Routine inspection·July 28, 2022

Licensing Program Analyst (LPA) Deanna Villagrana met with licensee Maria Isabel Ceja for a required one year visit. LPA explained the nature of today\342\200\231s inspection to her. Present were licensee, licensee's assistant Kayla Flores and 11 day care children including four of her own children. Days and hours of operation are Monday to Saturday, 6:00am to 6:00pm. The adults that reside in the home are licensee and her husband with their four children ages 12, 10, 4 years old and 11 months A review of staff records on 01/16/2018 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee Maria Isabel Ceja 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. LPA toured the indoor and outdoor areas of the home during today\342\200\231s inspection. LPA observed that the home is clean and orderly, with heating and ventilation for safety and comfort of the children. LPA observed barricaded stairs and fireplace in the home. LPA observed safe and sufficient materials, toys, and play equipment for the day care children. All sharp objects, detergents, cleaning compounds, medications, poisons, and other similar items inside the home are stored inaccessible to children. LPA observed a fully charged 3A40BC fire extinguisher. LPA observed a working smoke detector and a working carbon monoxide detector. Licensee states there are no weapons/firearms in the home. Off limit areas indoor: upstairs master bedroom/bath, three bedrooms, one bathroom and downstairs living room, kitchen, dinning room, pantry and laundry room. There are no bodies of water. Backyard is fenced. LPA observed one pet dog in the home and licensee states dog is vaccinated. LPA observed licensee has a current CPR and First Aid certification expiring 02/13/2023. Licensee completed Mandated Reporter training on 03/27/2019. LPA observed a current roster of the children and a fire and disaster drill log which was last completed on 06/04/2022. LPA reviewed six children's files. Child 7, 8 and 9 do not have a file. Child 2, 3, 4 and 5 do not have current immunization records. Licensee stated she was not aware of Safe Sleep log and did not have one for infants in care. LPA observed day care is insured with Philadelphia Indemnity and expires 11/05/2022. Licensee's assistant Kayla did not have LIC508 on file. Assistant Kayla did not have a current TB test on file. LPA discussed SB792 Immunization Requirements and observed assistant Kayla did not have immunization against pertussis, measles and influenza on file. Supervision of children was discussed with licensee and she understands that she must be present in the home during day care hours and ensure that the children are supervised at all times. Licensee understands her capacity options and she understands that she cannot have more than 14 children in the home at any time. Licensee understands if she transports children via vehicle, children cannot be left in parked vehicles unattended at any time. LPA discussed the safe sleep regulations with licensee Maria Isabel Ceja 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 Maria Isabel Ceja 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. LPA discussed Zero Tolerance related regulations with licensee Maria Isabel Ceja and was advised of the assessment of $500 immediate civil penalty and an ongoing $100 per day per violation continues until the violation(s) is corrected. Incidental Medical services (IMS) policy was discussed. For IMS information see Evaluator Manual \342\200\223 Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 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 h ave 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/inforesou rces/community-care-licensing/process . Exit interview conducted and report was reviewed with the licensee Maria Isabel Ceja. The following type B deficiencies were cited on the attached page (809-D). Licensee was informed that failure to correct the deficiencies by the specified Plan of Correction (POC) Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made. 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.