Routine inspection·May 1, 2023

On date and time listed, Licensing Program Analysts (LPAs) Perla Ordones and Raymond Moorehead and Licensing Program Manager (LPM) Aaron Ross arrived at the facility to conduct a required/annual inspection as part of a compliance review. LPAs and LPM were granted entry by Licensee Dolores Gambino and present at the facility in addition to the licensee was employee Sonia Gutierrez. LPAs and LPM toured the facility, inside and out, records were reviewed, and the following was observed and/or discussed: Normal days and hours of operation are: Monday \342\200\223 Friday; 06:00AM \342\200\223 11:00PM. OFF-LIMIT AREAS INCLUDE: Master Bedroom, the two bedrooms closest to the master bedroom, kitchen, and garage. The facility is operating within the licensed capacity and appropriate ratios. \302\267 Appropriate supervision provided during this inspection. \302\267 A working telephone is present and current number on file. \302\267 Appropriate fire extinguisher, smoke detector and carbon monoxide detector present and working. \302\267 Fireplace is properly screened to prevent access by children. \302\267 All hazardous items are not stored inaccessible to children. The garage and kitchen were observed to be unlocked and accessible to children and were confirmed to have hazards which posed a danger to children. The garage contained poisons, toxins, construction tools, sharp objects, and other miscellaneous items which could pose a danger to children. The kitchen contained knives in the lower drawers, cleaning compounds such as Clorox, a lighter, and other items which could pose a danger to children. The kitchen was stated to be off limits but there was nothing blocking the entrance to the kitchen and a daycare child was observed to have entered the kitchen with no issue at approximately 03:12PM. \302\267 Toxins are locked. \302\267 Weapons are stored according to Title 22. Licensee understands all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 Regulations. \302\267 One story home. \302\267 Verification of control of property on file. \302\267 Facility Sketch, Emergency Disaster Plan & Notification of Parent\342\200\231s Rights poster are posted. \302\267 Mandated Reporter Training completed on 06/30/2022. \302\267 Pediatric CPR and First Aid Card expire on 06/2024. \302\267 Health & Safety Certificate completed. \302\267 No bodies of water at this time. Licensee understands all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 Regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position. \302\267 Clean, safe and age-appropriate toys. \302\267 Current roster on file. \302\267 Documentation of fire and disaster drills on file \342\200\223 Last drill conducted on 02/03/2023. \302\267 Children\342\200\231s records are not complete. One child was completely missing a file and had no documentation on hand. LPAs and LPM brought to the attention of the licensee and explained the importance of keeping all documentation for children attending the daycare on file. Additionally, there was no proof of the fifteen-minute sleep checks being completed for infants in care. LPAs and LPM also brought this to the attention if the licensee and informed her of the violation per the Infant Safe Sleep Regulations. \302\267 Employee\342\200\231s records are complete. \302\267 During the visit, LPAs and LPM observed a child to be sleeping in a play yard at the beginning of the visit. The child was confirmed to be an infant and had a blanket covering them which is a violation of Infant Safe Sleep Regulations. LPAs and LPM brought this to the attention of the licensee and informed her that per the regulations, no loose articles, such as blankets, are allowed in cribs or play yards while children sleep. \302\267 During this visit, LPAs and LPM observed a child to be sleeping in a stroller at the beginning of the visit. Licensee confirmed the child was an infant and explained that the infant refuses to sleep in a play yard or crib though she does have a play yard for the infant. LPAs and LPM informed the licensee that the infant was not allowed to sleep in the stroller and was a violation per the Infant Safe Sleep Regulations. The licensee immediately removed the infant from the stroller. \302\267 The Licensee was informed of their reporting requirements and is provided with the Regional Office\342\200\231s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov \302\267 Resident and/or staff records reviewed on 03/15/2023 indicate that all adults who require caregiver background checks have received all required clearances or exemptions. \302\267 The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov LPAs and LPM 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. LPAs and LPM 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 PIN 22-02-CCP . 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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm 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. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at: https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. The Duty Officer is available to answer questions Monday \342\200\223 Friday; 8:00am to 5:00pm at: 1-844-LET-US-NO (1-844-538-8766) and/or 951-782-4200 See LIC809-D for cited deficiencies. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. The LICENSEE, Dolores Gambino, confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address. Exit interview conducted and report was reviewed with the licensee Dolores Gambino.