Routine inspection·December 15, 2022

On this day Licensing Program Analysts (LPA/s) Almaraz conducted an unannounced annual inspection, of a large family childcare home (capacity of 14). Due to COVID- 19 precautionary measures were taken, licensing staff present during inspection wore appropriate personal protective equipment. LPA/s met with licensee Agustin, Deotina, there was one assistant present Nguyen, Tham. There were six children present during the inspection, including two infants over 12 months old, and two preschoolers. There are 17 children enrolled. The hours of operation are from 7AM to 5:00 PM, Monday thru Friday. There are 2 adults residing in the home, licensee and spouse Agustin, Bonny and one minor child. There are also two long term adult visitors in the home, Joyona, Dennes and Arnolfo. All have criminal record clearances on file. Physical Plant: This is a two-story dwelling which consists of 4 bedrooms and two lavatories. LPA/s inspected the indoor and outdoor areas of the home today. Per licensee Off limit areas in the home are as follows: 1. The entire upstairs, made inaccessible by a gate. 2. One downstairs bedroom. 3. Laundry room within the garage. 4. Kitchen. All areas are made inaccessible by a gated children’s area. Off limit areas outside the home are as follows: The side yards both gated, the sheds are in this area. The backyard is fully fenced. The front yard is safety complaint. The children use the back yard for outdoor activities. During this inspection, the following was noted: At 9:30 AM, LPA/s began tour through the interior of the home. Areas accessible to children were inspected to ensure that they are clean and orderly with ventilation and central heating for safety and comfort. Kitchen: All kitchen areas/food preparation and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. LPA checked that water and refrigerator temperatures in standard condition. Per licensee waste will be discarded immediately after each meal. PG. 1/6 Food: Per licensee meals are prepared at the facility daily. Licensee provides breakfast, lunch and AM/PM snacks. LPA and licensee discussed that food brought from home should be labeled. Per licensee there are no children enrolled with allergies. LPA observed licensee has an allergy list in the kitchen area, should there be any children enrolled with allergies. Licensee has 5 food components kept on site. All areas identified on the facility sketch were inspected. Areas that are accessible to day-care children are the receiving room, dining room, one lavatory, one office and family room (classroom). The licensee understands that areas that are off-limits must remain inaccessible to the children in care during operating hours. The licensee does understand that licensing staff may have access to off-limit areas during inspection visit if necessary. Lavatories: There is one lavatory that is accessible to the children in care. There is a change table with an appropriate change pad. Licensee states that potty training is provided at facility. Outdoor play: The fully fenced back yard has adequate shade in the play yard. Hazards: LPA did not observe any hazards inside or outside of the home. The electrical outlets observed to be covered. Detergents, cleaning compounds, medicines, sharp objects, and hazardous items that can pose a danger to children was observed out of reach, or locked from the children in care. The licensee states that there are no poisons in the home. The licensee was advised that any poisons must be locked with a key or combination lock. LPA also observed appropriate equipment, toys, and games for children. Per licensee there are no firearms in the home. There are no bodies of water inside or outside of the home. Fire & Safety: Carbon monoxide detectors and smoke detectors are working and present in the facility. There is a fire extinguisher, size 2A10BC last serviced 01/28/2022; Last fire drill 12/15/2022, licensee understands a fire drill is to be completed at least every six months. There is no fireplace or wall heaters observed in the home. Per licensee there is no smoking in the home. Facility Records: The licensee has CPR and First Aid, valid until 03/13/2023. Licensee has record of MMR & Tdap vaccinations, opt out for flu vaccine. Licensee, spouse and child have record of TB tests. Licensee has completed the Mandated Reporter Training valid until 12/2024. The licensee understands this must be renewed every two years. LPA/s discussed forms the requirements for staff and children's files. LPA issued an LIC 857 and 859, review of children and staff files. There is one pet, vaccinated. Sign in and out: Per licensee there is be a sign in/sign out system. LPA informed licensee that this is not mandatory for a FCCH. PG. 2/6 Waivers: There are no waivers or requests on file. Medical & First Aid Supplies: There is a first aid kit in the home, kept in the children’s area and outside. LPA and licensee discussed that medication is only to be administered to a child when accompanied with a doctor's note, parent plan, authorizations are to be completed monthly. The medication shall be kept in a locked cabinet or in a locked box in refrigerator if needed and/or in emergency backpack when children outside (at least six feet high) which is stored out of reach of children. LPA and licensee discussed that medication, and first aid supplies shall be accessible to staff at all times during care. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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 Matts and cots : Per licensee napping is done at this facility. LPA observed matts for napping in a safe condition with no exposed foam. Constructed of material at least 3/4 inch thick. Covered with vinyl or similar material that can be wiped. Designed so that the sleeping side can be distinguished from the floor side. Per licensee cots are wiped weekly with a detergent, disinfectant or when soiled or wet. Each matt observed to be equipped with a sheet and/or blanket to cover the child. Per licensee bedding is not shared. Per licensee sheets/blankets when soiled are washed on site or weekly. LPA observed bedding is individually stored so that each child's bedding is identifiable, and licensee states no child's used bedding shall meet other bedding. Safe sleep: LPA/s observed and inspected sleeping equipment for infants. LPA/s observed cribs for each infant who is unable to climb out of the play yard. All equipment meets the US Consumer Product Safety Commission safety standards. Please see www.safekid.org for a list of any recalled products. LPA/s observed that cribs are free from loose articles and objects. There are no objects hanging above or attached to the side of the cribs. LPA reminded licensee that play yards shall not hinder the entrance or exit to and from the space children are sleeping in. LPA observed mattresses to be firm and covered with a fitted sheet that is appropriate to the mattress size. PG. 3/6 Each infant must have their individual bedding and is to be washed daily or as required. Bedding must be replaced when wet or soiled and is placed in an area inaccessible to infants. Pacifiers must not be attached to anything. Licensee was advised that infants shall not be swaddled while in care and all infants up to 12 months should be placed on their back for sleeping. LIC 9227 (Individual Sleeping Plan) for infants up to 12 months was discussed. Title 22 Regulation Section 102425(j) Infant Safe Sleep was discussed with the licensee, including but not limited to documentation that shall be maintained. A review of PIN 20-24-CCP Recently approved Safe Sleep Regulations in Effect was discuss and information provided to the Licensee during this inspection. LPA observed sleep log is kept for infants in care. Licensee physically checks on infants at least every 15 minutes and documents the following: 1. Breathing, Sleep position, signs of distress. LPA advised licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov . For commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm Postings : LPA observed required postings, including, Parent’s Rights Poster (with complaint Hotline), an emergency disaster plan, the license and any notice of site visits. 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-licensing/inspection-process Licensee 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. SB792 (Immunization Requirements for Staff and Employees) was discussed with the facility representative. AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018 any person who works in a child care facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers PG. 4/6 The following was discussed with the licensee: -Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately . Civil Penalty will be assessed if not in compliance. -In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification and a valid criminal record clearance associated with the facility license. -A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility. -Annual fees must be paid promptly and by the due date or a late fee shall be assessed, and/or the License shall be terminated. -The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary and smoke and carbon monoxide detectors should be checked, and batteries replaced as needed. -Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes, and/or if you move from your home. -Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. (use LIC624B for written report). -Fire and safety drills must be performed every six months and documented for review by the Department. -Smoking is prohibited in a family childcare home. -Children and Staff records must be maintained and updated as needed and must be available for review by the Department. - No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines, and any other item that falls into that category are not permitted in the facility. -All adults living and working in the home shall be made aware of the Department's right to inspection authority, which includes but is not limited to the right to enter the home when children are being cared for, interview children and adults, and review documentation. - Licensees shall reveal each facility license number in all advertisements, publications, or announcements with the intent to attract clients. PG. 5/6 Emergency Disaster Plan, Parent’s Rights Poster, and the Facility License are required to be posted. Per licensee, there is liability insurance or a bond in accordance with the standard established by the Family Child Care statute. The law requires a Family Child Care provider to carry liability insurance or bond in the amount of $300,000 annually or to maintain the signed statement in the facility file. Signed statements (LIC282) noted on children’s files. LPA and licensee discussed that the home insurance may cover this. Per licensee there is no transporting of children. LPA consulted and explained Child Abuse Reporting, Effects of Lead Exposure Flyer, Updated Patent’s Rights Poster with Complaint Hotline information, Capacity Handout (Small & Large) was provided during this inspection. LPA advised the applicant how to access forms, regulations and quarterly updates, and Provider Information Notices (PIN) on the Child Care Licensing website at: www.ccld.ca.gov . LPA reviewed and issued the Forms/Records to Keep in Your Family Child Care Home (LIC 311D) and provided the following forms: Children forms/records, Facility forms/records, facility forms/ records, and Information to be posted in the Family Child Care Home. During this inspection, Licensing staff consulted with licensee regarding COVID-19 health and safety guidelines on this date, was provided CCP- COVID 19 Self- Assessment and forms to post. Per licensee, the following safety precautionary measures are taken during the pickup and drop off of children: Daily health checks and screening upon entry will be conducted by Licensee. The following was discussed: 1. In the event that a fingerprint cleared visitor would like to volunteer at the facility, a file must be maintained. 2. Guardian is now available to assist providers in the background check process, to view and manager their roster. This facility meets the description of a safe and healthy environment for children as described in Chapter 1, Division 12, Title 22 of the California Code of Regulations, during this visit. The licensee understands to adhere to the terms and limitations stated on the license. A copy of this report and all other Licensing reports must be made available to the public for 3 years. There are no deficiencies issued in accordance with Chapter 1, Division 12, Title 22 of the California Code of Regulations An exit interview conducted, and report was reviewed with licensee. NOTICE OF SITE VISIT ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS. PG. 6/6