Routine inspection·April 14, 2025

On 04/14/2025 Licensing Program Analysts (LPAs), Miguel Herrera and Jose Ruiz conducted an unannounced 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 10 children in care with no assistant, as her assistant had briefly stepped out to deliver extra clothing to a child in school. Licensee's assistant arrived approximately 10 minutes later to comply with capacity/ratios. LPA Herrera reviewed capacity/ratios with Licensee Combs and she understood regulations. Licensee confirmed the entire first 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. During the inspection LPA's observed that the home had a baby gate that was not properly secured to avoid children accessing the stairs. During the inspection licensee ensured to properly secure the stair way. Licensee had a spa with a secured cover per regulation made inaccessible to day-care children. There are no firearms or ammunition on the premises. Detergents, poisons, cleaning compounds, medication and other hazardous items were inaccessible to day-care 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. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (209) 538-0932. Continue on 809-C. There was 1 infant 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. Infants can be visually observed through an open door if sleeping in a separate room. LPA Herrera discussed the Individual Infant Sleeping Plan (LIC 9227) for infants up to 12 months of age. Per Licensee, infants up to 12 months of age are placed on their backs for sleeping. 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. LPA reviewed a sample of children’s files and observed files were complete with the immunization records and licensee forms. Licensee's Mandated Reporter Training expired on 03/17/2025. Licensees’ pediatric CPR/First Aid expires on 05/2026. Licensee and assistant has all required immunization records on file. The assistant's Mandated Reporter Training expired on 2/14/2024. The assistant's CPR/First Aid expires on 05/2026. 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. LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2). Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. Continued on 809-C. LPA discussed 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-andresources/safe-sleep as an additional resource. LPA also informed 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. This facility does not provide Incidental Medical Services – IMS. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/ . Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California. To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process . Exit interview conducted and report was reviewed with Licensee Flora Combs. During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809-D). Licensee was provided a copy of appeal rights. A notice of site visit was given and must remain posted for 30 days.