The facility is a two-story home with attached garage, 5 bedrooms, 4.5 bathrooms, living room, dining room, kitchen, office area (nook), loft, covered outdoor patio and fenced backyard. A fenced community pool is accessible for residents but the pool is not located close to the facility (several blocks away), a keyfob is needed to access the pool area. The applicant stated she does not plan to use the pool for daycare. The home was clean, orderly, and at a comfortable temperature. The stairs are barricaded with a baby gate. There is fireplace in the home and is barricaded. Off limits area are: entire upstairs bedrooms, upstairs bathrooms, loft, laundry room, garage, covered outdoor patio and backyard; off limits areas were inspected today. The applicant acknowledged the children may never enter the off-limit areas. There are rose bushes in the backyard and applicant acknowledged children are not to be outdoor unless the rose bushes are inaccessible to children; an updated facility sketch is required if/when the backyard is no longer off-limit.

Cleaning solutions/chemicals, utensils, and sharp knives are all inaccessible. Applicant stated poisons/hazardous items are not kept on the premises. Applicant understands that cleaning solutions/chemicals must be made inaccessible to children at all times and poisonous items must be key/combo locked at all times.

Page 1 of 3.

The following were discussed: Individuals who are 18 years of age or older living or working in the home must be fingerprinted cleared prior to being present in the facility. If adult is fingerprinted cleared and associated to another facility, licensee must complete a Criminal Record Clearances or Exemption Transfer Request form (LIC 9182 or LIC 9188) with copy of ID and Criminal Record Statement (LIC 508) and fax to (714)703-2831 prior to hiring adult. Civil Penalties will be assessed if not in compliance.

LPA reviewed Unusual Incident Report form and advised the applicant to contact Licensing Officer of the Day within 24 hours by phone or fax and complete the Unusual Incident Report (LIC 624B) within seven days.

Page 2 of 3.

Incidental Medical Services (IMS) policy was discussed, applicant stated she does not plan to provide it at this time. 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 licensing office within 30 days of providing IMS. The plan should describe the facility’s policies and procedures that ensure the proper safeguards are in place. 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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

A Child Care Provider’s Guide to Safe Sleep packet, Safety Seat, Never Ever Shake a Baby information and were recommended to be posted. Safe Sleep Regulation and Effects of Lead Exposure were discussed and provided to the applicant. The applicant was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov

The applicant was provided a copy of their appeal rights (LIC9058 12/15) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the licensing office within 15 business days. First level appeal is to Regional manager, address is above on the report. The applicant was informed of how/where to access regulations and forms from CCLD website: www.ccld.ca.gov.

During the Pre-licensing inspection on 07/03/19 the following item(s) must be corrected within thirty (30) days prior to issuance of a license: