Routine inspection (3-year)·November 30, 2023

On 11/30/23 at 8:45am, Licensing Program Analyst, Annette Sutherland, met with Assistant Director Maria (Nely) Barahona for the purpose of an unannounced annual inspection.\302\240There were 12 infants present with 4 teachers in 1 rooms. There is a fully qualified Assistant Director on staff as the facility accommodates more than 25 infants. Facility is within ratio and capacity. Program operates M-F 6am - 6pm. LPA toured the facility. The rooms were clean, orderly and a comfortable temperature during this visit.\302\240 Adequate ventilation and heating are available.\302\240 All required forms were posted. The furniture, books, games and toys are safe, age-appropriate and in good repair.\302\240 There is a variety of activities provided throughout the day.\302\240 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.\302\240 Food is stored in covered containers at 45 degrees or less and there is no expired or contaminated food present.\302\240 Staff preparing food is 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 in the front entrance, changes are recorded, and menus are stored for 30 days. Food has been stored separately from any chemicals or cleaning products and food preparation sink is separate from diaper/changing and toilet/potty chair handwashing sink. Infant bedding/napping equipment is in good repair with standard cribs and\302\240 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.\302\240 Tight fitting crib sheets are in place, bedding is stored separately, and each child has his/her own.\302\240 No children are using the same crib.\302\240Soiled sheets are kept in accessible to children and bedding is washed daily or more if necessary.\302\240 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\342\200\231s reach of a sink that is not used for food preparation. The sink and changing table are disinfected between each use.\302\240Hand washing and toileting areas are in a safe, sanitary and operating condition. All storage containers or trash cans containing solid or diaper waste have tight fitting lids and are in good repair.\302\240 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.\302\240 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.\302\240 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., securely anchored to the ground.\302\240 There is sufficient cushioning and adequate shade.\302\240 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 stored at the front desk and are, inaccessible to children with all required documentation in place.\302\240There is no evidence of rodent or insect activity.\302\240 The carbon monoxide detector is 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 facility does not transport children. LPA reviewed sign in/out sheets, a sample of personnel records and a sample of children's records.\302\240 All were found to be in compliance with Title 22 regulation.\302\240 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 .\302\240 Children are evaluated upon entry and monitored throughout the day for signs of illness.\302\240 The isolation area for ill children awaiting pick up is at the front desk area. LPA discussed the safe sleep regulations with licensee assistant director and provided website https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed assistant director 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. This facility provides Incidental Medical Services \342\200\223 IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children\342\200\231s, 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/are not in place today Assistant 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.\302\240 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 advised to sign up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov .\302\240 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.\302\240 Please complete the survey and share your inspection experience.\302\240 If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov .\302\240 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/\342\200\214inspection process . LPA conducted child care quality management interview with facility representative\342\200\246... No deficiencies are cited. Exit interview conducted and report was reviewed with the assistant director Maria (Nely) Barahona . A notice of site visit was given and must remain posted for 30 days.