Routine inspection·September 27, 2022

On September 27, 2022, Licensing Program Analysts (LPAs) Van and Leong met with the Lead teacher, Man Chan, for an unannounced required annual random inspection in conjunction with the complaint investigation. The facility is an infant program with an attached toddler component. There were 13 infants & toddler children supervised by four staff. Another group of children and teachers returned from the park during the visit. In total, there were 25 children and 11 teachers. The owner, Miranda Pan, and Site Director, Stacey Toledo, arrived during the visit . The facility complies with the Staff-Infant ratios today. The operations hours are Monday \342\200\223 Friday from 8:00 am to 5:30 pm. The program operates in a large room, with a partition to separate the infant and toddler component group. The toddler playroom is for 18 \342\200\223 36 months, and the infant playroom is for 0-24 Months. The Lead Teacher and LPAs inspected the Center for health and safety hazards. LPAs observed that the facility utilizes the Brightwheel app for sign-in / out for parents or authorized representatives. The Center is clean and orderly. Heating, lighting, and ventilation are adequate. The facility has age-appropriate toys, furniture, cribs, changing tables, and equipment. LPAs observed no pools, spas, or other bodies of water. Per the Director, there are no firearms or weapons at the Center. All cleaning supplies or potentially harmful items are stored inaccessible to the children. Separate staff bathrooms are available. All solid waste storage containers have tight-fitting lids. The facility has more than one carbon monoxide detector, a centralized smoke alarm, and a fully stocked First Aid kit. Continued on page 2... There are cubbies available for children's belongings with names labeled. LPAs observed changing tables, and the diaper changing tables have at least 1" thick padding, covered with disposable paper, and sides raised to a minimum of 3". The changing tables are within arm's reach of the sink, and disposable wipes are used to clean after each use. There is sufficient sleeping equipment, cribs, and cots for each child. Mats and bedding are appropriately stored. The formula parents provide stored appropriately in the refrigerator, and each bottle is labeled. Parents provide formula, food, and diapers for their children. LPAs observed that the food prep area was clean and organized. Per Director, the toddler playroom is partitioned into two separate areas, and each toddler group is not exceeding 12 toddlers. LPA discussed with the Director the infant/teacher ratio. LPA reminded the Director that there is one teacher for every four infants. Also, each aide is responsible for the direct care and supervision of a group of no more than four infants. An aide may be substituted for a teacher when a fully qualified teacher supervises no more than 12 infants. The facility currently has an outdoor waiver that allows the Center to utilize the Noe Valley Courts park located at 798 Douglass St. San Francisco, which is 0.6 miles away from the facility. The facility's outdoor playground is enclosed and gated with a fence approximately four ft. tall. Children will walk to the park. Teachers will bring children's water bottles for playground use. LPA reminded the Director to ensure ratio and supervision are observed at all times LPA reviewed personnel's and children's records. A sample of children's files was checked and found to have medical assessments, needs, services, feeding plans, and signed admission agreements. Staff files are organized, complete, and have documentation of education credits. Continued on page 3... Multiple staff members have valid CPR cards in files and have immunization documentation for Measles, Pertussis, and Influenza. LPA also observed that the facility had posted the required forms. (i.e., License, menus, waivers, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan). The Director stated that Fire and Earthquake drills are done once every six months, and the last fire drill was conducted on late March 2022. 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. This facility provides Incidental Medical Services \342\200\223 IMS. LPA reviewed the 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 Continued on page 4... 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. The Director was informed about Mandated Reporter training available on the CCLD website. In addition to AB1207 training required to complete every two years by the Licensee and all staff hired, a one-time General Training is also required. Training can be taken online at www.mandaterreporterca.com . Also, the Director was reminded of Pesticides training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare LPA encouraged the Director to frequently visit the Licensing website at www.ccld.ca.gov for licensing regulations and new updates. Director can also email at childcareadvocatesprogram@dss.ca.gov and ask for the updates to be added to the email list. 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 . No deficiencies were cited today. An exit interview was conducted, and the report was reviewed with Director Stacey Toledo. Today's report, September 27, 2022, and notice of site visit were printed and provided to the Director. LPA informed the Director that the site visit notice must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.