Pre-licensing visit·January 8, 2025

On 01/08/2025 at 8:25 AM, Licensing Program Analyst (LPA) Susan Brewer arrived at the facility announced to conduct a Pre-Licensing inspection. The Applicant Ambar Pena was previously licensed and has relocated to a new facility. Licensing Program Analyst Susan Brewer was greeted by the applicant Ambar Pena and granted entry to tour the facility, inside and out, records were reviewed and the following was observed and/or discussed: Present were the licensee applicant and one adult assistant. During today\342\200\231s inspection the applicant updated the LIC279 Application form, the LIC610A Emergency Disaster form, and the LIC999A Facility Home sketch with updates to the correct layout and Facility Yard Sketch. Normal days and hours of operation are: Monday through Friday; 3:00 AM to 6:00 PM OFF-LIMIT AREAS INCLUDE: Bedrooms 1, 2 and 3; Bathrooms 1 & 2, the Garage, Laundry Room; and South Side Yard. The Kitchen and Great room were inspected for emergency purposes only and the outdoor play access is through the North side yard. The inspection consisted of reviews of the following domain: Physical Plant, Care and Supervision, Records, Facility Administration, Staffing Ratio and Capacity, Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted in the report. \302\267 The facility is operating and LPA conducted a census of 2 children in care. \302\267 The Licensee is present in the home and has ensured that children in care are supervised. \302\267 When temporarily absent from the home, the Licensee shall arrange for a substitute adult to care for and supervise children. \302\267 A working telephone is present. \302\267 Appropriate fire extinguisher (2A:10BC), smoke detector and carbon monoxide detector are present and were tested by the licensee during this inspection. All in compliance on today's date. \302\267 All hazardous items are NOT inaccessible where Kitchen knives, alcohol, lighters, matches, medications and vitamins unlocked in kitchen cabinets and drawers; hygiene products accessible and/or unsecured in the garage and other areas of the home. \302\267 No guns or weapons present as of this date. LICENSEE UNDERSTANDS ALL GUNS, WEAPONS AND AMMUNITION MUST BE KEY-LOCK ED SEPARATELY AND MADE INACCESSIBLE PER TITLE 22 REGULATIONS. \302\267 This is a single-story home and no stairs observed indoors or outdoors. \302\267 No fireplace on the property. \302\267 Verification of control of property on file and viewed by lease. \302\267 Property owner/landlord notification and consent LIC9149 is NOT on file. \302\267 Facility Sketch, Emergency Disaster Plan & Notification of Parent\342\200\231s Rights and other required forms are posted however are not posted for public view. \302\267 Pediatric CPR and First Aid completed on 12/02/2023; Card expires on 12/02/2025 \302\267 Health, Safety and Nutrition training certificate dated 12/16/2018; No lead component. \302\267 Mandated Reporter General: 11/03/2023; AB1207 Child Care certificate expires: 01/08/2027. \302\267 Fire clearance received and approved on 01/06/2025; Special conditions: Daycare approved for Bedroom 5, Study and Bath 4 only. LPA inspected Bathroom 3, which is added and approved for daycare. \302\267 There are no bodies of water as of this date. Licensee Ambar Pena 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 on today\342\200\231s date. \302\267 There are no toxic plants observed at this time. \302\267 Current roster on file, however is observed to be incomplete. \302\267 Documentation of fire drills on file: Not on file at this time. \302\267 Children\342\200\231s records are incomplete complete: Missing LIC9224 from 11/20/2024, LIC9227 Sleep Plan Page 2 incomplete for infant in care \302\267 Employee\342\200\231s records are incomplete: Missing Mandated Reporter Training and verification of Tuberculosis. . \302\267 Criminal record clearances are required prior to all adults living or working in a Family Child Care Home. A civil penalty of $100.00 per day the person has been present, may be assessed. Resident and/or staff records reviewed on 01/08/2025 indicate that all adults who require caregiver background checks have NOT received all required clearances or exemptions. The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov The Applicant 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 Issued applicant the following: SIDS information and Shaken Baby Syndrome pamphlet 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 LPA Susan Brewer discussed the safe sleep regulations with Applicant Ambar Pena 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 Applicant 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. Applicant Ambar Pena, was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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. As a REMINDER: when your child(ren) turn 18 years of age, you MUST SUBMIT an updated LIC279 and TB Screen and have your child submit for LIVESCAN background clearance. LPA reviewed with Applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children\342\200\231s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant. 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 im portant 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. Additionally, The following was discussed with the applicant(s): - AB 1207 \342\200\223 Mandated Child Abuse Reporting: Child Day Care Personnel Training, beginning January 1, 2018 \342\200\223 Requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. - Effective January 1, 2017 \342\200\223 Children under 2 years of age shall ride in a rear-facing car seat unless the child weighs 40 or more pounds OR is 40 or more inches tall. For additional information regarding car seat laws see www.chp.ca.gov - Pre-Licensing Visit Packet provided - Failure to meet the posting requirements shall result in an immediate $100 civil penalty. - Documentation of fire & earthquake drills to be conducted every six months - Responsibilities of being a mandated reporter and review training every 2 years: - Access to forms & Regulations for Family Child Care online at www.ccld.ca.gov - Responsibility to know the regulations for anyone providing care - Inaccessibility of hazards must be constantly reassessed depending on the children in care - Current facility\342\200\231s phone numbers must be on file with the licensing office at all times - Baby walkers, bouncy seats, exer-saucers and other similar items are prohibited. The licensee applicant was reminded that a Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809/LIC9099) must also be posted for 30 days v The Duty Officer is available to answer questions Mon. \342\200\223 Fri.at 1-844-LET-US-NO (1-844-538-8766). Before licensure, the following needs to be corrected/completed on or before 02/08/2025: 1. Proof of Preventative Health and Safety Lead Component training 2. Livescan for adult resident (not named on lease) and one new employee. 3. LIC9149 Property owner/landlord notification and consent (Only required if operating up to 14). 4. LIC610A 2 nd relocation site. 5. Proof of TB Screening and Mandated Reporter Training for employee. 6. Proof of completed LIC9227 Sleep Plan Page 2 for enrolled infant. 7. Proof of Required postings for public view. 8. Past Due Plan of Corrections for violations and citations issued on 11/20/2024: a. Three Type A violations due by 11/21/2024 - 102352(f)(1) Definition of a Family Day Care; 102416.5(a) Staffing Ratio and Capacity; 102416(a)(2) Reporting Requirements; LIC9224 forms for clients. b. One Type B violation due by 11/22/2024 \342\200\223 102370(d)(1) Criminal Record Clearance 9. Informal Conference to address purpose of relocation and violations determined on 11/20/2024. Once all corrections have been made, with proof sent to licensing, the application for a Large Family Child Care Home will be submitted for approval with a maximum capacity of 12, or 14 with parent notification. As agreed upon by the licensee, all corrections are due within 30 days. If not received within 30 days from the date of this report, the application may be withdrawn. During the exit interview, the Applicant 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 Applicant Ambar Pena and copy was provided. No citations were issued and no civil penalties were issued. 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.