Routine inspection·January 6, 2022

On January 6, 2022 at 12:30 p.m. Licensing Program Analyst (LPA) Leilani Curtis visited the facility to conduct an annual inspection. Upon arrival LPA met with Director Christy Lang and proceeded to tour the facility. LPA provided the LIC 125, Entrance Checklist to the director. Also present were a total of 11 children with 4 staff members. Appropriate ratios and capacity were observed. Staff members have the required background clearances and are associated to the facility. No excluded individuals are present. There are no bodies of water or weapons at this facility. There is an operational carbon monoxide detector. Toys are safe and do not have sharp points, edges or splinters, or made of small parts that can be pulled off. There is sufficient infant napping equipment. Infant changing tables have padded surfaces no less than one inch thick, covered with washable vinyl, and raised sides at least 3 inches high. The room has a changing table which is within reach of a sink. There are no walkers, bouncy seats, exersaucers or jumpers in the room. All infants including those napping in cribs are under visual observation at all times. Rooms have adequate heating, lighting, and ventilation. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, and are in good repair. Disinfectants, hazardous items and medications are inaccessible to children through latches and locks. The infant indoor and outdoor activity space is physically separate from the space used by other day care children. Outdoor play area is fenced with sufficient material for cushioning. Area has canopies used for shade. The infant room has a refrigerator used for infant food storage which is properly labeled by child name and date. Drinking water is readily accessible inside and outside the classroom. Admission agreement, emergency information and medical assessment forms were reviewed for some children. Individual Feeding and Needs and Services Plans were reviewed for some infants. The Individual Feeding and Needs and Services Plans were not current for 12 children. The Infant Sleeping Plan was also reviewed. Four infants ages 12 months and younger did not have an Infant Sleeping Plan available for review. The facility did not have nap/sleep documentation which includes the infant\342\200\231s name, date, time of each 15-minute check and initials of the person who conducted each check available for review. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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 . Personnel records were reviewed for qualifications. Staff records contain documentation of education, training, and/or experience. Staff utilized as infant teachers have three child development units in infant/toddler care. Pediatric CPR/First Aid certifications were reviewed and are in compliance. Sign in/sign out sheets are well maintained. LPA reviewed the following with the director: Updated Coronavirus 2019 Industry Guidance for Child Care Settings, PIN 21-18-CCP, California Department of Public Health Child Care Industry Guidance updated June 29, 2021, California Department of Public Health Guidance for the Use of Face Coverings dated 7/28/21 and Recently Approved Safe Sleep Regulations PIN 20-24-CCP. See LIC809D for cited deficiencies. 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/inforesourc es/community-care-licensing/process . The 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. LPA discussed the safe sleep regulations with the director 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 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. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Lang.