Routine inspection·August 22, 2024

On 08/22/2024 at 10:15 AM, Licensing Program Analyst (LPA), Shannan Williams and Licensing Program Manager (LPM) Cynthia Gray, met with Assistant Director Sylvia Cardenas for the purpose of an unannounced annual inspection. There were 36 infants present with 10 teachers in 3 rooms. There were 11 infants present with 4 teachers in room #1. There were 12 infants present with 3 teachers in room #2 and there were 12 infants with 3 teachers in room #3. There is a fully qualified Assistant Director on staff as the facility accommodates more than 25 infants. The facility is within ratio and capacity. Program operates Monday through Friday from 6:30AM-6:30PM. LPA toured the facility. The rooms were clean, orderly and at 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. The food service area for older infants eating solid food consists of a kitchen that 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. The food meets the nutritional requirements per regulation and is of good quality and proper quantity. The lunch/snack menu is posted, changes are recorded, and menus are stored for 30 days. Food has been stored separately from any chemicals or cleaning products and the food preparation sink is separate from the diaper/changing and toilet/potty chair 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 regulations 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 inaccessible to children and bedding is washed daily or more if necessary. Infant changing tables have padded, washable vinyl is 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 and toileting areas are in safe, sanitary, and operating condition. There is at least one potty chair or toilet with a training seat present for every 5 infants who are potty training. Potty chairs are not accessible to children without supervision and are emptied and disinfected after each use. 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 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, the 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. LPA discussed the safe sleep regulations with the Assistant Director, Sylvia Cardenas, 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 the 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. The outdoor activity space is fully fenced and separate from other programs with age-appropriate play equipment., securely anchored to the ground. There is sufficient cushioning and adequate shade. Drinking water is available at all times, both inside and outside. There are several staff present with current CPR and First Aid certifications. Medications are stored, and are inaccessible to children with all required documentation in place. There is no evidence of rodent or insect activity. The carbon monoxide detector is operational. The facility has a written disaster plan in place that meets the regulatory requirement and has been conducting and documenting evacuation drills every six months. 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. The facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the following website: www.mandatedreporterca.com . 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. . 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- 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 childcare 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 . Facility completed required testing and made corrective measures and results are pending verification of submission of testing results. LPA referred facility representative, Sylvia Cardenas, to the Department website for lead: Lead Toxicity Prevention and Water Testing Information . Facility representative, Sylvia Cardenas, was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California. Facility representative was minded 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. 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 . A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Sylvia Cardenas. . Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficienc(y)ies is/are being cited: (see next page, 809 D) The facility representative, Assistant Director, Sylvia Cardenas was provided a copy of the appeal rights.