This is a preschool age program that serves children age 2 until entry into 1^st grade. This program is a combination center who also operates an infant program (191501406) and a school-age program (198001785) that operates Monday to Friday 6:30 a.m. – 6:00 p.m. Sign in and out takes place at the main entrance area. Parents sign in through a computer and manually in an assigned classroom binder. Each family is assigned a code to enter the building. All visitors and/or volunteers must ring the doorbell. Teacher and child ratio were observed, and present staff are fingerprinted cleared and at least one person present who is trained in pediatric first aid/CPR is present.

LPA entered the all preschool classrooms ( prek1, prek2, Room C, and Two’s). LPAs observed age-appropriate furniture and equipment to be in good condition. LPA observed toys and equipment to be free of sharp, not loose, or pointed parts. LPA observed children’s personal items to be in individual bins.

Heating, lighting, and ventilation were evaluated by LPA Perry. LPA observed central AC /heater and vents located on the ceiling. LPA observed the thermostat located in classroom and the temperature to be at 72. LPA observed the fire extinguishers located in classrooms and hallways and the valve on the required 2A10BC fire extinguishers indicating fully charged and serviced on 10/21/2025. Smoke detectors were tested during this visit. The carbon monoxide detector is in the main entrance in the kitchen and LPA tested and heard the sound and is operable. The last emergency drill was conducted on 11/12/2025.LPA observed sleeping mats to be in good condition. First aid kits supplies are kept inside the classrooms and LPA observed the kits to be fully equipped with band aids, gauzes, adhesive bandages, and antiseptic wipes. During this visit, director Pam stated there is currently children with medication or severe food allergies. LPA reviewed IMS plans and medication storage of medication, and all were aligned with Title 22 regulations. LPA asked if there were any poisons, firearms, weapons, or bodies of water. The director stated no firearms, weapons, no poisons nor bodies of water. LPA did not observe firearms or weapons, poisons, nor bodies of water. Director stated the ill isolation area takes place in the director’s office and children utilize the staff restroom. Lead testing was conducted on 8/31/2022 and had no lead exceedance.

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

LPA entered the kitchen area. This program provides a.m. snack, lunch, and p.m. snack. Meals and snacks are prepared onsite. LPA Perry informed director Pam that any food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. For water drinking, LPA observed water pitchers, bottles, and sippy cups in the classroom. LPA observed the food preparation area to be free of litter, rubbish, rodents, and/or any other vermin and storage containers for solid waste, including movable bins with tight-fitting covers that are kept on, and in good repair. The facility was observed to be free of flies, other insects, and rodents.

The following documents were not posted in a prominent, publicly area front lobby: Facility License, Notification of Parents' Rights (PUB 393), Personal Rights (LIC 613A), Menu, and PUB 269 Child Passenger System Poster. LPA observed all the required documents to be posted. Lead results were visible and posted for public to see.

LPA reviewed the children’s roster and files to be complete. Staff files were observed to be incomplete. LPA observed 1 out of 5 staff files did not have TDAP which poses a potential risk to the health and safety of the children in care. LPA did sign in/out sheets and observed 48 signed signatures.

LPA observed director Pam Deem Pediatric First Aid/CPR certification from American Heart Association which expires on 9/25/2027, Preventative Health and Safety with nutrition on file and has proof of immunization against Pertussis, MMR and Influenza declination. CCLD orientation was completed on 2/18/2000. LPA did advise director Pam to take the CCLD orientation course for updated information. It was also mentioned noted during a prior annual inspection on 11/ 2024. Director has completed the mandated reporter (AB 1207) training which expires on 5/31/26 Director was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com.

Licensee Pam Deem was reminded that all adults 18 and over, 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 Child Care Center. 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test as specified in Health and Safety Code section 1597.16. For

LPA discussed the safe sleep regulations with licensee Pam 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 [or facility representative] of the importance of checking for and removing any 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 2202-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) 5140383 (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 Pam was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care 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.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights were provided and discussed.

Currently the facility is not in compliance with Title 22 regulations. The deficiency listed on the following page was observed by LPA perry and is being cited in accordance with California Code of Regulations Title 22. One type B deficiency is being issued today for regulation Please see attached LIC 809-D for citation.

Exit interview conducted and report was reviewed with the licensee Pam Deem, Director. Appeal rights provided and discussed.