All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Mrs. Kambel that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, Mrs. Kambel stated that non-emergency medication will be locked in the first aid kit and emergency medication will be in the pocket of the fully equipped first aid kit. The fully equipped first aid kits are located mounted on the wall near the outdoor activity exit for each classroom. All medication requiring refrigeration will be stored in a separate area in the refrigerator located in the toddler classroom. There is an operational carbon monoxide detector on site located in each classroom. All required licensing documents were observed posted in the entryway of the toddler classroom. Children will be signed in and out at the receiving area at the toddler classroom entrance.

LPA continued to tour the facility and measured all indoor and outdoor activity space. Total toddler indoor activity space measured 421 square feet, which is sufficient to accommodate the requested overall capacity of eight (8) children. Total infant indoor activity space measured 259 square feet, which is sufficient to accommodate the requested overall capacity of six (6) children. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots/mats, cribs, bookshelves, and other activity supplies for the children. Infant toys are safe with no sharp edges, splinters, or points, nor made of small parts that can present a choking hazard.

• 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.

The infant room has two (2) high chairs and the feeding tables have broad-based legs, plastic seats are in good repair and trays lock onto chairs. High chairs are made of washable, moisture-resistant material. Each classroom has changing tables that have at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink. Diapering sink is not used for meal preparation or dishwashing. There are three (3) Cribs that meet regulatory requirements. Crib area is separated from activity space via partition. This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children. Sleep logs are kept on a clip board in the sleeping area. Needs and Services Plans and Sleep Plans are kept in each infants education file accessible to staff.

LPA observed a total of four (4) sinks and two (2) toilets available for toddler children’s use. The infant room have at least one potty chair or toilet for every five infants. These are sufficient to accommodate the requested overall capacity of six (6) infants and eight (8) toddler children. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be at the front office.

Facility will provide breakfast, lunch and afternoon snack. Food will be prepared offsite and delivered each day. Formula will be provided based on the Infant Needs and Services Plan. The kitchen area currently includes a refrigerator and sink. The kitchen area and food storage areas were observed to be free of rodents and/or vermin. Food was observed to be properly stored separate from cleaning materials.

The facility currently has a fully fenced playground area which will be shared between each component and will require a waiver. Fencing is wrought iron and is at least four feet high. The total square footage for all the outdoor activity space for both components is 610 square feet, which is sufficient for only eight (8) children at one time. A playground waiver to share the playground at different times in the AM and PM due to limited square footage shall be submitted and approved prior to licensure. Shade is provided via canopies. There are sufficient outdoor age-appropriate toys and play equipment available on the playground(s). There is adequate cushioning in fall zones provided by rubber pour. Drinking water is available via water dispenser, pitcher and disposable cups. LPA observed all hazardous items on the playground(s) to be inaccessible to children. Applicant Mrs. Kambel was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

Applicant, Mr. Kambel was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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, available at: http://www.ada.gov/childqanda.htm

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed applicant of the importance of checking for 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.

Applicant was informed of the MyChildCarePlan.org site, 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following corrections are needed prior to the issuance of the license:

· Waiver and outdoor play schedule must be submitted and approved

Applicant Krishawn Kambel understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.

Exit interview conducted and report was reviewed with the applicant Krishawn Kambel.