Routine inspection·November 15, 2022

*All times are estimate on the report* Licensing Program Analyst (LPA) Lea Habtom met with Licensee, Cristina Costa, for the purpose of an unannounced required 1-year inspection. At the time of LPA's arrival, around 9:45 am, licensee was the only adult present in the home. All individuals subject to criminal background review have obtained a criminal record clearance. LPA observed a total census of 8 children consisting of 2 infants over 12 months and 6 preschool children being supervised by licensee. The licensee's daughter/assistant arrived around 10:00 am. Licensee guided LPA on a tour of the facility, and a health and safety inspection was conducted in all areas accessible to children. Off-limits areas include master bedroom, master bathroom, son's room, kitchen, entire backyard and garage. During today's visit licensee requested that the son's room be taken off limits and daughter's room be placed off limits. Prior to today's visit, licensee was using an off limits room as a napping room. Off limits areas was updated to include master bedroom, master bathroom, daughter's room, kitchen, backyard and garage. Licensee acknowledged that children must never enter these areas. LPA observed the required postings, a working phone, 2A10BC fire extinguisher, and functioning smoke and carbon monoxide detectors. Licensee stated there are no weapons in the home. LPA did not observe bodies of water at the facility. Toxic and hazardous items are inaccessible to children. Fireplace is barricaded to prevent access by children. There are no stairs in the home. Outdoor play space is fenced. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. At LPA reviewed children\342\200\231s files. A current roster is being maintained and fire and disaster drills are documented. The licensee's immunization records for measles (MMR), pertussis (Tdap), and the flu are available in the facility file. Current CPR and First Aid certification was verified and expires 10/2024, and AB 1207 Mandated Reporter Training was verified for the Licensee and expires 4/2024. Licensee's assistant/daughter mandated reporter training and immunization's could not be verified. ( Report continues LIC809-C) LPA observed one play yard at the facility. Play yards had loose objects liked stuffed animals and blankets. Licensee removed items once notified items are prohibited in the play yard. Licensee stated she places infant children on their backs when they are napping. LPA reviewed infant sleep plan (LIC 9227) requirement with Licensee, and 15-minute observation checks of napping infants. LPA discussed the safe sleep regulations with licensee 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 licensee 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. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual-Regulation Interpretations and Procedures for Family Child Care Homes Sections 102417. When any IMS is provided an updated 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 Title 22 Deficiency has been cited on the attached LIC 809-D . LPA Lea Habtom informed licensee Cristina Costa that this report dated November 15, 2022 document(s) 2 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Lea Habtom informed the licensee Cristina Costa to provide a copy of this licensing report dated November 15, 2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Appeal Rights given. Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for child care updates, regulations, current forms, Provider Information Notices (PINs), and to subscribe to quarterly updates. Exit interview conducted and report was reviewed with the licensee Cristina Costa. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.