Routine inspection·October 9, 2025

On October 9, 2025, at 9:30 AM, Licensing Program Analyst (LPA) Elizabeth George conducted an unannounced annual random inspection at the above-mentioned family child care home (FCCH). LPA met with Licensee Karen Bramsem and explained the purpose of the inspection. LPA, in the company of the Licensee, toured the interior and exterior of the FCCH. At the time of the inspection 8 children were present along with Assistant. Licensee stated that children have access to the playroom, which is attached to the main home. This area includes the playroom, one bedroom, kitchen, bathroom and enclosed outdoor play area. While the remainder of the home and garage are completely inaccessible to children in care. The day care was orderly and clean with proper ventilation for all children in care. The bathroom used for care is clean and free of toxins. LPA did not observe any sharps or knives in the day care. LPA observed that cleaning compounds are stored on a high cabinet in the bathroom and are inaccessible to children in care. Toys, furniture and equipment in the facility are age appropriate. LPA observed required licensing forms and documents posted within the facility. LPA observed a dual smoke detector and carbon monoxide detector which was tested and found operable at 9:42 AM. LPA observed a regulation fire extinguisher that was serviced 3/28/25. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The most recent fire drill was conducted and documented on 9/22/25. LPA observed the outdoor play area to be completely fenced. The FCCH was observed to have plenty of shade for the children in care. Toys and play equipment observed in outdoor play area are age appropriate and in good conditions. LPA observed no bodies of water on site. Licensee informed LPA no firearms or ammunition are in the home. Continued on 809-C A sample of children\342\200\231s records was reviewed. All records reviewed are current. Facilities current roster of children was reviewed by the LPA during inspection with all children present during the inspection noted in the roster. LPA observed completed and up to date infant sleep logs. Licensee\342\200\231s Pediatric CPR and First Aid certifications are current and expire on 3/22/27. Mandated Reporter Training Certification expired on 3/9/24. Assistants Mandated Reported expired 3/9/24. Staff records were reviewed and found to be complete. Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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. LPA discussed the safe sleep regulations with licensee 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 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. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/ . Licensee 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. During the exit interview, the Licensee Karen Bramsen, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. No deficiencies were given during today\342\200\231s visit. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted, appeals rights were provided and report was reviewed with the licensee, Karen Bramsen.