Routine inspection·March 16, 2023

On 03/16/23 Licensing Program Analyst (LPA), Araceli Gibson conducted an unannounced One Year Required Inspection and was met by Licensee, Flora Combs and hours of operation are Monday through Friday hours are 6:00 AM to 6:00 PM. LPA toured the home inside and outside. Licensee had 8 children in care. Licensee confirmed the entire floor of the home and back yard are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of safety gate. Licensee had a hot tub with a locked cover per regulation made inaccessible to daycare children. There are no firearms or ammunition on the premises. Detergents, poisons, cleaning compounds, medication and other hazardous items were inaccessible to daycare children. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. The fireplace in the home is secured with a screen and cushion material around the brick fireplace. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (209) 538-0932. There are 1 infants enrolled during today’s inspection. LPA discussed Safe Sleep Regulations with licensee. There is one crib or play yard for each infant in care. Cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Infants up to 12 months of age are placed on their backs for sleeping. Provider physically checks on sleeping infants every fifteen minutes documenting sleep for any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. LPA discussed the regulation surrounding the Sleep Plan. 1 infant recently enrolled had inconsistent 15-minute documentation. LPA issued an advisory note and printed regulations for licensee. Continue 809C Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. The outdoor play area in the backyard is fenced. Capacity as specified on the license is being maintained. LPA reviewed a sample of children’s files and observed files were complete with the immunizations. Licensee completed the Mandated Reporter Training expired 12/22 (see 809D). Licensees’ pediatric CPR/First Aid expires on 03/12/2022. Licensee and assistant has all required immunizations on file. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm . LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, one deficiencies cited during today’s inspections. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.