Routine inspection·March 22, 2023

On 03/22/2023 at 12:15 PM A required \342\200\223 1 year inspection is being conducted as part of a compliance review. Licensing Program Analyst (LPA) Susan Brewer and Licensing Program Manager (LPM) Kimberly Williams, were greeted by Licensee Lalita Bakshi and granted entry to tour the Infant Center, inside and out. The following was observed: Days and Hours of Operation: Monday Friday, 7:00 AM to 5:30 PM 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 LIC809-D. The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days if changes have been made: 1. LIC 500 Personnel Report 2. LIC 610 Emergency & Disaster Plan 3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made) 4. LIC 309 Administrative Organization 5. LIC 308 Designation of Administrative Responsibility 6. LIC200 Application form with Changes. The following items have been posted and are updated where necessary: License; Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148) Parent\342\200\231s Rights Poster (PUB393); Personal Rights (LIC613A); Child Car Seat Law; Menu \302\267 The facility is operating within the terms of the license. \302\267 Facility is clean, safe and sanitary and in good repair. \302\267 Appropriate supervision and Ratios were met during this inspection. A census of 5 children were supervised by 2 staff. \302\267 Rooms and activity areas are physically separated from other components. \302\267 Rooms are equipped with age appropriate furniture and equipment in good condition \302\267 Uncontaminated drinking water is provided in both the indoor and outdoor activity areas by public water supply and filtered water. Parents bring water bottles and sippy cups for infants in care and filtered water. \302\267 Napping equipment is sufficient for capacity and meets licensing requirements. \302\267 Rooms are clean and free of hazards. \302\267 Materials and surfaces accessible to children are toxic free. \302\267 No weapons stored at the facility \302\267 There are no bodies of water present. All wading pools or similar product must be emptied immediately after use and stored in an upright position. \302\267 Medications are NOT stored where inaccessible to infants. \302\267 Center is equipped to isolate and care for any child who becomes ill during the day. \302\267 Toxins are locked and Hazards are stored where inaccessible to infants. \302\267 Toileting area was observed to be safe, sanitary and in operating condition. \302\267 Outdoor play area is physically separated by appropriate fencing and free of hazards. \302\267 Outdoor activity areas are supplied with age and size appropriate equipment in good condition \302\267 There is sufficient cushioning material under high climbing equipment, swings, slides and similar equipment: rubber turf and artificial grass \302\267 Measures are taken to keep the facility free of flies, other insects and rodents. \302\267 Food preparation area is clean and free of vermin. \302\267 Food is stored appropriately and protected from contamination. \302\267 All storage containers for solid waste have tight-fitting covers that are kept on, and in good repair \302\267 Individual feeding and Infant needs and service plans were reviewed and are complete for each individual infant. \302\267 Infants up to 12 months shall have a sleeping plan as required with documentation of date, name, time of 15-minute check and staff initials. The sleep checks are documented electronically in Bright-wheel app with staff initials next to times. \302\267 Infant files were reviewed and are NOT complete, 3 of 5 children did not have the LIC9227 Individual Infant Sleep Plan on file. \302\267 Sign in/Sign out record was reviewed and meets regulation requirements: The facility uses Bright-wheel app and waiver on file for electronic sign in/out. \302\267 A Staff member is present with current Pediatric CPR/First Aid which expires on 07/20/2024 \302\267 Opening and closing staff member\342\200\231s CPR/First Aid expires on 04/2024 \302\267 Director completed Health and Safety Training on file. \302\267 Staff qualifications and files were reviewed and are complete. \302\267 Staff have received on the job training for housekeeping, sanitation and universal health precautions \302\267 Documentation of fire & earthquake drills to be conducted every six months: Last earthquake drill on 03/06/2023 with 17 children present for earthquake and 10/14/2022 for Fire drill 12 children present \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 Licensee was informed of the Department has inspection authority per Health and Safety Codes. \302\267 A review of staff records on 03/22/2023 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. \302\267 Documentation of Lead Testing is on file: NOT ON FILE \302\267 AB2370 \342\200\223 Lead Exposure, day care facilities, effective January 1, 2019 \342\200\223 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. \302\267 AB605 \342\200\223 Child day care facilities, birth to school-age license; Effective January 1, 2021 \302\267 AB2960 \342\200\223 Child care and development services, online portal \342\200\223 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. \302\267 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. \342\200\223 Fri. at 1-844-LET-US-NO (1-844-538-8766). For IMS information see Evaluator Manual - 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 a t: http://www.ada.gov/childqanda.htm Facility Director Lalita Bakshi, was reminded that all adults 18 and over working in the facility, 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. The Licensee can submit transfer forms to associate new in dividuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov for Riverside Regional Office. LPA and LPM discussed the safe sleep regulations with Director Lalita Bakshi, 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 Type B Deficiencies cited this visit. Civil Penalties not issued 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 licensee Lalita Bakshi.