LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that the kitchen, one bathroom, living room, dining room, and day care room are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of door knob safety covers and a baby gate that is placed at the hall way area. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

The fireplace located in the living room is made inaccessible by a glass door and will not be in use during daycare hours. There is a wall heater in the playroom, however licensee does not use it during day care hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 572-1800.

LPA discussed Safe Sleep Regulations with licensee. There is one crib or play yard for each infant in care. The crib was observed to have a dust ruffle skirt. Licensee was advised that there should be nothing else on the crib other than the fitted sheet. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Currently, infants sleep in the living room and dining room. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping. Report continued on 809-C

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. There were two newly enrolled children today and some forms were still in the process of being completed. LPA verified enrollment date and advised that for future reference, all forms should be finished before accepting children into care. Licensee’s Mandated Reporter Training was completed on 3/6/2021. Licensee’s pediatric CPR/First Aid expires on 9/23/2023. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

Incidental Medical Services (IMS) are currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.