Pre-licensing visit·August 11, 2021

Licensing Program Analyst (LPA) Stacy Torrence conducted an onsite prelicensing inspection at this proposed childcare center. LPA met with Yumi Ramirez, Division Director and toured the center. The facility representative has requested to provide care and supervision for 12 infants; ages 12 months to 24 months and toddler option children 18 months to 36 months; Monday through Friday, 7:00 a.m. to 6:00 p.m.Building O; infant classroom: #20 and Toddler classroom: #18. The facility is located on the Garden Grove School District Preschool site of Clinton Corner Family Campus. 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. The staff lounge area will serve as the isolation area for ill children temporarily until parents arrive. There is a bathroom, located in the staff lounge that will be used as the isolation bathroom for ill children and is conveniently located to the isolation area. Medication will be stored in a cabinet above the sink, located in each classroom. Medication administration forms were reviewed. First Aid supplies is stored in each classroom. EMSA approved Pediatric CPR & First Aid are current for the division director and site supervisor expires on 01/2022 and 04/2023, respectively. Site Supervisor completed a Health Safety and Nutrition course on 2018. Lead Poisoning Preventive Course on 05/2021. 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 Continue on next page (1 of 5) Per Division Director, Yumi Ramirez, the facility can not obtain funding to purchase equipment for the facility until they are licensed. 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 Drinking water is available inside by a water dispenser and disposal cups \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 \302\267 Cubbies available for storage of individual child\342\200\231s personal belongings and/or bedding \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 taken home by parents once a week to be washed The infant indoor is physically separate from the toddler option \302\267 Infants will be napping on cots \302\267 Cots will be stored in each classroom \302\267 Infant Needs Feeding Plan Center food policy is that they will provide breakfast, lunch, and PM snack. Food will be delivered by a vendor. Evaluator reviewed Title 22 Sections 101227 with applicant and that the licensee is ultimately responsible to provide adequate, nourishing food. LPA discussed the posting requirements including, but limited to, the following: Facility License in public area (101160) Emergency Disaster Plan (LIC 610) Earthquake Preparedness Check List (LIC 9148) Parents\342\200\231 Rights Poster (PUB 393) Personal Rights (LIC 613A) Menus Activity Schedule Notice of Site Visit (LIC 9213) and Type A deficiencies Plan of Corrections of Type A deficiencies Granted Waivers (available for review) Continue on next page (2 of 5) Child Car Seat Law (PUB 269) Sudden Infant Death Syndrome Poster (recommended) Shaken Baby Syndrome Poste r (recommended) The indoor activity space was measured and is as follows: Toddler Classroom #18: 27.04 x 34.00 = 919-16 (encumbered space-staff cabinet) = 903 sqft Infant Classroom #20: 39.07 x 24.06 = 940-16 (encumbered space-staff cabinet) = 924 sqft Total: 1,827 sqft divided by 35 = 52 children Toilets: 2 x 15 = 30 children Sinks: 3 x 15 = 45 children 2 Potty Chair available for children being potty trained: 2 x 5= 10 LPA discussed with the applicant 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 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; Age appropriate equipment available for children in care Playground is fully enclosed by an appropriate fencing Drinking water is available outside by water dispenser and disposal cups Outdoor activity space is supplied with age and size appropriate play structure An adequate amount of cushioning material consisting of grass and pour and play Adequate shade is provided by commercial umbrellas Total outdoor activity space was measure and is as follows: Infant Playground: 38 x 37 = 1,406 sqft. Toddler Option Playground: 38 x 37= 1,406 sqft. Total: 2,812 sqft divided by 75 = 37 children Continue on next page (3 of 5) 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 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 was also informed to visit the website for Quarterly Updates. The applicant was advised on h ow 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 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 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 \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 Continue on next page (4 of 5) LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian The facility was in compliance with Title 22 requirements at the time of the inspection. Based on today\342\200\231s measurements, and the sink and toilet availability, this center has sufficient activity space to support the capacity of 24. The applicant will be notified if any additional information is required. A license will be issued for the capacity of 24 after a final review. Applicant 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