Routine inspection·December 3, 2021

On 12/3/2021 Licensing Program Analyst (LPA), Ruby Ocegueda conducted an unannounced Annual Required Inspection and was met by Licensee, Norma Del Toro. LPA conducted a Covid-19 safety screening before beginning inspection. Days and hours of operation are Monday through Friday 7:00 AM to 5:00 PM. LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that the dining room, hall bathroom and living room are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of top door locks and baby gates. There is a pool in the inaccessible back yard. The yard continues to be off limits. LPA tested the two pool gates. One pool gate that faces the side yard was not self-latching and licensee uses a lock to keep the gate closed. Per licensee, the gate was just recently tested and license had just discovered it was not self latching. LPA Ocegueda reviewed the regulation requiring gates to be self latching. There was no windows that had direct access to the pool. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. The kitchen is inaccessible, however food is prepared in the kitchen, per licensee discussion. LPA observed cluttered counters and many dishes in the sink. The fireplace located in the living room is made inaccessible by a iron screen and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 591-2390. 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. Report continued to 809-C. 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. Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of LIC 9224 was given to licensee. 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. Provider physically checks on sleeping infants every fifteen minutes and indicated that she documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. The sleep logs could not be provided today during file review. LPA provided licensee with a new sample she could use. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan was reviewed with licensee and she understands that it is required for each infant up to 12 months of age. 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. Licensee indicated that at this time, she does not transport children. Car seats are used for transportation purposes only and are not used for sleeping children. The outdoor play yard remains off limits and is inaccessible via gate that has a working latching mechanism. Capacity as specified on the license is being maintained. LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training was completed on 2/20/2021. Licensee’s pediatric CPR/First Aid expires on 6/5/2023. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles. 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. Report continued to 809-C