Pre-licensing visit·April 12, 2021

Licensing Program Analysts (LPAs) Stacy Torrence and Lou VanZant conducted an announced, on site pre-licensing inspection for the purpose of change in ownership. LPAs met with Angela Briones and Shirley Scholfield, previous owner, who guided LPAs on a tour of the facility. There were six infants present and two staff supervising during today\342\200\231s inspection. Applicant has requested a license to care for eight infants; ages 0-24 months; from 6:30 a.m. to 6:00 p.m., Monday through Friday, in classroom #1. A review of the Facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During the inspection, it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. Check-in procedure is as follow: parents sign in/out children utilizing a biometric system, in which, parents place their thumb on the device, children\342\200\231s temperature is taken, the receipt is printed out and given to the director, director walk children to their classroom, children then wash their hands. Office area is located in the front corner of the building and will serve as the isolation area for ill children temporarily until parents arrive. The staff bathroom will be used as the isolation bathroom and is conveniently located to the isolation area. Medication will be stored in a locked box in either the front desk or in the kitchen if refrigeration is required. First Aid kit is complete and located in the file cabinets in the individual classrooms. An emergency backpack is stored in the storage room. EMSA approved Pediatric CPR & First Aid are current for the director and expires on 09/2022. Applicant/facility representative completed the 8-hour Preventative Health Practices and Nutrition Course with A-B-CPR and First Aid Training, dated 11/2019. Lead Poisoning Training has been completed. Continue on next page (1 of 5) Parent provides infant formula, which is kept in the refrigerator, with name and date. Food preparation area is equipped with, refrigerator/freezer. Center policy is that lunches are prepared by Woodbury facility and brought to location. Facility provides AM/PM snacks. Evaluator reviewed Title 22 Sections 101227 and 101327 with applicant and that the licensee is ultimately responsible to provide adequate, nourishing food. This facility plans to provide Incidental Medical Services \342\200\223 IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes 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 were inspected in the indoor activity space: \302\267 Classroom are adequately equipped with age and size appropriate furniture and equipment \302\267 Sign in/Sign out procedure was reviewed and meets regulation requirements \302\267 There is a working smoke detector, carbon monoxide detector and fire extinguisher that meet statutory requirements \302\267 Cubbies available for storage of individual child\342\200\231s personal belongings and/or bedding \302\267 There were mats stored in the crib area \302\267 The changing table is within arm\342\200\231s reach of a sink \302\267 The changing table is padded with raised sides \302\267 Bedding will be washed daily on site by the facility \302\267 There is a designated napping area surrounded by a 4 ft wall with sufficient infant napping equipment \302\267 The infant indoor is physically separate from the preschool/toddler component LPA discussed the posting requirements including, but limited to, the following: \302\267 Facility License in public area (101160) \302\267 Emergency Disaster Plan (LIC 610) \302\267 Earthquake Preparedness Check List (LIC 9148) \302\267 Parents\342\200\231 Rights Poster (PUB 393) \302\267 Personal Rights (LIC 613A) \302\267 Menus Continue on next page (2 of 5) \302\267 Activity Schedule \302\267 Notice of Site Visit (LIC 9213) and Type A deficiencies \302\267 Plan of Corrections of Type A deficiencies \302\267 Granted Waivers (available for review) \302\267 Child Car Seat Law (PUB 269) \302\267 Sudden Infant Death Syndrome Poster (recommended) \302\267 Shaken Baby Syndrome Poste r (recommended) The indoor activity space was measured and is as follows: Classroom #1: 300= sqft divided by 35 = 8 children Total children toilets and sinks: Potty chairs: 2 X 5 = 10 children Sinks : 3 X 15 = 45 children LPA discussed with the applicant/facility representative that all employees must have criminal record clearances associated to the facility prior to their presence in the facility, staff to child ratio requirements, direct visual supervision requirements, emergency/disaster drills, children records, mandated reporter training, and staff immunization requirements against measles, pertussis, and influenza. Applicant/facility representative was advised the children's bedding must be stored individually and may not touch another children's bedding. The following were inspected in the outdoor activity space; \302\267 Playground is fully enclosed by an appropriate fencing \302\267 Drinking water is available outdoors by fountain \302\267 Outdoor activity space is supplied with age and size appropriate equipment, including small climbing structures, and a playhouse \302\267 An adequate amount of cushioning material consisting of rubber foam is in place under the play equipment \302\267 Adequate shade is provided by awnings, and patio covering Continue on next page (3 of 5) Total outdoor activity space was measure and is as follows: Yard: 600 sqft divided by 75 = 8 children 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 Applicant/facility representative 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 www.ccld.ca.gov . The applicant/facility representative was also informed to visit the website for Quarterly Updates. The applicant was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov . or at www.ccld.ca.gov 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 applicant/facility representative was informed, and website given, about the California Child Care Disaster Plan has been posted to the UCSF California Childcare Health Program website: cchp.ucsf.edu/content/disaster-preparedness A copy of the 2016 \342\200\234A Child Care Providers Guild to Safe Sleep\342\200\235 was provided to the applicant/facility representative. 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 NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials \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 Continue on next page (4 of 5) \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 Based on today\342\200\231s measurements, and the sink and toilet availability, this center has sufficient activity space to support the capacity of eight infants. A license will be issued for the capacity of eight after a final review. The applicant will be notified if any additional information is required. Facility is in the process of completing the testing of their water. Facility representative was also advised, once licensed, the Notice of Site Visit must be posted for 30 days and if A violations are cited then the Licensing Report (LIC809 or 9099) must be posted by the Notice of Site Visit for a period of 30 days or $100 civil penalties will be assessed, and the report shall posted and copies provided to the parents/guardians of the children in care at the facility by the next business day, and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child\342\200\231s file An exit interview was completed. The report was reviewed and discussed. Appeal Rights were discussed. The applicant was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days End of Report