Routine inspection·May 22, 2023

On 5/22/2023 at 3:45 p.m., Licensing Program Analyst, Joelle Redding, met with Director, Angie Triana, for the purpose of an unannounced annual inspection. There were four infants present with 3 teachers in the infant room. Facility is within ratio and capacity. LPA toured the Infant room. The room was clean, orderly and a comfortable temperature during this visit. Adequate ventilation and heating are available. All required forms were posted. The furniture, books, games and toys are safe, age-appropriate and in good repair. There is a variety of activities provided throughout the day. Infant foods/beverages are labeled/dated and stored per regulation in the infant room refrigerator. Food service area for older infants eating solid food consists of a kitchen which is clean and sanitary. Food is stored in covered containers at 45 degrees or less and there is no expired or contaminated food present. Staff preparing food are using proper personal hygiene and food service practices. Food has been stored separately from any chemicals or cleaning products and food preparation sink is separate from diaper/changing and handwashing sink. Infant bedding/napping equipment is in good repair with standard cribs and mattresses of a water-resistant material, disinfected daily. Cribs are spaced adequately apart to meet regulation and are not blocking an entrance or an exit. Tight fitting crib sheets are in place, bedding is stored separately, and each child has his/her own. No children are using the same crib. Soiled sheets are kept in accessible to children and bedding is washed daily or more if necessary. Infant changing tables have padded, washable vinyl at least one inch thick with sides raised at least 3 inches, per regulation and are within arm’s reach of a sink that is not used for food preparation. The sink and changing table are disinfected between each use. Hand washing are in a safe, sanitary and operating condition. No toilet training as at 18 months the children move to the Toddler Option. All storage containers or trash cans containing solid or diaper waste have tight fitting lids and are in good repair. Any waste water used to clean is being discarded after use. Each infant is to be under direct visual observation and supervision by staff at all times. If the napping area does not have a half or transparent wall that allows for audio and visual supervision from the activity area, staff is present in the napping area. Sleep checks are conducted and documented every 15 minutes for all infants. Appropriate supervision was in place during this visit. The outdoor activity space is fully fenced and separate from other programs with age appropriate play equipment. There is sufficient cushioning and adequate shade. LPA observed a planted citrus/fruit tree with large shells in the soil around the tree. Upon examination of the shells, several had rough edges and the tree itself had some pointy and jagged branches. The tree was approximately two feet tall and has the potential to become a hazard should a child fall into the tree or shells. A Type B citation will be issued for correction. See LIC 809D. Filtered drinking water is available at all times, both inside and outside. There are several staff present with current CPR and First Aid certification. Medications are centrally stored near the Director's office, inaccessible to children with all required documentation in place. There is no evidence of rodent or insect activity. The carbon monoxide detectors are operational. The facility has a written disaster plan in place that meets regulatory requirement and has been conducting and documenting evacuation drills every six months. The last emergency drill was conducted on 5/16/23. The facility does not transport children. LPA reviewed sign in/out sheets, a sample of personnel records and a sample of children's records. All were found to be in compliance with Title 22 regulation. Facility is reminded the Mandated Reporter Training is to be retaken every two years. The Licensee, Bright Horizons, uses an Licensing approved course of their own. Children are evaluated upon entry and monitored throughout the day for signs of illness. The isolation area for ill children awaiting pick up is the Director's office or a quiet area of the classroom. Reporting requirements for positive Covid-19 results in children or staff were discussed to include contact with County Department of Public Health for guidance (619-692-8499) and Licensing (619-767-2248) to report the unusual incident for three or more cases. 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-and-resources/safe-sleep as an additional resource. LPA also informed licensee [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. Safe sleep practices were in place. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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 . Services are not in place today. DIrector was reminded that all adults 18 and over, 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 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. Licensee is signed up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov . 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 . LPA conducted child care quality management interview with Director Angie Triana. Exit interview conducted and report was reviewed with the Director. Lead testing has been completed and forms are on file. No exceedances. LIC 610 and Parent Handbook on file are current. An updated LIC 500, Personnel Report, was obtained today See LIC 809D for Type B deficiency. NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.