Routine inspection·October 21, 2025

Page 1 On 10/21/2025, Licensing Program Analyst (LPA) Deschampe conducted an onsite visit for the purpose of an annual/random inspection. LPA arrived at the facility at 12:37 PM and was met by the Facility Representative/Office Manager, Kristine Chang-Fernandez. The Facility Representative/Licensee, Mary Chang and Facility Representative, Kristine Chang-Fernandez guided the LPA on a tour of the facility with the following census: Room 1 had 9 infants with 3 staff and Room 2 had 11 napping infants with 1 staff. A review of staff criminal clearance record on this date 10/21/2025 indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions. Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code (HSC) section 1596.871, 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 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. During the inspection of the indoor activity space, items which could pose a danger to children (detergents and cleaning compounds) were observed to be stored and out of reach of children. Medications are centrally stored and inaccessible to children. First-aid supplies were complete and stored in a location that is accessible to staff but inaccessible to children. The children and staff bathrooms are safe and in sanitary Page 2 operating condition. The facility has conducted an emergency drill within the past six months (09/10/2025). The facility has tested and operable smoke detectors and carbon monoxide detectors, with 4 fire extinguishers throughout the premises. The facility received a clearance per Inspection dated 10/02/2025 from the City of Costa Mesa Fire & Rescue Department. The facility maintains an indoor temperature within regulation (minimum of 68 degrees and maximum of 85 degrees F or, in extreme heat a maximum of 20 degrees less than the outside temperature. Facility met all waiver, exceptions, and posting requirements, including the California Child Passenger Safety Law, posted by the entrance of the facility. Parents/authorized representatives provide breast milk, formula, and pureed food for the infants. There is an individual feeding plan for each infant. Breast milk/pre-made formula and pureed food are properly stored and refrigerated. Food preparation area for infants is at the table and is sanitary. Menu for snacks is posted where they could be reviewed by parents/authorized representatives. Fixtures, furniture, equipment, and supplies were clean and observed to be in good repair, free of sharp edges, and age appropriate for all infants enrolled in care. Infant changing tables are within arm’s reach of a sink and have a padded surface, no less than 1 inch and covered with vinyl or plastic and have raised sides at least 3 inches high. Infants personal items, including bedding is clean, stored individually, and in a labeled compartment. Family’s provide bedding which goes home on Fridays to be laundered. The sleeping area for infants was observed to be physically separate from the indoor activity space. Infants napped in individual cribs or cots (if they were able to climb out of a crib). California Code of Regulations (CCR) Infant Care Center Sleeping Equipment Section 101439.1(b)(1) A crib or portable-crib…Mattresses…covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged. This requirement was not met with 6 out of 10 fitted mattress sheets. The outdoor activity space was inspected for compliance. The playground was enclosed by a fence at least four feet in height. Drinking water in the outdoor activity space is provided by disposable cups and water from a Brita pitcher. The outdoor equipment and toys were in good repair and free of sharp edges. There are no bodies of water present at the facility. California Code of Regulations (CCR) Section 101238.2 Outdoor Activity Space (d) The surface of the outdoor activity space shall be maintained (2) Free of hazards Page 3 including, but not limited to, holes,…other debris… This requirement was not met for the fake grass with two vertical holes approximately 3-6 inches in length and the padded squares which have warped from the sun and have shrunk leaving 1 inch wide gaps around the slide and climbing area. 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 PIN 22-02-CCP. The following information regarding Americans with Disabilities Act (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 publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/ . Information on the additional nutrition training, immunization requirements for children, and Health Schools Act ( http://www.cdpr.ca.gov/docs/pestmgt/schoolipm.htm ) were provided. The licensee was informed and website given for the California Child Care Disaster Plan that has been posted to the UCSF California Childcare Health Program website: cchp.ucsf.edu/content/disaster-preparedness . Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org . California Department of Social Services Lead Information Brochure was explained to the licensee. 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. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). Per Result Summary completed by Enthalpy Analytical dated 12/11/2023 and email dated 12/20/2023 from the Lead Sampling Program, none of the fixtures tested had an Action Level Exceedance. LPA referred the facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information Staff files were reviewed for staff present during the facility inspection, 3 out of 3 staff files were reviewed. Health screening and immunization as required were reviewed. Beginning September 1, 2016, HSC Page 4 1597.622 states, a person shall not be employed or volunteer at a child care center if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis and measles for staff were reviewed and within compliance. At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications. Health & Safety Code (HSC) 1596.8662(b)(1) Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion …a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training…and shall complete renewal mandated reporter training every two years following the day on which he or she completed the initial mandated reporter training. This requirement was not met with 2 out of 4 staff files reviewed. A random sample of 4 children's records were reviewed. There was a separate and current record for each child. Sign in/out procedure is completed by the authorized representative via Procare. California Code of Regulations (CCR) 101429 Responsibility for Providing Care and Supervision for Infants (a)(2)(C) Documentation shall be maintained in the infant’s file and be available for the Department for review…11 out of 20 infant’s files did not meet this requirement. LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing (CCL) 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 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 licensee was informed that Licensing Quarterly Updates are available at www.ccld.ca.gov and may request to be added to an email list to receive a Quarterly Update from www.ccld.ca.gov and select Receive Important Updates link. Page 5 LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian Based on LPA observation, interviews, and record review the following Type B violations were observed and are being cited (on the attached 809D) in accordance with: California Code of Regulations Section 101439.1(b)(1) Infant Care Center Sleeping Equipment California Code of Regulations Section 101238.2 (d)(2) Outdoor Activity Space Health & Safety Code 1596.8662(b)(1) …training for mandated reporter…proof of completion California Code of Regulations 101429(a)(2)(C) Responsibility for Providing Care and Supervision for Infants The exit interview was conducted with the facility representative, Kristine Chang-Fernandez. The Notice of Site Visit was posted during the visit. The facility representative was reminded that the Notice of Site Visit must be posted for 30 consecutive days. Deficiencies and appeal rights were discussed and provided to the facility representative and their signature on this form acknowledges receipt of these rights. Facility Representative must file an appeal, in writing, to the Regional Manager within 15 business days from the date of receiving the penalty assessment or notice of deficiency. First level appeals should be sent to the Regional Manager at the address listed above. 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