Routine inspection·March 2, 2023

Licensing Program Analyst (LPA) Deanna Villagrana met with licensee Desiree Lawrence for a required one year visit. LPA explained the nature of today\342\200\231s inspection to her. Present were licensee, licensee's adult daughter and nine day care children including five infants. Licensee is out of ratio. Days and hours of operation are Monday to Saturday, 5:00am to 8:00pm. The adults that reside in the home are licensee, her husband, and adult daughter. A review of staff records on 02/24/2023 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee Desiree Lawrence 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 a wood burning stove that is unplugged and not used. LPA observed safe and sufficient materials, toys, and play equipment for the day care children. LPA observed a razor in a low drawer in the bathroom children use accessible to children. LPA observed dog feces and a dead rat in the backyard. Licensee states they have not gone outside due to the weather. LPA observed a fully charged 3A40BC fire extinguisher. LPA did not observed a working smoke detector or a working carbon monoxide detector. Licensee states there are no weapons/firearms in the home. Off limit areas indoor: master bedroom/bath, three bedrooms, laundry room and attached garage. LPA observed an inflatable spa and above ground pool on the right side of the home with the proper fencing that meets Title 22 regulations. The spa was empty and the pool ladder was not in the pool. Backyard is fenced. Off limits outdoor: right and left side of home that is fenced off to children. LPA observed four dogs in the home and Licensee states dogs are vaccinated. LPA observed licensee has a current CPR and First Aid certification expiring 05/08/2023. Licensee and her daughter did not have a current Mandated Reporter training certificate on file. Licensee last completed it on 09/11/2020. Licensee's daughter left at about 1:10pm to pick up school age children leaving licensee with nine day care children. Licensee was over capacity. LPA did not observe a current roster of the children. LPA observed a fire and disaster drill log was last completed on 06/09/2022. LPA reviewed eight children's files. Child 9 and 10 did not have LIC700. Child 2 and 6 immunization records need to be updated. Child 3, 4, 5, 7, 9 and 10 do not have immunization records on file. Child 2, 5, 9 and 10 are missing LIC995. Child 4 is missing LIC9227. Child 5, 8, 9 and 10 are missing LIC627. Licensee did not have a Safe Sleep log for infants in care. Licensee states day care is not insured. Child 5, 6, 9 and 10 are missing LIC282. LPA discussed SB792 Immunization Requirements and observed licensee and her daughter have immunization records 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 Desiree Lawrence 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 Desiree Lawrence 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 Desiree Lawrence 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 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-lice nsing/process . Exit interview conducted and report was reviewed with the licensee Desiree Lawrence. The following type A and 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. LPA Deanna Villagrana informed licensee Desiree Lawrence that this report dated 03/02/2023 document(s) 3 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 Deanna Villagrana informed the licensee Desiree Lawrence to provide a copy of this licensing report dated 03/02/2023 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. 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.