LPAS observed a changing table an arm’s length away from a sink. Water is readily available via a water container and disposable cups. Parents bring breast milk, if used. Formula and solid foods are provided by the facility. LPAS observed bottles to be labeled with infant’s names and stored properly in the infant room refrigerator. Water is readily available via a water container. Per Director, toddlers are not “potty trained” in the infant program.

The facility contains central air and heating. LPAS observed a carbon monoxide/smoke detector in the kitchen which is operable but not tested due to children napping.. LPAS observed a fully charged fire extinguisher in the facility serviced 6/3/24. Disinfectants and cleaning solutions were observed to be inaccessible to children in each classroom. Isolation area for an ill child waiting to be picked up is in the Director's office. Per Director, the facility only administers prescribed medication if needed and it is kept in a locked container in the Director’s office or in a locked storage bag in the refrigerator if needed.

LPAS toured the designated infant and toddler outdoor play area, which was observed to have age-appropriate toys and materials for children. The outdoor play area was observed to be free of loose, sharp, and/or pointed parts. 10:30 LPAS issued Technical Assistance (TA) for extra care and supervision in the infant yard. The yard has wood chips that are small and a possible choking hazards for infants and toddlers. LPAS observed required cushioning under climbing structures to absorb a fall. Per Director, water containers are brought outside for children to drink while outdoors. LPA observed adequate shade in the outdoor areas. LPAS did not observe any bodies of water at the facility. Menus are posted weekly online for parents to view. The facility provides breakfast, lunch and an afternoon snack for children in care. LPAS observed the kitchen/ food preparation area, and food storage area to be clean and free of litter, rubbish, rodents, and/or any other vermin. LPAS observed refrigerator to be clean and in operable condition.

Children’s records were reviewed for LIC 613A- Personal Rights, Admission Agreement, Immunization Records, LIC 700- Identification and Emergency Information, LIC 701- Physician’s Report, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, LIC 9227- Infant sleep form (0-12 months, and documentation of 15-minute Infant Sleep Check (0-24 months). All records were observed to be complete. Staff records were reviewed for approved Pediatric First Aid and CPR certification, staff qualifications, LIC 508-Criminal Record Statement, LIC 503- Health Screening Report, LIC 9052-

Employee Rights, Proof of immunization against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, and LIC 9108- Statement of Child and Mandated Reporter Training Certificate

There is at least one person trained in CPR and Pediatric First Aid present during this inspection. Per LPA’s record review all staff files were complete.

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.

Director 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.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPAS verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

LPAS discussed the safe sleep regulations with Director 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.

This facility provides Incidental Medical Services – IMS. LPAS reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records.

For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

Director 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

The facility was found to be in compliance with Title 22 regulations, no deficiency was cited during this inspection. A notice of site visit was given and must be posted for 30 days during hours of operation . Failure to maintain posting as required will result in a civil penalty of $100.00

Exit interview was conducted and report was reviewed with facility director Ana Fragoso