Routine inspection·August 23, 2024

On 08/23/2024 at 9:15am, Licensing Program Analysts (LPAs) Jialing “Julianne” Zhu and Christina Uribe met with licensee, Chuck Bernstein, for an unannounced annual continuation inspection . The initial annual inspection was conducted on 08/22/2024 but was not completed due to time constraints. A report was written for the initial inspection – See LIC 809. Today’s report is written with information obtained through observations, interviews, and record review from the initial annual inspection and today’s continuation inspection. Present during today’s inspection were licensee, three (3) fingerprint-cleared staff, and eight (8) infants in care. The facility was toured to conduct a Health and Safety Inspection. The facility’s current hours of operation are Monday - Friday from 8:00am - 6:00pm. The facility shares a campus with a preschool component. The facility has an indoor and outdoor space for infants that is physically separate from space used by the preschool component (434408915). Classroom : This facility has one (1) classroom licensed for the infant component, Room 1. The inside of the classroom is divided into seven (7) areas by shelfs and baby gates: nap room for younger infants (with door), nap area for toddlers, main play and learning area, alternate play and learning area, food prep area, dining area, and changing table. The isolation area is the food prep area or a section of the classroom, away from other children in care. The classroom was inspected for age-appropriate furnishings, equipment, & adequate storage for children’s belongings. LPA observed the cleanliness of floors & surfaces, the presence of a fully functional carbon monoxide detector and fully charged 3A40BC fire extinguishers is accessible throughout the facility. The smoke detectors were not tested during today’s inspection. First aid supplies are available in the classroom, inaccessible to children. LPA inspected the napping equipment and observed them to be stored in a healthful manner. On 08/22/2024 and 08/23/2024, LPA observed 1 infant sleeping with a sleep sack during nap time. The infant changing tables are placed within arm’s reach of a sink while in use. There are trash cans with tight-fitting lids located throughout the facility. Children’s medications are stored in a lock box located in an upper cabinet in the food prep area. Drinking water is accessible by children in the classroom. Disinfectant and other cleaning supplies are made inaccessible to children in care. LPA observed no fireplaces or wall heaters at the facility. Page 1 of 4. See LIC 809C. Food Service Areas : LPA observed a food preparation sink in Room 1 and is separate from the changing table sink. Food prep area is clean, adequately equipped, and free from hazardous materials. There is a refrigerator for the storage, preparation and service of food or snacks. Parents will provide meals for the infants, and the center provides AM/PM snacks. All facility-provided food items are properly labeled and stored separately from cleaning supplies. Bottles, dishes, and containers of food brought by the infants’ authorized representatives are labeled with infant’s name. Snack menus are posted and were reviewed. LPA observed the snack menu for the current week is incomplete as the snacks for 08/20/2024, 08/22/2024, and 08/23/2024 was not filled in. Bathrooms : There are no bathrooms located in the infant component, but a changing table is available in Room 1. Staff have separate bathrooms from the children which are located in the hallway. Outdoor Play Area : The outdoor play space is fully fenced. The surfaces are free from hazards. There is ample shade available. There are age-appropriate outdoor toys and materials for the children. There are no play structures or climbing apparatuses in the outdoor play space. The ground is sufficiently padded with interlocking foam mats and is in good condition. LPA observed two play areas with sand and are free from hazards. There are no pools, similar bodies of water, or free-standing water on premises. Records : All individuals subject to criminal record review have a clearance and/or exemption and have been associated to the facility. LPAs reviewed eight (8) children’s files. Record review of children’s file revealed 1 of 8 infants need an updated Needs and Services Plan, 2 infant's medication need new LIC 9221 OR returned to parents because the LIC 9221s have end dates that have already passed, and 4 of 8 infants’ immunization records need to be update. LPAs reviewed eight (8) staff files. Record review of staff files revealed 2 of 8 staff have TB test results that are older than 12 months prior to initial employment at the facility, and 3 of 8 staff are fully qualified infant teachers. During today’s inspection, 3 aides were providing care and supervision but was not under the direct supervision of a fully qualified teacher, thus the facility is out-of-ratio. LPA reviewed the facility roster & personnel report and copies were obtained. At least one opening/closing staff member has a current Pediatric CPR/First-Aid Certification. Mandated Reporter certificates were reviewed and are current. The facility utilizes an electronic sign-in/out application. LPA requested and obtained a sample of printouts of digital sign-in/out sheets from 07/29-08/02/2024. LPA observed on 07/29/2024, 1 infant was signed out through a staff's account and did not have a parent signature. Emergency Disaster Drills are performed at least every six months, and the last drill was conducted on 05/21/2024. Per owner, there are no firearms on the premises. All required documents are posted in a publicly accessible area. Page 2 of 4. See LIC 809C. LPAs also conducted interviews with staff. 2 staff members stated an infant was left unattended in the outdoor play area on the morning of 08/22/2024. Record Keeping and Reporting Requirements : Director was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Mandated Reporter Training ("Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting https://mandatedreporterca.com/ . Personnel and facility roster must be properly maintained, and fire/disaster drills must be conducted at least every six (6) months and documented. Effective August 1, 2003 California Law requires Child Care Licensees to report unusual incidents or injuries to children in care to child’s parents and to the Department of Social Services using the Unusual Incident/Injury Form (LIC 624). Incidents must be reported within 24 hours to the regional office by phone and the written report, LIC 624, within seven (7) business days. LPA informed Director that all forms can be downloaded at www.ccld.ca.gov . Criminal Record Clearance : 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. Lead Testing : 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. LPA referred director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. Incidental Medical Services (IMS) : This facility does provide Incidental Medical Services (IMS). LPA inspected storage of medications and equipment/supplies, and reviewed children’s, personnel, and administrative records. LPA reminded owner all children’s medications must be securely stored, accompanied by their original packaging, and are in compliance with expiration dates. 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at http://www.ada.gov/resources/child-care-centers/ . Page 3 of 4. See LIC 809C. CCLD Information and Updates : Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. Three (3) deficiencies and six (6) technical violations (TV) were issued during today’s inspection. Note that technical violations are not citations but are advisory notes. Type A Deficiency: (A copy of this report and LIC 9224 Acknowledgment of Receipt of Licensing Reports must be signed by parents and kept in children's files.) · 1 infant was left unsupervised in the outdoor play area. Type B Deficiencies: · 1 infant was napping with a sleep sack · Facility is out of ratio during today’s inspection since there was no fully-qualified infant teacher present. Advisory Notes (TV): · Snack menu is incomplete · 1 infant was no correctly signed out on 07/29/2024 · 1 infant’s Needs and Services Plan needs to be updated · 2 infants’ medication with LIC 9221s have end dates that have already passed · 4 of 8 infants’ immunizations need to be updated · 2 staff members’ TB test results are older than 12 months prior to employment at the facility A Notice of Site Visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with licensee, Chuck Bernstein. LPA provided licensee a copy of the Appeal Rights. Page 4 of 4. End of Report.