Routine inspection·February 24, 2022

Licensing Program Analyst (LPA), Cortney Nelson, met with Site Director , Madelynn Tershy, for an unannounced Required- 1 Year Inspection. LPA was granted access to the facility by Licensee Assistant , Jessica Cannarozzi, and toured both indoors and outdoors during the inspection. Upon arrival, there were 10 infants and 4 staff (1 teacher, 3 assistants) present, which is compliant with the facility license capacity and ratio requirements. LPA observed all required postings near the entrance to the facility and advised Licensee to post required postings in infant room as parents do not drop off in main lobby. Hours of operation for the facility ar e Monday \342\200\223 Friday, 7:30AM-5:30PM . LPA reviewed sign-in/out sheets, facility roster, and fire/disaster drill log during today\342\200\231s inspection. Facility has an active waiver for computer sign-in/out and roster is located digitally within facility system. Printed roster for infants was provided to LPA during inspection. The last fire/disaster drill was conducted on 12/19/2021 , which is compliant with the six-month requirement for facilities. LPA observed a fully charged 3A40BC fire extinguisher, functioning smoke detector and carbon monoxide detector. Licensee states that she does not currently have any children in care who require Incidental Medical Services. Over the counter medications are properly stored out of reach of children in a locked box with proper documentation. Technical Assistance provided to Licensee regarding proper dosage of medication for infants and ensuring dosage is correct based on child's weight. The Licensee states that there are no weapons or firearms on the premises. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual- Regulation Interpretations and Procedures for Child Care Centers, Section 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 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 Indoor areas of the facility were inspected by the LPA and observed to be clean, orderly, and safe for day care infants. Infant room at the facility is physically separated from other childcare center components. LPA observed sufficient age-appropriate materials, toys, and play equipment in the facility. Toys are safe and do not have sharp edges or small parts that may pose a choking hazard. Infant changing table was observed to be padded, within arms reach of a sink, in good repair and safe condition. Infant cots are free from loose articles, covered with a fitted sheet, and there are no objects hanging above or attached to the cot. The floors are clean and free of tripping hazards and waste containers have tight fitting lids. Feeding plan is current for most infants and Licensee understands that all formula provided should be labeled individually with the child\342\200\231s name and the date. Facility currently has waiver to prepare and mix infant bottles with formula at the facility and bottles are disinfected at the end of each day. Licensee was reminded that all food and formula provided by parents/guardians should be labeled with the child's name and date. Infant Safe Sleep regulations (PIN 20-24-CCP) were discussed with the Licensee, including the Individual Infant Sleeping Plan (LIC9227). LPA reminded Licensee that infants up to 12 months of age should complete Individual Infant Sleeping Plan and all infants up to 24 months should have documented nap checks. LPA advised Licensee that nap checks should additionally have initials of staff who checked infant. LPA discussed the safe sleep regulations with 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. Needs and Services Plan should be updated quarterly. At the facility, daily sheets are shared between staff and parents to share about updates daily. Although this provides communication between parents and staff, facility should still update written Needs and Services plan quarterly as daily sheet shared between parents and staff is written on an erasable sheet. This will allow the facility to have documented updates from parents as the daily sheets are not saved each day. The outdoor area of the facility was inspected and observed to be fenced in and physically separated from space utilized by other child care center components. LPA observed play equipment was in good condition, age-appropriate, and has sufficient resilient materials to absorb falls. No outdoor bodies of water were observed during today\342\200\231s inspection. Shaded rest area is provided by trees and building overhang. 10 infant files were reviewed during today\342\200\231s inspection for required documents. LPA advised Licensee that infants need to have all paperwork completed prior to attendance at the facility. LPA additionally discussed quarterly Needs and Services Plan, Individual Infant Sleep Plan, and Physicians Report. 6 staff files (1 director, 1 director assistant, 1 teacher, 3 assistants) were reviewed for all required documents. There is at least one staff member present with current CPR/First-Aid that expires 08/2023. The Licensee has current Mandated Reporter Training that expires on 6/8/2023. LPA reminded Licensee that the Mandated Reporter Training must be renewed by all staff every 2 years. LPA additionally reminded Licensee to complete required Lead Poisoning Prevention training and provided link to sign-up. The Licensee understands that the site director shall be on the premises during the hours the center is in operation and that children at the center shall be visually supervised at all times. 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, Madelynn Tershy. As a result of today\342\200\231s inspection, deficiencies were cited, see 809-D. A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.