Routine inspection·June 2, 2023

Licensing Program Analyst (LPA) Deanna Villagrana met with licensee for a required one year visit. LPA explained the nature of today\342\200\231s inspection to her. Present were licensee, licensee's two sisters who are her helpers and eight day care children including two infants. Days and hours of operation are Monday to Friday, 6:00am to 7:00pm. The adults that reside in the home are licensee, her husband, adult brother and adult daughter. A review of staff records on 05/30/2023 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee Cristina Lamas was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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 toured the indoor and outdoor areas of the home during today\342\200\231s inspection. LPA observed that the home is clean and orderly, with heating and ventilation for safety and comfort of the children. LPA observed two infants sleeping with a pacifier with a chord attached . LPA observed a barricaded fireplace in the home. LPA observed safe and sufficient materials, toys, and play equipment for the day care children. All sharp objects, detergents, cleaning compounds, medications, poisons, and other similar items inside the home are stored inaccessible to children. LPA observed a fully charged 2A10BC fire extinguisher and a working smoke and carbon monoxide detector. Licensee states there are no weapons/firearms in the home. Off limit areas indoor: master bedroom/bath, one bedroom and one bathroom. There are no bodies of water. Backyard is fenced. Off limits outdoor: right side of home that is fenced off to children. Licensee states she only have birds in the home. LPA observed licensee and assistant's have a current CPR and First Aid certification on file. Licensee's expires 08/06/2024, Maria Guadalupe's Lamas expires 10/22/2024 and Maria Lamas' on 09/24/2023. All have completed Mandated Reporter training including licensee's on 11/12/2021. LPA did not observe a current roster of the children. LPA observed a fire and disaster drill log was last completed on 04/19/2023. LPA reviewed ten children's files. Child 1, 3 and 4 immunization records need to be updated. Child 2 and 6 are missing LIC627. Child 2 and 10 are missing LIC995. Licensee did not have a Safe Sleep Log. LPA did not observe licensee check on infants every 15 minutes. LPA observed day care is insured with Assure and expires 03/17/2024. LPA discussed SB792 Immunization Requirements and observed licensee and her assistants have immunization records on file. Supervision of children was discussed with licensee and she understands that she must be present in the home during day care hours and ensure that the children are supervised at all times. Licensee understands her capacity options and she understands that she cannot have more than 14 children in the home at any time. Licensee understands if she transports children via vehicle, children cannot be left in parked vehicles unattended at any time. LPA discussed the safe sleep regulations with licensee Cristina Lamas 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 Cristina Lamas 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. LPA discussed Zero Tolerance related regulations with licensee Cristina Lamas and was advised of the assessment of $500 immediate civil penalty and an ongoing $100 per day per violation continues until the violation(s) is corrected. Incidental Medical services (IMS) policy was discussed. For IMS information see Evaluator Manual \342\200\223 Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm 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-lice nsing/process . Exit interview conducted and report was reviewed with the licensee Cristina Lamas. The following type B deficiencies were cited on the attached page (809-D). Licensee was informed that failure to correct the deficiencies by the specified Plan of Correction (POC) Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.