Routine inspection·April 25, 2023

On April 25, 2023 at 12:15 p.m. Licensing Program Analyst (LPA), Leilani Curtis conducted an unannounced Annual Inspection and met with Licensee, Lara Trofimov. Also present was the licensee\342\200\231s helper Polina Sukhareva. LPA provided the LIC 126, Entrance Checklist to Licensee. There were 9 children in care, 4 who were infants. Facility was observed operating within ratio and capacity. Helper Polina Sukhareva does not have a criminal record clearance and is not associated to the facility. The licensee states that Ms. Sukhareva began working at the facility on 4/17/23. The licensee does not maintain an employee file for her helper and does not have verification of Ms. Sukhareva\342\200\231s immunization to measles and pertussis. The licensee also does not maintain a tuberculosis clearance for Ms. Sukhareva. LPA conducted a tour of the home inside and outside per facility sketch. Licensee is using the following areas for daycare: Living room, dining room, kitchen, bathroom located on first story of home and backyard. Off-limits areas include: garage, laundry room, and entire second story of home (two bedrooms, bathroom, master bedroom, master bathroom). LPA observed an infant asleep in an upstairs bedroom. The licensee removed the child from the upstairs bedroom and took her back downstairs with the other children. The licensee states that she began using the upstairs bedroom approximately two weeks ago. LPA advised Licensee that she must notify Community Care Licensing prior to making any changes to the family child care home and she must obtain an updated fire clearance indicating that the second story of the home can be used for childcare. Licensee has provided adequate space for the children to eat, slee p and play within the home. Home is clean, orderly and has adequate ventilation. Children\342\200\231s toys and play equipment are available and observed free of hazards. Stairs are b arricaded . There is a working telephone/email address. LPA observed medication accessible to childr en in a kitchen cabinet and on the kitchen counter. The fireplace is screened. The fire extinguisher and smoke and carbon monoxide detector are operational. Licensee states there are NO firearms or other weapons in the home. The outdoor play area is fenced and free of hazardous items. LPA observed an infant swing attached to the trellis in the rear yard. Licensee is reminded to follow the manufacturer\342\200\231s instructions and to maintain 100% supervision at all times when the swing is in use. LPA also observed a baby exersaucer/walker in the rear yard. There are no existing bodies of water present. Children records were reviewed for Emergency Information. The licensee does not maintain sleep documentation for the infants in care, and two infants do not have immunization records at the facility. The licensee does not maintain a children\342\200\231s roster or a disaster/fire drill log. Pediatric CPR and First-Aid certificates are valid through 3/11/25 for Licensee and 1/21/25 for Helper Sukhareva. Licensee and Helper are exempt from Mandated Reporter AB1207 training certification due to Licensee and Helper having limited English proficiency. Their primary language is Russian. The immunization law (SB792) was discussed with Licensee. Licensee understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza. Incidental Medical Services (IMS) policy was discussed. 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 at: http://www.ada.gov/childqanda.htm . LPA reviewed the following with Licensee: Recently Approved Safe Sleep Regulations PIN 20-24-CCP dated 9/15/20 and emergency drills. Licensee is reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats shall never be permitted during daycare operation. LPA provided Licensee with a prohibited items handout. Licensee is aware that interference with a child\342\200\231s daily functions, corporal punishment, physical and mental abuse is not allowed. Licensee is reminded to make anything that reads, "Keep Out of Reach of Children" inaccessible to children. See LIC809D for cited deficiencies. A civil penalty has been assessed. Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website. Please go to www.ccld.ca.gov and click on Child Care, go under Quick Links and Quarterly Updates, click on \342\200\234Receive Important Updates\342\200\235 then enter your email address and choose which program(s) you would like to subscribe to and click \342\200\234subscribe\342\200\235. Duty Officer: (619) 767- 2248, Monday thru Friday 8am-5pm. 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 . Licensee 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 discussed the safe sleep regulations with licensee 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 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 Curtis informed licensee that this report dated 4/25/23 documents one Type A citation. Type A citations shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care. Also, LPA Curtis informed the licensee to provide a copy of this licensing report dated 4/25/23 that documents a Type A citation 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. Exit interview conducted and report was reviewed with the licensee.