Routine inspection·October 11, 2022

On 10/11/2022, Licensing Program Analysts (LPAs), Ruby Ocegueda and Daniel Alvarez conducted an unannounced Annual Required Inspection and was met by Licensee, Maria Bermudez Also present was adult #2 and adult #3. Days and hours of operation are Monday through Friday 7:00 AM to 6:00 PM. LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that day care room was approved for care. Today, the kitchen, dining area and two living rooms were accessible to children due to broken baby gate. These areas were also inspected. All other rooms are off-limits and made inaccessible by use of baby gate that is placed at the hall entrance. There is an inground swimming pool that was not fenced per the regulation. Per record review and interview, licensee stated she was made aware by the Department that she should have a pool fence surrounding the in-ground pool located in the back yard but had not installed the fence. Also on the rod iron fence located to the right of the yard (when facing out to the pool from the living room), there was a gap from the rod iron fence to the wood fence that was approximately 6 inches in width. Today, licensee stated she does not use the play outise play area and would be made inaccessible. LPA\342\200\231s Daniel Alvarez and Ruby Ocegueda discussed the requirements for pool fences and licensee confirmed the observations today. The rod iron gate door was functioning per the regulation, swinging away from the pool and was self-latching). The other rod iron pool fence door was locked with metal locks. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. In the accessible kitchen, LPA observed that there was a pizza cutter, scissors, medication and sunscreen accessible to children in care. In the day care room there was baby powder and diaper ointment that were in accessible drawers. These products indicated \342\200\234keep out of reach of children\342\200\235 on the safety label. The fireplace located in the living room is made inaccessible by a wood barrier and will not be in use during daycare hours. Report continued to 809-C There is a working fire extinguisher, and smoke detector. The carbon monoxide detector was not present today. Licensee stated they had recently removed it and could not locate it in her home today. 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) 781-4214. LPA discussed Safe Sleep Regulations with licensee. Infants over 18 months are sleeping on cots today. LPA reviewed the requirements for infants to sleep in a crib or play yard as long as they could not climb out of one. Infants are not swaddled while in care. LPA reviewed the requirement for provider to 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. This requirement should be done and logged until 24 months of age. 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 and was inspected. 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 3/2019 and was expired today. Licensee\342\200\231s pediatric CPR/First Aid expires on 2/5/2023. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles. Today, it was confirmed through record review and interview that adult #2 moved into the home on or about 9/23/2022 and did not have a criminal record clearance. Today, adult #2 left the home and per licensee, went to live with a relative. Report continued to 809-C 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 deficiencies being cited: (see next page, 809 D). Two separate 500.00 dollar civil penalties were assessed today. 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.