Routine inspection·September 8, 2022

Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Required- 1 Year inspection. LPA met with Director Nakia Centeno and explained the reason for the inspection. Present during today's inspection were seven (7) infants and at least three (3) staff. There is a board to post required postings, such as license, notification of parents, and car seat law. The hours of operation are Monday through Friday 7AM to 6PM. There is working phone on the premise. LPA reviewed sign in/sign out. LPA toured the inside and outside of the facility with Director Nakia. Disinfectant, cleaning supplies, and other items that could pose a risk to children were inaccessible. Toys and equipment were observed to be age appropriate. Changing table have a padding and was within reach of a sink. There is fully charged fire extinguisher, smoke detector, and carbon monoxide detector. The last disaster drill was conducted on 04/24/2022. Director stated that there are no weapons, such as firearms, stored on the premise. The outdoor activity was fenced. Area around play structure have resilient material. There are toys and equipment for the children. Shaded rest area is provided through trees. There were no bodies of water observed during today's inspection. ------------------continues on 809 dated 09/08/2022 page 2------------------------- -------------------continuation of 809 dated 09/08/2022 page 1------------------- LPA reviewed sleep check. Facility only does sleep check for infant 12 months and under. LPA discussed with Director that sleep check are required for children 24 months and under. C-1 and C-2 does not have LIC 9227: Individual Infant Sleeping Plan on file. LPA discussed with Director that it is required for children 12 months and under. LPA observed that one of the cribs had a sheet that was not tightly fitted on crib mattress and there were signs and pillows hanging on the side of the crib. LPA discussed with Director that all sheets need to be tight fitted and there cannot be anything happing on the side of the crib. LPA discussed the safe sleep regulations with 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 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. Facility provides meals and snacks to the older infants. Menu was observed to be posted. There is fridge to store bottles and food from home. Bottles and food had the child's name and date on it. Drinking water is provided through sippy cups and individual water bottles. Kitchen use to prepare and store food was observed to be clean. Facility does not currently provide Incidental Medical Services (IMS). For IMS information, see PIN 22-02-CCP . A 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 ------------------continues on 809 dated 09/08/2022 page 3----------------------- ------------------continuation of 809 dated 09/08/2022 page 2-------------------- Seven (7) children's files were reviewed during today's inspection. The record reviewed include but not limited to parent's rights, Needs and Service Plan, and physician's report. LPA observed that C-1, C-3, and C-4 did not have physician's report in file. C-1's Needs and Service Plan was last updated on 05/25/2022. LPA reminded the Director that the Needs and Service Plan needs to be updated quarterly. Director stated that she will send a copy of the updated facility roster to Licensing by 09/16/2022. Three (3) staff files were reviewed during today's inspection. The records reviewed included but not limited to education credit, Health Screening, Mandated Reporter training, and immunization records. S-1 was missing immunization records for Measles, Pertussis, and influenza. S-1 was hired on 08/09/2022 and does not have Health Screening and TB test on file. LPA observed that S-2 with in the infant room by herself and had only completed 4 quarter units in infant/toddler. S-1 was left alone in the toddler room during naptime. Transcript for S-1 on file showed that she completed 8 quarter units and has not complete at least 3 semester units in infant/toddler. S-1 has additional transcripts on file but not does not show completion. S-1 is enrolled to completed additional units. LPA discussed with Director about semester and quarter unit conversation. Director will send proof that S-2 is enrolled to complete at least 3 semester units in infant/toddler. Director understands that a fully qualified teacher needs to have completed at least 3 semester units in infant/toddler. There is a staff who completed the CPR/1st Aid training on 06/2021 through Medic 1st Aid. There is no proof on the card that it is EMSA approved. Director will send proof that program is EMSA approved. ----------------------continues on 809 dated 09/08/2022 page 4-------------------- --------------continuation of 809 dated 09/08/2022 page 3----------------------- S-1 has cleared fingerprints and is associated to the preschool license #434408795. Director transferred S-1 fingerprints to infant license during today's inspection. S-1's fingerprints did not transfer over. Director will submit LIC 9182 with a valid ID to Licensing. All other staff present have cleared fingerprints or exemption. 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. Director will submit the following: - LIC 9227 for C-1 and C-2 - Sleep Log for Toddler Room - Facility Roster - Health Screening, TB test, Immunization Records for S-1 - Proof of Enrollment in course for S-2 and exception request for S-2 to be an infant teacher - TB test for S-2 - proof that CPR/1st Aid training is EMSA approved As a result of this inspection, Type B citations and technical violations were issued. A civil penalty of $100 was assessed for Caregiver Background Check. Exit interview conducted and report was reviewed with Director Nakia Centeno. 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.