Routine inspection·March 17, 2022

Licensing Program Analyst (LPA) Janette Cruz met with Phuong Tram To, Licensee, for unannounced Required 1-year annual inspection. LPA was granted access to the home by the Licensee. LPA also observed, Licensee's adult assistant, Phuong Pham, one infant and twelve preschool day care children present in the home during today's inspection. The Licensee was operating within her capacity and ratio requirements. LPA observed the required postings, including the facility license, posted inside the home. Days and hours of operation are Monday - Friday from 7:30 AM to 5:00 PM. Licensee. her spouse, Carasear Mao and Licensee's two minor children are residing in the home. All adults have clearances for Tuberculosis and Criminal Background/Child Abuse Index clearances. There are no active waivers for this facility. Licensee has current CPR and First Aid certifications (expiration: 10/2022). LPA reviewed a current Child Care Facility Roster and Fire/Disaster drill log during today's inspection. The last fire/disaster drill was completed on 03/01/2021. Licensee has an active Child Care Liability Insurance. Licensee has the required vaccinations (MMR, Tdap, & flu opt-out) and is current with the Mandated Reporter Training for Child Care Workers (expiration: 06/02/2023). LPA reviewed ten children's files which were complete with the required forms. LPA discussed the safe sleep regulations with the Licensee 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 the Licensee 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 toured the indoor and outdoor areas of the home during today's inspection. Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the day care children. Licensee states that a child will be isolated in the living room area of the home if necessary due to illness or communicable disease. LPA observed the home is clean, orderly, and safe for the day care children. LPA also observed a barricaded fireplace. There are no open face heater units and stairs inside the home. LPA observed a play yard surrounded with mulch for cushioning. Off limit areas in the home: three bedrooms and one bathroom. Off limit areas outside the home: right side of backyard. LPA observed a fully charged 3A40BC fire extinguisher, working smoke/carbon monoxide detectors, no bodies of water, and fenced backyard. The Licensee states that she does not have any weapons in the home. Licensee states that she has a pet (small dog) in the home. All detergents, cleaning compounds, medications, and other similar items are inaccessible to children. All poisons are stored in high cabinets. The Licensee states that she does not administer medication to the day care children. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - 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 Licensee 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. 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. The Licensee understands her capacity options and she understands that she cannot have more than 14 children in the home at any time without a fully qualified adult present. Licensee states that she does not transport any day care children. The Licensee understands that children shall not be left unattended in parked vehicles and that car seats shall only be used for transportation and shall not be used for sleeping. 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 . LPA provided Licensee with website resources on managing food allergies at school and handling medical emergencies related to food allergies. CDC Managing Food Allergies at School https://www.cdc.gov/healthyschools/foodallergies/index.htm American Academy of Pediatrics Healthy Children Medical Emergencies https://www.healthychildren.org/English/health-issues/injuries-emergencies/Pages/When-to-Call-Emergency-Medical-Services-EMS.aspx Exit interview conducted and report was reviewed with the Licensee, Phuong Tram To. No deficiencies issued during today's inspection. A Notice of Site Visit was given and must remain posted for 30 days.