Routine inspection·February 3, 2023

On 2/3/2023 at 1:10 p.m., Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of an Annual Inspection. During this visit, there were 8 children sleeping in the two day care rooms with the doors shut, one in a swing, with Licensee's mother lying on the couch on the patio. Licensee's mother is non-English speaking. Licensee was reached by phone to return to the facility and arrived approximately 15 minutes later. LPA asked Licensee's mother to remain in the front day care room with the rear day care room door open until the Licensee arrived. There were five children under the age of 2 years, two 2 year olds and a 3 year old present. The facility was out of ratio and capacity. LPA toured the home. Primary child care areas are the two day care rooms on the bottom floor of the home, attached bathroom and fully fenced back yard and the facility sketch on file is accurate. Off limits areas have been made inaccessible with the use of safety gates. There are no weapons stored in the home or on the property. There is a pool, fully fenced per regulation. Self-latching gate in place and in working order. The fire extinguisher is full and of adequate size and located in the bathroom. The dual smoke alarms (located in each day care room) are operational. Emergency drills are being conducted and logged at least every six months and there is a written Disaster Plan on file. Last drill is logged as 1/9/23. The home is clean, orderly with adequate ventilation and heating. Licensee has provided enough space for the children to eat, sleep and play within the home. Licensee provides all meals. The furniture, to include napping materials and children\342\200\231s toys, books and activities are safe and age appropriate and in good repair. There is a working telephone and all required forms are posted. Outdoor play space is fully fenced with age appropriate play equipment and activities in good repair. No hazards were noted. Licensee understands there is no smoking in or around day care areas. Children\342\200\231s files were reviewed and found to be complete. The facility roster was current and complete and is being stored for 3 years. Licensee's pediatric CPR/FA certificate with A-B-Cpr is valid through 9/11/23. Licensee's mother has a fingerprint clearance and required immunizations. She does not have current FA/CPR and cannot be left alone with the children. Licensee is reminded that Mandated Reporter Training certificates are to be renewed every two years at the following website: www.mandatedreporterca.com . LPA discussed the safe sleep regulations with the Licensee and provided a copy of the regulation. Child Care Licensing Safe Sleep webpage can be accessed 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. Licensee is reminded that infants may not be swaddled while in care and walkers, exersaucers, jumpers, bouncy seats, napping portables and drop sided cribs are not permitted for use. Children are to be moved to a crib or pack in place as soon as possible upon falling asleep. Children will be observed upon entry and throughout the day for signs of illness. An appropriate isolation area has been established for sick children. 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 two or more cases. 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 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. Licensee is to be present in the home to ensure children are supervised and reminded that no children are to be left in parked vehicles and car seats are not to use used for sleeping. Capacity limitations were reviewed. LPA discussed California Megan's Law and the website was provided as follows: www.meganslaw.ca.gov Licensee is advised to sign up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov . Select \342\200\234Child Care\342\200\235 then \342\200\234Quick Links\342\200\235 and Quarterly Updates. Select \342\200\234Receive Important Updates\342\200\235 then put the email address in and choose which program(s) you would like to subscribe to and select \342\200\234subscribe.\342\200\235 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 Licensee. Exit interview conducted and report was reviewed with the Licensee Elisangela Watral. See LIC 809D for Type A and B deficiencies. LPA, Joelle Redding, informed Licensee, Elisangela Watral, that this report dated, February 3, 2023, documents two Type A citations and shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care. LPA, Joelle Redding, also informed the Licensee to provide a copy of this licensing report dated February 3, 2023, that documents any 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. NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.