Routine inspection·August 11, 2022

On 08/11/2022, Licensing Program Analyst (LPA) Ruby Ocegueda, conducted an unannounced Annual Required Inspection and was met by Licensee, Tammy Andrade. Also present were Staff 2 (S2) and Staff 3 (S3). Days and hours of operation are Monday-Friday 6:00 AM \342\200\223 6:00 PM or other hours as arranged. LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed, and Licensee confirmed that the kitchen, one outside bathroom, one indoor bathroom and living room spaces are used for providing care and are accessible to children. All other rooms/areas are upstairs, off-limits and made inaccessible by use of baby gate. Swimming pool is fenced per regulation. The pool gate is self-latching, self-closing and opens away from the swimming pool. No windows or doors have direct access to the pool area. There are no firearms or ammunition on the premises. All poisons are kept in a locked storage area. No poisons were observed during the inspection. Today, while inspecting the restroom accessible through the children\342\200\231s play yard, LPA observed that the toilet rim and fixtures were stained. The sink was also unclean and had dirt type debris on it. The base boards had compacted dirt on them, and the floor had stains and were unkept. Today, licensee had assistants clean and disinfect the restroom. In the living area to the right of the main entryway, LPA observed about 20 scattered shoes and the couch full of documents and other nonhazardous items. There was exercise equipment that the children could potential hit if they tripped on all of the shoes on the ground. There are no fireplaces or open face heaters in the home. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Stairs are fenced or barricaded when children under age 5 years old are present. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 542-4647. There are currently no infants in care. LPA discussed Safe Sleep Regulations with licensee. Report continued 809-C 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. There are two separate outside yard areas. One which is used for day care and the other which licensee identified as off limits. Although the yard is off limits per licensee, it is still accessible through the living area (sliding glass door). Today LPA observed that the handle was removed making it very difficult to open, especially for children. This side of the yard had multiple sharp tools, electric tools, a propane tank that was connected to a BBQ pit and other building materials. LPA explained that although the yard was identified as off limits, it was still accessible as were the tools and hazardous items. Today the children present were too young to open the door, however licensee does care for older school aged children that could potentially open the sliding door, even without the handle. Today, Licensees husband placed an additional gate where the tools and materials were and disconnected the propane tank from the BBQ. Capacity as specified on the license is being maintained. LPA reviewed a sample of children\342\200\231s files and observed files were complete with emergency information as required. Licensee\342\200\231s Mandated Reporter Training was completed on 8/2019 and was expired today. S2 and S3 did not have required Mandated Reporter Training. Licensee\342\200\231s pediatric CPR/First Aid expires on 12/2022. LPA conducted a staff file review and observed that licensee and staff #3 did not have proof of required immunization's today (pertussis, measles). A flu declination statement was observed for licensee and staff. Licensee and S3 did not have proof of TB 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 . Report continued on 809-C 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, the following deficiencies are being cited: (see next page, 809 D) Licensee was provided a copy of appeal rights. An exit interview was conducted with licensee Tammy Andrade. 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.