Infant bedding/napping equipment is in good repair with standard cribs and mattresses of a water-resistant material, disinfected daily. Cribs are spaced adequately apart to meet regulations and are not blocking an entrance or an exit. Tight-fitting crib sheets are in place, bedding is stored separately, and each child has his/her own. No children are using the same crib. Soiled sheets are kept inaccessible to children and bedding is washed daily or more if necessary. Infant changing tables have padded, washable vinyl is at least one inch thick with sides raised at least 3 inches, per regulation, and are within arm’s reach of a sink that is not used for food preparation. The sink and changing table are disinfected between each use. Hand washing and toileting areas are in safe, sanitary, and operating condition. There is at least one potty chair or toilet with a training seat present for every 5 infants who are potty training. Potty chairs are not accessible to children without supervision and are emptied and disinfected after each use. All storage containers or trash cans containing solid or diaper waste have tight-fitting lids and are in good repair. Any waste water used to clean is discarded after use.

The outdoor activity space is fully fenced and separate from other programs with age-appropriate play equipment., securely anchored to the ground. There is sufficient cushioning and adequate shade. Drinking water is available at all times, both inside and outside. There are several staff present with current CPR and First Aid certifications. Medications are stored , and inaccessible to children with all required documentation in place. There is no evidence of rodent or insect activity. The carbon monoxide detector is operational. The facility has a written disaster plan in place that meets the regulatory requirement and has been conducting and documenting evacuation drills every six months. The facility does not transport children.

LPA reviewed sign-in/out sheets, a sample of personnel records, and a sample of children's records. All were found to be in compliance with Title 22 regulation. The facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the following website: www.mandatedreporterca.com. Children are evaluated upon entry and monitored throughout the day for signs of illness. The isolation area for ill children awaiting pick up is the

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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) 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-care-

This facility does not use any facility water for drinking or for preparing food.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Administrator, Liza Valencia. The facility representative was provided a copy of the appeal rights.