Inspector’s narrative
What the inspector wrote
On 7/15/24, Licensing Program Analyst (LPA), Christine Jung, conducted an onsite inspection for the purpose of an Annual Inspection. Upon arrival at 8:35AM, LPA was led on a tour by Director Nicole Carreon. The overall census observed was nine (9) infant staff and 25 infant children. Facility hours are 6:30AM – 6:30PM, Monday through Friday.
The Facility Personnel Report Summary reviewed on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Director 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 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, items which could pose a danger to children (detergents, cleaning compounds, and medications) were observed to be inaccessible to children. Poisons/Hazardous Items are not kept on the premises. Food is prepared on site; breakfast, lunch, and snacks are provided. Parents provided their own purees for infants. Food prep areas were clean and sanitary; food was properly stored. Menus were posted where they could be reviewed by authorized representatives. Bottles, dishes, and food containers brought by the infants’ authorized representatives were labeled with the infants’ names. Floors, children’s equipment, and furniture were clean, observed to be in good repair, and free of sharp edges. All storage containers for solid waste, including moveable bins, had tight fitting covers that were kept on and in good repair. There was drinking water available, both indoors and outdoors, to children by refillable bottles labeled with the children’s names. The facility purchases water from Sparkletts for drinking and cooking. The children's restrooms were clean and sanitary. Children nap on cots and cribs, bedding was stored individually. The facility had sufficient infant napping equipment.
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The facility had indoor activity space for infants that was physically separate from space used by preschool children.
The toddler program was conducted in areas physically separate from those used by older or younger children. The facility conducted a fire emergency drill on 07/10/24. The facility had a working carbon monoxide detector. Facility met all posting requirements.
Per Child Care Regulation, in addition to the director, an assistant director shall be present and on duty if the center has 25 or more infants in attendance. The assistant director was not present during the inspection on 07/15/24; see LIC 809D for deficiency cited.
Three (3) staff files were reviewed. The facility did not have current immunization against influenza (or written declaration to decline) for all three staff; see LIC 809D for deficiency cited.
Four (4) children files were reviewed. There was a separate, complete, and current record for each child. LPA observed 18 infants from 0-12 months. LPA reviewed LIC 9227 Individual Infant Sleeping Plan and Sleep Log for infants from 0-24 months in children’s files. Sign in/out procedure was reviewed for compliance. The facility uses a digital app called ProCare for sign in and out procedure.
The outdoor activity space was inspected for compliance and was enclosed by a fence. The surface of the outdoor activity space was not maintained and free of hazards. The grass had several holes which could pose a hazard to children in care; see LIC 809D for deficiency cited. The cushioning material made of commercially produced rubber around the climbing equipment, slides, and other similar equipment was sufficient to absorb falls. The outdoor equipment and toys were in good repair. Director stated there are no bodies of water present at the facility.
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.
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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). LPA confirmed with Operations Manager that lead testing was not completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP; see LIC 809D for deficiency cited.
LPA referred director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.
LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation 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
The director was informed that Licensing Quarterly Updates are available at
www.ccld.ca.gov
Director may request to be added to an email list to receive a Quarterly Update by contacting the Child Care Advocate at childcareadvocatesprogram@dss.ca.gov or at
www.ccld.ca.gov
LPA provided Guardian Information and website info:
https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian
Based on LPAs observations, record reviews, and interviews, the following violations were observed and are being cited in accordance with California Code of Regulations, Title 22, Division 12, Chapter 1. See LIC 809D for violations cited: 4 Type B, 1 TV, 1 TA.
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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
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A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the Director, Nicole Carreon.
End of Report.
