Routine inspection·October 20, 2025

Page 1 On 10/20/2025, Licensing Program Analyst (LPA) Deschampe conducted an onsite visit for the purpose of an annual/random inspection. LPA arrived at the facility at 9:05 AM and was met by the Assistant Director, Natalie Orozco. The Facility Representative/Director, Patricia Ramirez and assistant director guided the LPA on a tour of the facility with the following census: Infant Room: 6 children and 3 staff present and Toddler Room: 7 children 2 staff. A review of staff criminal clearance record on this date 10/20/2025 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 Page 2 accessible to staff but inaccessible to children. The children's and staff bathrooms are safe and in sanitary operating condition. The facility has conducted an emergency drill within the past six months (09/19/2025). The facility has 3 working carbon monoxide detectors and 3 fire extinguishers. 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/formula and pureed food are properly stored and refrigerated. Food-preparation area for infants is at the group feeding table and is sanitary. 1 bottle warmer for breast milk and 1 for formula. Menus 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. Infants personal items, including bedding is clean, stored individually, and in a labeled compartment. 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). 15 minute sleep checks are properly documented. Infant changing tables are within arm\342\200\231s 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. The outdoor activity space was inspected for compliance. The playground was enclosed by a fence at least four feet in height. The surface of the outdoor activity space was well maintained and free of hazards. The cushioning material (rubber turf) around the climbing equipment, slides and other similar equipment appeared to be enough to absorb falls. Drinking water in the outdoor activity space is provided by personal and labeled water bottles. The outdoor equipment and toys were in good repair and free of sharp edges. There are no bodies of water present at the facility. The facility grounds were safe, sanitary and in good repair. 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 Page 3 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). 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 on this date, 3 out of 3 staff files were reviewed. Health screening and immunization as required were reviewed. Beginning September 1, 2016, HSC 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. Beginning March 31, 2018, HSC 1596.8662 requires all directors and employees to complete mandated reporting training, and to renew the training every two years. At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications. A random sample of 3 children's records were reviewed. There was a separate, complete and current record for each child. In the areas reviewed the children\342\200\231s files were found to be in compliance. Sign in/out procedure is completed by the authorized representative via ProCare. Page 4 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. LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit. The exit interview was conducted with the facility representative, Patricia Ramirez. 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. 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