Routine inspection (3-year)·March 5, 2024

On 3/5/2024, Licensing Program Analyst (LPA) A. Silva and V. Trinh conducted an unannounced Required – 3 Year inspection assisted by Director Leslie Lucy. Upon arrival, total census was 46 preschool children in three classrooms (Room 101 19 children with two staff, 102 8 children with 1 staff, 103 11 children and two staff). The facility was operating within its licensed capacity and within compliance of staff to child ratios. Facility hours are 7:30AM TO 6:00PM, Monday through Friday. An on-site Facility Personnel Report Summary review showed that all facility staff or other individuals who require background checks have received criminal record and child abuse index clearances or exemption, except Andrea Shepard, Nicole Sarkozy, and Crystal Carlton. As a plan of correction, the licensee had all three staff associated before the LPAs left the facility (See 809D). Upon arrival at around 9AM, the director was not on site. LPAs had to wait about 25 minutes for the director. A record review shows the facility operates from 7:30AM to 6:00PM. The director corroborated the hours of operation. According to CCR 101215.1(d) The child care center director, or the substitute director as specified in (f) below, shall be on the premises during the hours the center is in operation. Per the director, no one has been assigned responsibility using LIC308 designation of responsibility (See 809D). INDOOR INSPECTION. The LPA inspected the indoor areas and areas accessible to clients at the time of the visit. The facility was equipped with smoke detector, working telephone service, and at least one fire extinguisher that meets statutory and State Fire Marshall standards. The director could not show the LPAs where the carbon monoxide detector was located or whether the facility had one; the director obtained a carbon monoxide detector and installed it while the LPAs were in the facility (see 809D). There was no record of a drill being performed within the last six months (See 809D). The director stated that there are no firearms and/or other dangerous weapons in the facility; none were observed during the inspection. Detergents, cleaning compounds, medicines, and other items that could pose a danger if readily available were inaccessible to clients in care . No poisons or other items that could pose a danger to clients were observed during the inspection. The facility provides age-appropriate toys, play equipment, and materials for the clients served. The children bring food from home. The classrooms are equipped with a sink, a microwave, and a mini-refrigerator for food storage. The food preparation areas were clean at the time of inspection and food was properly stored. The floor equipment and children restrooms were clean. OUTDOOR INSPECTION. The LPA inspected the outdoor areas. The playground was enclosed by a fence at least four feet in height and is in good repair. At the time of inspection, the surface of the outdoor activity area was maintained and free of any observable hazards. The areas around and under high climbing equipment, swings, slides, and other similar equipment were cushioned with material that absorbs falls. The outdoor equipment and toys are in good repair and free of sharp edges. There is a baptismal pool across the licensed facility. The pool was covered with a net that is secured with latched imbedded in the ground. An adult crawled and laid on the net showing the net can support the weight of an adult. The director stated the protocol for waking the children from the classroom to the playground involves exiting through the main entrance located on the side of the licensed building (Building A), walking to the corner of the building adjacent to the playground (Building B) and walking along that building B to the playground. PERSONNEL RECORDS. Beginning September 1, 2016, Health and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a child day care center if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis, measles for staff members were reviewed; Staff 3 did not have record of immunization and staff 6 did not have proof of immunization against measles (See 809D). Staff S3 and S4 did not have proof of tuberculosis testing (See 809D). Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete mandated reporting training and to renew the training every two years. Five of the six staff whose files were reviewed did not have a current mandated reporter certification in file. The director stated staff took the training together and needed to renew (See 809D). None of the staff members present at the time of inspection had a current EMSA approved Pediatric CPR/First Aid certifications. The director texted staff asking if anyone had a current CPR certification and the director stated that no one responded. The director stated staff took the training together and needed to review it. During records review, the LPAs observed that staff 6 did not have a transcript in file. CHILDREN’S RECORDS. Children's records were reviewed for compliance. Each client has a separate, complete, and current record. Except C4 and C5 who did not have a medical assessment in file. Sign in/out procedure was reviewed for compliance. The director stated transportation is not offered to clients. Parents use ProCare to sing in/out using a code. The Incidental Medical Services (IMS) policy was discussed. A link to PIN 22-02-CCP was provided here: PIN 22-02-CCP: Best Practices Related to the Provision of Incidental Medical Services in Child Care Centers and Family Child. When any IMS is provided, a Plan for Providing 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 the 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.cdss.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.cdss.ca.gov LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian 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 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 Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org A copy of the California Department of Social Services Lead Information Brochure was explained and provided to the facility representative. LEAD TESTING: 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 verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP . CRIMINAL RECORD CLEARANCE: The director understands that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to the initial presence in a licensed child care facility. Violation of this requirement will result in a citation of a deficiency and civil penalties of one hundred dollars ($100) per violation per day for a maximum of five (5) days. Subsequent violations within a twelve (12) month period will result in a civil penalty of one hundred dollars ($100) per violation per day for a maximum of thirty (30) days in accordance with Section 1596.871 of the Health and Safety Code. The facility was not in compliance. Violations of the California Code of Regulations, Title 22, Division 12 were observed, discussed, and cited at the time of the visit. The following violations of the California Code of Regulations, Title 22; Division 12, and HSC were observed and cited today: 1596.871(c)(1)(A) Administration of Child Day Care Licensing, 1596.954 Licensure Requirements, 101174(d) Disaster and Mass Casualty Plan, 1596.8662(b)(1) Administration of Child Day Care Licensing, 1596.7995(a)(1) General Provisions and Definitions, 101216(g)(1) Personnel Requirements, 101216.1(b)(1) Teacher Qualifications and Duties, 101217(a)(12) Personnel Records, 101220(a) Child's Medical Assessments, 101216(f) Personnel Requirements, 101215.1(d), Child Care Center Director Qualifications and Duties LPAs A. Silva and Trinh informed licensee Director Leslie Lucy that this licensing report dated 3/5/2024 documents 2 “Type A” citation(s). Type A citation(s) must be posted for 30 consecutive days during the hours that children are in care as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. LPA A. Silva further informed Director Leslie Lucy that: A copy of this licensing report must be provided to parents or guardians of all clients currently enrolled by the next business day or by the next day the children are in care. A copy of this report must be provided to the parents or guardians of all newly enrolled clients for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224) form, or another written equivalent statement, must be placed in the child's file for verification of receipt of the report. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and the report was reviewed with the director. To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process .