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25 | On 8/9/2021, Licensing Program Analyst (LPA) Kathy Pacheco conducted an unannounced annual inspection and met with Licensee, Maria Esteban (Spanish Speaking). Licensee's assistant, Jessica Delgado, was also present and assisted with translation. A tour of the home was conducted and a census was taken. Current facility sketch reviewed and Licensee confirmed the living room, dining room, kitchen, and hall bathroom are used for providing care and are accessible to day care children. All other rooms are off-limits and are made inaccessible by use of spinner knobs. There were no swimming pools, bodies of water, or firearms on the premises. Medications and other hazardous items were inaccessible to children. LPA did not observe any poisons in the home. There was no fireplace. The fire extinguishers, smoke detectors, and carbon monoxide detector met Community Care Licensing (CCL) regulations. The home was kept clean and orderly, with heating and ventilation for safety and comfort. There were no stairs. Safe toys and play equipment were observed. Licensee had a working telephone and the above telephone number was verified. The outdoor play area in the backyard is fenced and there are no hazards to day care children. Licensee ensures that children in care are supervised at all times. Licensee is aware children shall not be left in parked vehicles and is aware car seats are used for transportation purposes only and are not used for sleeping children.
There are currently no infants in care. LPA discussed the following Safe Sleep Regulations with Licensee: There should be one crib or play yard for each infant in care, cribs and play yards to be kept free from all loose articles and objects while infants are sleeping. There should be no objects hanging above or attached to the crib or play yard. Infants in care are not to be swaddled. Licensee to physically check on sleeping infants every 15 minutes and documents any signs of distress, to include 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. Individual Infant Sleeping Plan to be completed and in file for each infant up to 12 months of age. Infants up to 12 months of age to be placed on their backs for sleeping.
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