Routine inspection·December 8, 2022

Licensing Program Analyst (LPA), Marilou Monico, met with Licensee, Farnoush Jalilvand, for an unannounced Required - 1 Year Inspection. Licensee's adult assistant and two (2) daycare children including one (1) preschool age and one (1) infant were also present in the home. All required posted materials were posted by the door. The daycare is open Monday thru Friday from 8:30 AM to 5:30 PM. There are no active waivers or exceptions for this facility. Per Licensee, she is the only adult residing in the home. LPA observed a current children's roster (LIC9040). Copy of children's roster was obtained during the inspection. Fire/disaster drill was conducted on July 8, 2022. LPA observed a fully charged 3A40BC fire extinguisher, functioning smoke and carbon monoxide detectors, and barricaded fireplace. Licensee states that there are no weapons or firearms in the home. Incidental Medical Services (IMS) policy was discussed. Licensee states that she is not planning to administer any medication at this time. 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 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 LPA reminded licensee 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. Continuation on next page: Off limit areas in the home: Bedrooms 1 and 2, patio/atrium area, master bathroom, and garage. LPA observed that the home is clean. Cleaning products, sharp objects, and other items that are dangerous to children were stored inaccessible. LPA observed sufficient age-appropriate materials, toys, and play equipment in the facility. The children's bathroom is clean, sanitary, and operable. The home has a working telephone which is (408) 616-0022. There are no off limit areas outside the home. No bodies of water were observed. Five (5) children\342\200\231s 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), Affidavit Regarding Liability Insurance (LIC 282), and Immunization Records (PM 286/CDPH 286). LPA reviewed a helper's file for the following records: Criminal Record Statement (LIC 508), Statement Acknowledging Requirement to Report Child Abuse (LIC 9108), required immunizations and TB test, and Mandated Reporter Training. Licensee's Mandated Reporter Training expires on December 5, 2023. LPA reminded Licensee that Mandated Reporter Training must be renewed by all staff every 2 years. Licensee and her helper have current Pediatric CPR/First Aid certifications. 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 Farnoush Jalilvand, Licensee. 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.