OF MEDICATIONS AND MEDICATION CHART LIC9221 was not available for review for 10 of 12 medications. A consultation was provided to the facility representative during inspection. This facility provides Incidental Medical Services \342\200\223 IMS. LPA reviewed storage of \342\200\234medication and equipment/supplies and reviewed children\342\200\231s, personnel, and administrative records. For IMS information see PIN 22-02-CCP . The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to the publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/ . The surface of the outdoor activity space was observed to be maintained in a safe condition for activities. The surface of the outdoor activity space was observed to be free of hazards including, but not limited to, holes, broken glass, and other debris. A consultation was provided for spider webs observed during the inspection. LPA also discussed the outdoor bathroom paper dispenser for TP being broken. The cushioning material used underneath the play structure in the outdoor space for preschool playground consists of cushion like material in some areas where falls can occur and artificial grass all over. The outdoor equipment and toys were in good repair and were free of sharp edges. There are no bodies of water present at the facility. The facility\342\200\231s outdoor grounds are safe and in good repair. LPA observed one shed in the pre-k playground that was locked for storage. The facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to the initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. Children\342\200\231s Records Reviewed began at 10:00 am The LPA requested complete children\342\200\231s records of children enrolled in the program. Children's records were reviewed, and there was a separate, complete, and current record for each child. The LPA reviewed files to verify the following documents Immunization Records, LIC 700 Identification, Emergency Medical Treatment, and LIC 995A Notification of Parents\342\200\231 Rights. Records were incomplete due to LIC9221 was not completed. The LPA requested to review staff records of adults working directly with children. The following documents were requested for review exemptions or exemptions, Staff Qualifications, Immunization Records, LIC 9052 Employee Rights, LIC 9108 Statement Acknowledging Requirement to report Child Abuse, 1 CPR First Aid Certification of staff present at the facility at all times, TB clearance, and a Mandated Reporter Training Certificate. The facility had one separate file for each staff member. The files reviewed during today\342\200\231s visit were observed to be completed. T All staff had current Mandated Reporter Training. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 , requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP. Safe Sleep: 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 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. The facility did not meet the California Code of Regulations, Title 22 Division 12, and regulations not met 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: CCR 101221(b)(10) , CCR 101226(e)(3)(B) , and CCR 101226(e)(4)(B) 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. Notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the director Monica Lunn. 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 at the address listed above. The Notice of Site Visit was posted and discussed as required by H&S Code Sec. 1596.817. 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/inspection-process End of Report