LPA Green confirmed with applicant those who will reside in the home will be herself, adult son, and 1 young child. Per applicant operation hours will be Monday to Friday from 6:00 am to 5:30 pm. Ages to care for will be from infant to 13 years old. At 11:03 a.m., LPA was toured through the interior of the home. This is a two-story home which consists of 3 bedrooms, 3 restrooms, living room, den area, dining area, kitchen, front yard, garage (attached), and backyard (fenced). Licensing staff observed a fireplace in the den area that was made inaccessible via barricade locked with zip ties. LPA observed the key to the fireplace removed. Per Applicant, fireplace does not function.

All areas identified on the facility sketch were inspected. Areas that are accessible to daycare children will be the entire first floor which consists of the living room, dining area, den area, kitchen, garage, 1 bathroom, and backyard (fenced). Based on the Facility Sketch submitted, areas off-limits to children and parents will be the entire second floor which consists of 3 bedrooms, 2 bathroom, and front yard. LPA observed a child safely gate placed at the bottom of the stairs to prevent access to the second floor of the home.

**Rooms that are off-limits need to be made inaccessible during operating hours** The Applicant does understand that licensing staff may have access to off-limit areas during inspection visit if necessary.

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The value on the 3A40BC fire extinguisher indicates fully charged. LPA observed the date of purchased listed on the receipt as 10/14/2021. There is a first aid kit located in the main daycare room. There are smoke detectors throughout the home and a carbon monoxide detector located near the kitchen. At 11:06 am, LPA Green tested both alarms and found them to be operational. LPA was toured through the garage area. Per applicant, will be the main activity area for children. Applicant understands that children can not sleep or eat in the garage area of the home. LPA observed the garage area to be free from hazard.

At 11:15 am., LPAs was toured through the exterior of the home. The back yard will be used for daycare outdoor play. LPAs observed the back-yard area to be fenced. There are age-appropriate toys and play equipment on site. Per Applicant, there are no pets, no firearms, weapons, or bodies of water on the premises. LPA did not observe any body of water during this inspection.

The applicant states she will provide food for child in care. Applicant was advised that if food is brought from the children’s homes, all containers must be labeled with child’s name and properly stored or refrigerated.

The applicant has completed the required Health and Safety Training, Nutrition Training, and Pediatric First Aid and CPR. The applicant has completed the required Mandated Reporter Training.

The following was discussed with the applicant:

-Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Civil Penalty will be assessed if not in compliance. Page 2 of 4

-A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility.

-Annual fees must be paid promptly and by the due date or a late fee shall be assessed, and/or the License shall be terminated.

-The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary and smoke and carbon monoxide detectors should be checked, and batteries replaced as needed.

-Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes, and/or if you move from your home.

-Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. (use LIC624B for written report)

-Fire and safety drills must be performed every six months and documented for review by the Department.

-Smoking is prohibited in a family child care home.

-Children and Staff records must be maintained and updated as needed and must be available for review by the Department.

- No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines, and any other item that falls into that category are not permitted in the facility.

-All adults living and working in the home shall be made aware of the Department's right to inspection authority, which includes but is not limited to the right to enter the home when children are being cared for, interview children and adults, and review documentation.

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- Emergency Disaster Plan, Parent’s Rights Poster, and the Facility License are required to be posted.

Infant Care: Applicant states that at this time she does not plan to care for infants however will provide infant care the need arises. LPA did not observe any infant equipment during this inspection. Licensing staff advise if the applicant does decide to care for infants to sleep infants where they can be directly supervised and advised against sleeping infants in a separate room. Infants under 12 months should sleep mouth up, on their backs, free of clutter surrounding their sleeping space.

Medication: Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Per Applicant, she will not carry liability insurance or a bond in accordance with the standard established by the Family Child Care statute. The law requires a Family Child Care provider to carry liability insurance or bond in the amount of $300,000 annually or to maintain the signed statement in the facility file. Signed statements (LIC282) shall be in the children’s files.

During this inspection, Licensing staff consulted with applicant regarding COVID-19 health and safety guidelines on this date. LPA observed the applicant to have a thermostat, designated clean pens and dirty pens, and mask available for children.

At this time, the licensee home meets the description of a safe and healthy environment for children as described in Chapter 1, Division 12, Title 22 of the California Code of Regulations, and will be submitted for approval to be licensed as a small Family Child Care Home.

At 12: 40pm, an exit interview was conducted with Applicant, Yackisha Allen. Page 4 of 4