Routine inspection·October 26, 2022

Licensing Program Analyst (LPA), Marilou Monico, met with Licensees, Hiroshi & Yumiko Matsui, and conducted an unannounced Required - 1 Year Inspection. Two (2) adult helpers and 12 preschool age children were also present. LPA toured the indoor and outdoor areas of the home. LPA observed all required posted materials. Days and hours of operation for the facility are Monday – Friday from 9:00 AM- 5:00 PM. There are no active waivers or exceptions for this facility. Both licensees are the adults residing in the home. Yumiko 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 reviewed and obtained copy of facility roster (LIC9040). Fire/disaster drill was conducted on June 10 2022. LPA observed a fully charged 3A40BC fire extinguisher, barricaded fireplace, gated kitchen, and functioning smoke and carbon monoxide detector. Yumiko states that there are no weapons or firearms in the home. This facility provides Incidental Medical Services – IMS. The facility has Plan of Operation on Incidental Medical Services on file. Yumiko states that she does not currently have any children in care who require Incidental Medical Services at this time. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 . Continuation on next pages: LPA observed that the home is clean, orderly, and safe for the day care children. Off limit areas in the home: 3 bedrooms, 1 bathroom, kitchen, and garage. LPA observed sufficient age-appropriate materials, toys, and play equipment in the facility. Furniture such as tables, chairs, couch, and shelves are in good condition and safe for children. The floors were clean and free of tripping hazards. Drinking water is readily available for children in the facility via individual water bottles. The children's bathroom is clean, sanitary, and operable. The home has a working telephone which is (408) 517-0919. The outdoor licensed areas of the home were inspected and observed to be fenced in. Off limit areas outside the home: right side yard and locked storage shed. There were no bodies of water observed. LPA discussed the safe sleep regulations with Yumiko and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Yumiko 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 she registers all infant devices with the CPSC to be notified of any recalls on her purchased equipment. Yumiko states that she is not planning to care for children under 2 years old at this time. Twelve children’s files were reviewed during today's inspection for the following records: Notification of Parents Rights (LIC995A), Consent for Emergency Medical Treatment (LIC627), Identification and Emergency Information (LIC700), and Immunization Records. LPA reviewed two (2) helper's files. Licensees have Immunization Record showing immunity to measles, pertussis, and flu. Yumiko has Mandated Reporter Training that expires on November 15, 2022 and Hiroshi's Mandated Reporter Training expires October 24, 2023. Both licensees have current CPR/First Aid certifications with an expiration date of September 28, 2023. LPA reminded Licensee that Mandated Reporter Training must be renewed by all staff every 2 years. Continuation on next page: 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/process Exit interview conducted and report was reviewed with the Licensee, Yumiko Matsui. As a result of today's inspection, there were no deficiencies cited. A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.