Routine inspection·July 27, 2023

On 07/27/2023, Licensing Program Analysts (LPAs) Ruby Ocegueda and Pa Kou Vue, conducted an unannounced Annual Required Inspection and was met by Licensee, Tammy Andrade. Also present was Staff #2 (S2). Days and hours of operation are Monday through Friday from 5:45 AM to 6:15 PM and Saturday care upon request. LPAs toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that the kitchen, one hall bathroom, two living rooms, day care room and separate bathroom (accessible via the accessible play yard) are used by children. All other rooms are off-limits and made inaccessible by use of baby gates and door knob safety covers. During the inspection of the kitchen, LPA observed multiple items on the counters making it difficult for LPA\342\200\231s to properly inspect. LPAs reviewed the requirement to have a clean and orderly environment. In the day care room, LPA\342\200\231s observed an area in the corner of the room that was blocked off with book shelfs. Inside that area was a nap map with a baby gate, making an area similar to a play pen. LPA addressed this observation with licensee (see TA dated 7/27/2023). 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. Per licensee, there are no firearms or ammunition in the home. Today there was accessible poison (Raid Spray) under the kitchen sink. The kitchen sink had a broken safety latch making the poison and other cleaning products accessible. Outside in the play yard that is identified as off limits there was mosquito repellant and weed killer. Today the sliding glass door was not secured as usual making the yard accessible. LPA advised that even if the yard is identified as off limits, potentially hazardous items outside in the yard should be made inaccessible and poisons locked. 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. The home has working telephone service and LPA confirmed the phone number is (559) 542-4647. Report continued to 809-C LPA discussed Safe Sleep Regulations with licensee. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents 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. Individual Infant Sleeping Plan is completed and in file 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. Car seats are used for transportation purposes only and are not used for sleeping children. The outdoor play area in the backyard is fenced. There is a play yard designated for day care children and a play yard that is to be kept off limits. Both were inspected. Capacity as specified on the license is being maintained. Licensee had an electronic roster of the children; LPA reviewed the requirement to have a roster that the Department could easily collect and review. An emergency fire/disaster drill has been completed every six months. Licensee\342\200\231s Mandated Reporter Training was completed on 8/2022. Licensee\342\200\231s pediatric CPR/First Aid expires on 1/2025. 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. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is 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 the Fact Sheet - Child Care Parent Notification Requirements and 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.