Routine inspection·October 26, 2023

On 10/26/2023 at 12:55 PM Licensing Program Analyst (LPA) Susan Brewer, arrived unannounced at the facility to conduct a 1 year required annual inspection for the Infant Program. LPA was granted entry by Director Diana Ramirez, LPA toured the facility, inside and out, reviewed records, and observed and/or discussed the following: The director left the facility at 3:48 PM and the Assistant Director Daniele Nava, continued with the inspection in the director’s absence. Normal days and hours of operation are: Monday- Friday, 6:00 AM to 6:30 PM, In the Infant Room. The inspection consisted of reviews of the following domains: Food Service; Reporting Requirements Physical Plant; Care and Supervision; Children Records; Staff Records; Staffing Ratio and Capacity and Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC809D. The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days on or before 11/26/2023: · LIC 500 Personnel Report, update requested. · LIC 610 Emergency & Disaster Plan, update requested. · Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made), update requested. · LIC 309 Administrative Organization · LIC 308 Designation of Administrative Responsibility · The facility is operating within the terms of the license. · Facility is clean, safe and sanitary and in good repair. · Appropriate supervision and Ratios were met during this inspection where 18 infant children were supervised by 6 staff members. · A fully charged fire extinguisher (2A:10BC) was observed. A smoke detector and carbon monoxide detector were present and tested by the Licensee during this inspection. · Rooms and activity areas are physically separated from other components. · Rooms are equipped with age-appropriate furniture and equipment in good condition. · Uncontaminated drinking water is provided in both the indoor and outdoor activity areas by public water supply and filtered water and bottled water. · Napping equipment is sufficient for capacity and meets licensing requirements. · Rooms are clean and free of hazards. · Materials and surfaces accessible to children are toxic free. · No weapons stored at the facility. · There are no bodies of water present on 10/26/2023. All wading pools or similar product must be emptied immediately after use and stored in an upright position. · Medications are stored where inaccessible to infants: Located in a locked medicine cabinet located in the kitchen, which has a key lock doorknob. · The center is equipped to isolate and care for any child who becomes ill during the day in the director’s office and the staff restroom would serve as the isolation area temporarily for ill children. · Toxins are locked and Hazards are stored where inaccessible to infants. · Toileting area was observed to be safe, sanitary and in operating condition. · Outdoor play area is physically separated by appropriate fencing and is NOT free of hazards, where the facility has installed artificial grass/turf directly on top of a concrete slab, without padding underneath the material, which is used play area for infants. LPA Susan Brewer observed the artificial grass to be worn and lifted from the surface which is a tripping hazard for children and staff. · Outdoor activity areas are supplied with age-and-size equipment in good condition. · There is NOT sufficient cushioning material under high climbing equipment, swings, slides and similar equipment where the facility installed artificial rubber turf without padding to cushion a fall. LPA Susan Brewer observed an infant/toddler play structure with steps, a slide and platform located in the center area of the artificial turf. The artificial turf, which was once a rubber matting, is now hardened and rough to the touch and can no longer provide cushion for small children of infant or toddler age during outdoor play. In addition, LPA observed the artificial turf to be damaged with cracks in the center and deteriorating throughout the perimeter of the surface, where the turf material meets the blacktop and lifted at least 1-2 inches or more in several areas, which is a tripping hazard for small infant and toddler children just learning to walk, along with staff. · Measures are taken to keep the facility free of flies, other insects and rodents. · Food preparation area is clean and free of vermin. · Food is stored appropriately and protected from contamination. · All storage containers for solid waste have tight-fitting covers that are kept on, and in good repair. · Individual feeding and Infant needs and service plans were reviewed and are complete for each individual infant were not available upon request during the inspection for children present and in care. · During today’s inspection, LPA requested the LIC9227 Infant Sleep Plans for Infants up to 12 months, which were not available for review, nor did the facility provide documentation kept for sleep logs as required to show the Dates, Names, Time of 15-minute check and staff initials for children in care. LPA arrived at the facility during naptime, and requested sleep logs, however supervising staff were unable to provide sleep logs for 16 of 18 infant children present and in care. By admission, the facility director stated they facility does conduct 15-minute checks for infants after turning 12 months of age. · Infant files were reviewed and are NOT complete: 4 of 6 files were missing the LIC701 Physicians report, 3 of 6 files were missing immunization records, 3 of 6 files were missing needs and services plans, 4 of 6 files were missing sleep logs. · Sign in/Sign out record was reviewed and meets regulation requirements on 10/26/2023. · A Staff member is NOT present with current Pediatric CPR/First Aid. · Opening and closing staff member’s CPR/First Aid are online courses, which are not EMSA approved or Title 22 compliant. · Director completed Health and Safety Training on 04/27/2023. · Staff qualifications and files were reviewed and are NOT complete: 3 of 4 staff files reviewed were missing proof of measles, Influenza, and 1 of 4 staff files reviewed did not proof of required immunizations, MMR, Tdap and Influenza or letter to decline; Education is not verifiable for required units, 2 staff were missing their AB1207 Mandated Reporter training, 1 staff personnel forms were incomplete, 2 staff were missing the LIC503 Health screening. · Staff have received on the job training for housekeeping, sanitation and universal health precautions. · Documentation of fire & earthquake drills to be conducted every six months: Last drill on 0915/2023 · Documentation of Lead Testing is on file: 11/23/2022 No Action Level Exceedances reported. · A review of staff records on 10/26/2023 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 Licensee was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov , Licensee was informed of the Department has inspection authority per Health and Safety Codes. AB2370 – Lead Exposure, day care facilities, effective January 1, 2019 – The bill requires that all Child Care Centers, operating in a building constructed before January 1, 2010, shall have their drinking water tested for excessive lead levels, on or after January 1, 2020, but no later than January 1, 2023. Child Care Centers must thereafter test their drinking water every five years after the date of the initial test. AB605 – Child day care facilities, birth to school-age license; Effective January 1, 2021 AB2960 – Child care and development services, online portal – Effective June 20, 2022 - This bill requires the State Superintendent of Public Instruction (SSPI), within the California Department of Education (CDE), to develop and post on CDE's website a comprehensive child care and development services online portal for families and providers by June 30, 2022. Please subscribe at www. childcareadvocatesprogram to receive Department updates. They will be sent directly to your e-mail account once you have set up an account. Duty Officer is available to answer questions Mon. – Fri. at 1-844-LET-US-NO (1-844-538-8766). This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication in the kitchen and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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 F or CCCs: Incidental Medical Services (IMS) policy was discussed. The facility representative, 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 Child Care Center. 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. LPA Susan Brewer, discussed the safe sleep regulations with facility authorized representative 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 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. 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 . See LIC809D pages, for Type B Deficiencies cited this visit. A civil penalty was not cited this visit. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Assistant Director Daniel Nava.