Routine inspection·December 5, 2024

On 12/05/2024, Licensing Program Analyst (LPA) Carol Heath met with the Director, Alyse Sanders , to conduct an unannounced Annual/Random inspection. LPA disclosed the purpose of the inspection and was granted entry to the facility. Upon arrival, the facility consists of two classrooms (divided by size of children). The center also operates a School Age Program (# 364843657 ) and a Preschool (# 364843656 ) Program. The center operates 6:00 am- 6:30 pm, Monday through Friday. Incidental Medical Services (IMS) policy was discussed. Physical Plant: LPA toured and inspected the infant classroom (only one classroom is in use). Furniture and equipment were checked for age appropriateness and good repair. The infant room is clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. Indoor activity space for infants is physically separate from the space used by children in the components of preschool and school-age childcare centers. The infant center is equipped with appropriate furniture and equipment, including cribs, cots, changing tables, and feeding chairs. Furniture is maintained in good repair and safe condition (age-appropriate). Toys are secure, and LPA did not observe sharp points, edges, or small parts that could be swallowed. The facility complies with the staff/infant ratio and does not exceed the approved capacity for the facility. All containers used for storing solid wastes, including moveable bins, shall have a tight-fitting cover that is kept on; they shall be leakproof and rodent-proof. Bedding is changed daily for the younger infants and older infants. The bedding is stored separately and properly. There is a Infant Daily Report and a Drop Off information (when was last time infant ate/sleep, last diaper change, how long slept, how much ate) sheet for parents to complete. Used diapers are put in trash container with lid (diaper genie). Each infant has container labeled (name) with personal items. Infant room is clean and safe. Children are inspected for illnesses as they arrive with a no-touch thermometer and an overall wellness check. A review of medication policy indicated that prescription medication is administered only with the parent\342\200\231s written permission. The Director and other administration staff administer medication and document the dosage, date, and time on a log. Medication is brought and locked at the center (unless the parent requests daily return). Medication is labeled correctly and stored in its original container. Medication is kept at the center until expiration and sent home with the parent for disposal. There are currently no children in care with IMS needs. The director's office has a separate area for the isolation and care of ill children. There is a mat available for ill children. An isolated toilet and sink are available for ill children in the staff restroom. A Fire Drill/Earthquake log is posted in the office. The center conducted disaster drills for at least 6 months. A current Roster is available. Napping: There are cots for infants that can climb out of a crib. Each crib is used for one infant at a time, bedding changed daily or as needed, cribs and cots are arranged to allow staff to reach an infant without having to step over an infant. The changing table is padded with a washable plastic, in good repair, and is not located in the kitchen area. LPA observed cots in safe condition, sanitize after each use, cots spaced to have access to a safe walkway, bedding is not in contact with other bedding. Infant Needs and Service Plan: Teacher child ratios were observed, and staff names recorded. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate. Infant file has Needs and Services Plan/Individual Sleep Plan. Children's records and staff records were reviewed. LPA observed the Infant Needs and Service Plan in each infant file (updated quarterly). Infant Food Service: LPA observed the individual feeding plan for each infant, low chairs and seating equipment in good repair. Food bought from home is labeled with infant name and date. Lead Testing: According to the director, the center does not have drinking water tested. The facility use bottle to prepare food. The parent board was reviewed and has all the required forms posted. Fire/earthquake drills are current. Sign-in and out sheets were reviewed. The teacher-to-child ratio was observed, and staff names were recorded. Care and supervision were evaluated to determine if the children\342\200\231s basic needs were met and appropriate. Staff Records/ Children Records: Staff and Children's records were reviewed. LPA verified that at least one staff member is present with current CPR and First Aid Training. All staff complete the Mandated Reporter training every two years. All staff receive the Measles, Pertussis, and Influenza vaccinations. All staff have required fingerprinting associated with the facility. LPA reviewed 3 children's records, complete with the parent\342\200\231s signature. Staffing Ratio and Capacity: Upon arrival, LPA observed 1 classroom in use, with 6 infants and 2 teachers on the premises. Food Service: There is a clean, fully equipped kitchen (off limits) with a refrigerator, freezer, stove, and microwave oven. The facility provides breakfast, lunch, and a PM snack. Allergy lists are posted in the kitchen and classrooms. LPA observed an appropriate amount of food and snacks, and the staff prepared lunch (with gloves). The chemicals are kept separate from the food (kitchen adjacent to the kitchen sink or locked inaccessible in classroom cabinets). LPA observed that food preparation and storage areas are kept clean and free of litter and rubbish. Soaps, detergents, cleaning compounds, or similar substances are stored separately from food supplies. Menus are posted at least one week in advance and made available for review by the parents. The following general information was discussed during this inspection: Immunization Requirements: \302\2471596.7995 (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a daycare center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. All Licensing reports are available for review online and are considered public information. Summary: Assembly Bill 2621 added Section 1596.819 to the Health and Safety Code, requiring the Department to post certain licensing information for CCCs and FCCHs on its public internet website. Fingerprint clearances and transfers : Before working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. If a fingerprint clearance has been obtained through the Department, Licensee may request a transfer of a criminal record clearance from one state-licensed facility to another using form LIC 9184 ** Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a licensed childcare facility are aware of situations that present the greatest danger to children **Center Director advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation (call within 24 hours and submit a written report within 7 days) and on the form LIC624. The Center reminded to review updates/regulations as well as quarterly updates on the Department website. The "Notification of Parent's Rights" poster must be posted in an area of the center accessible to parents. The information regarding new legislation with regard to exemptions and parents' rights was also discussed. Criminal Record Clearance - Child Care Centers Licensee [or facility representative] was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. Lead Testing \342\200\223 Child Care Centers (CCC) CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES: Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. For the following scenarios use the below un-bolded language: \342\200\242 CCC COMPLETED TESTING AND IS IN THE PROCESS OF REMEDIATING LEAD EXCEEDANCES, or \342\200\242 CCC COMPLETED SAMPLING BUT THE TEST RESULTS ARE NOT YET AVAILABLE, or \342\200\242 CCC DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE, or \342\200\242 CCC TESTING DEADLINE HAS NOT PAST LPA referred licensee [or facility representative] to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. Safe Sleep - Child Care Centers and Family Child Care Homes LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee [or 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. IF THERE IS NO CHILD AT THE FACILITY THAT CURRENTLY NEEDS IMS, USE AS FOLLOWS: Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/ . MyChildCarePlan.org \342\200\223 Centers and Family Child Care Homes Licensee [or facility representative] was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. Notice of Site Visit - Centers and Family Childcare Homes A notice of site visit was given and must remain posted for 30 days. No deficiencies are being cited at this time; the facility complies with Title 22 An exit interview was conducted, and the report was reviewed with the director, Alyse Sanders.