Routine inspection·November 15, 2024

On 11/15/2024, at approximately 8:40AM, Licensing Program Analysts (LPAs) Jonathan Tse and Diana Alvarado conducted an unannounced annual visit at the facility. LPAs met with Director Caitlin Spadarella (D1) and explained the purpose of the visit. Present during the visit was D1, 32 teachers, and 153 preschool age children. This facility is managed by Bright Horizons. This facility is a combination center, with an infant license (414002368) and a school age license (414002367). The facility is operating within staffing and ratio requirements on this day. LPAs and D1 inspected the facility for any health or safety hazards. The facility operates in four buildings: Yellow, Green, Blue, and Red Houses. LPAs observed 19 rooms to be in use for preschool age children. All buildings are equipped with fully charged fire extinguishers. Fire alarm systems are running throughout the facility. Carbon monoxide detectors are present in each classroom and the main entrance of each building. Electrical outlets are childproof and inaccessible. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care. LPAs observed all classrooms to contain age-appropriate toys and learning materials. Furniture is age-appropriate and free of rough or sharp edges. The facility provides breakfast, lunch, and afternoon snack for children in care. Allergy lists are posted where accessible for teachers. The facility checks all meals to ensure that children are not provided with food that they are allergic to. Children bring water bottles from home. Cots are provided for children to nap on. Sheets are provided by the facility and cleaned twice a week. Bedding is brought from home and taken back once a week for cleaning. LPAs observed all classrooms to each have access to three handwashing sinks and two toilets. All sinks and toilets were observed to be operational during the visit. Continued on Page Two Page Two LPAs observed the outdoor play areas to be free of debris and other loose articles. There are age-appropriate toys and equipment present. There are play structures that are cushioned with resilient padding. There are sandpits present that are covered and checked daily for any loose debris. Each outdoor play area is enclosed by a fence that is at least four feet high. There are no swimming pools or other similar bodies of water present in the facility. There are no firearms or other weapons in the facility. LPAs reviewed 11 staff files, nine children’s files, and facility records. There is at least one staff member present with current Pediatric First Aid/CPR training. Bright Horizons has an alternative Mandated Reporter Training that has been approved by the Department. All staff have current Mandated Reporter Training certificates available for review. All staff have qualifications and immunization records available for review. Children’s files are maintained digitally and were observed to be complete. Children are signed in with paper sign-in/out sheets that are present in each classroom. LPAs observed that five children were not signed in during the visit. D1 stated that parents are notified of the sign-in procedure and are requested to return to the facility to sign their children in. Per D1, fire drills are conducted every month and logged digitally. All required postings were observed to be posted and accessible for review upon entry to the facility. The facility tested its fixtures for lead on 12/17/2022 before the deadline of 1/1/2023. However, results have not yet been uploaded to the lead water database as required by the Written Directives specified in PIN 21-21.1-CCP. LPAs advised that the lab should be contacted to upload the results as soon as possible. Additionally, LPAs acquired a copy of the lead testing results from 12/17/2022. Test results for two fixtures in this facility exceeded a higher level of parts per billion (ppb) allowed, 5.5 ppb, KK (5.8ppb) and MAIN KITCHEN-1 (9.0ppb). LPAs informed D1 that a citation would be issued today for the exceedances of lead found in two of the tested fixtures. D1 informed LPAs that the fixtures were remediated and retested, and that they are waiting for results to be uploaded. LPAs requested that D1 contact the lab to upload results and notify LPAs if there any delays. To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process . Continued on Page Three Page Three Facility representative was reminded 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. 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 child care 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 referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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-centers/ . Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. See LIC809-D for deficiency cited regarding lead water testing. See LIC9102-TV for technical violation issued today regarding sign in and out for children. Appeal rights were provided and explained to D1. 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, Caitlin Spadarella.