This is an infant program with a toddler component which is licensed for 36 children: 20 infants and 16 toddlers. Facility is a combination facility and has preschool licensee #198006455. Preschool and infant licenses are conducted in physically separate areas both indoors and outdoors. This facility operates Early Head Start Program (EHS), State Funded Program as well as Private Programs. Facility is located on White Memorial Adventist Hospital property. Parents can park in a designated white parking area for drop offs and pickups. Parents enter through the gated entrance and ring the bell to gain access into the facility.

This program operates Monday to Friday 6:30 a.m. – 5:30 p.m. Sign in and out takes place at the main entrance area of each classroom. All areas identified on the facility sketch were toured and inspected both indoors and outdoors. Teacher and child ratio were observed, and present staff are fingerprinted cleared. Per Director there are currently 27 children enrolled, that being 12 infants and 15 toddlers. LPA Perry observed sign in/out sheets and observed signatures. Sign in and out sheets were reviewed and are placed at the entrance of the classroom sign in and out daily to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day.

The following classrooms were inspected: Infant Room #1: 4 children and 3 staff, Infant Room #2: 5 infants and 2 staff, Toddler #1: 5 children and 3 staff and Toddler #2: 5 children and 2 staff present. Teacher child ratios were observed to be in accordance with Title 22 regulations. The facility is within

• 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.

LPA entered the Infant classroom #1. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed cleaning solutions stored inside the top cabinet making it inaccessible for children to reach with a child proof latch. LPA observed the cribs to be free from bumper pads, pillows, toys, blankets, hanging above items. LPA Perry observed step trash bins with lids. LPA observed the diapering changing table to be arm’s length to the hand washing sink and a vinyl diapering mat. Per Director, MARIA ELENA JACOBMEIER soiled clothing is not rinsed in the sink. It is placed in a plastic bag and the vinyl mat is disinfected with soap and water and then use the bleach and water solution. LPA observed children’s personal items to be in individual bins. LPA also observed infant bottles and food to be labeled inside the fridge.

LPA entered the Infant classroom #2. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed cleaning solutions stored inside the top cabinet making it inaccessible for children to reach with a child proof latch. LPA observed the cribs to be free from bumper pads, pillows, toys, blankets, hanging above items. LPA Perry observed step trash bins with lids. LPA observed the diapering changing table to be arm’s length to the hand washing sink and a vinyl diapering mat. Per Director MARIA ELENA JACOBMEIER, soiled clothing is not rinsed in the sink. It is placed in a plastic bag and the vinyl mat is disinfected with soap and water and then use the bleach and water solution. LPA observed children’s personal items to be in individual bins. LPA also observed infant bottles and food to be labeled inside the fridge.

LPA entered the Toddler classroom #1. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed cleaning solutions stored inside the top cabinet making it inaccessible for children to reach with a child proof latch. LPA Perry observed step trash bins with lids. Per director Paula teachers use the stand up method to change diapers and or are able to use the Koala diaper changing table that is mounted the wall. LPA observed children’s personal items to be in individual bins.

LPA entered the Toddler classroom #2. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed cleaning solutions stored inside the top cabinet making it inaccessible for children to reach with a child proof latch. LPA Perry observed step trash bins with lids. Per director MARIA ELENA JACOBMEIER teachers use the stand-up method to change diapers and or are able to use the Koala diaper changing table that is mounted the wall. LPA observed children’s personal items to be in individual bins. LPA observed sleeping mats to be in good condition and stored properly.

Heating, lighting, and ventilation were evaluated by LPA Perry. LPA observed central AC/heater and vents located on the ceiling. LPA observed the thermostats located in the classrooms and temperatures to be between 71-72 degrees. LPA observed the fire extinguishers located in classrooms and hallways and the valve on the required 2A10BC fire extinguishers indicating fully charged and serviced on 10/22/2025. Smoke detectors were not tested during this visit due to the detectors being wired to the emergency pull down fire alarm system. Carbon monoxide detectors are in lined. Per director, they have been tested and are operable. The last emergency drill was conducted on 10/2/2025. First aid kit supplies are kept inside the classrooms and LPA observed the kits to be fully equipped. During this visit, per director, currently facility has no children with medication or severe food allergies. LPA Perry asked if there were any poisons, firearms, weapons, or bodies of water. Director stated no firearms, weapons, no poisons nor bodies of water. LPA did not observe firearms or weapons, poisons, nor bodies of water. Director stated the ill isolation area takes place in the office #2 located adjacent to the director’s office in the main entrance area of the facility and children will utilize staff restroom. Children's napping sheets and blanket are washed daily, and facility has multiple sets of sheets. Children are allowed to bring in their own blankets if they choose. Storage for children's belongings were inspected. Each classroom was observed to have cubbies labeled with each child’s name which stores each child’s belongings.

LPA Perry observed the restrooms to be in good condition with working toilets, sinks, hand soap dispenser and paper towels. LPA also observed a restroom outside for the children to use.

LPA Perry entered the outdoor play area. Facility has 2 outdoor play yards, one for infants and one for toddlers. LPA Perry observed the equipment to be in a safe condition, free of sharp, no lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards.

This program provides breakfast, lunch, and pm snack. Meals and snacks are provided by the facility. LPA Perry informed Director that any food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. For water drinking, LPA Perry observed water dispensers and disposable cups in the classrooms. LPA observed the food preparation area to be clean and free of litter, rubbish, rodents, and/or any other vermin and storage containers for solid waste, including movable bins with tight-fitting covers that are kept on, and in good repair. The facility was observed to be free of flies, other insects, and rodents. Lead testing was conducted and no exceedances, lead testing was conducted on 10/12/22 and no lead exceedance. Facility has also tested one of their new fountain drinking stations located in the outside yard and lead testing was conducted on 10/14/2025 with no exceedances. Facility uses CACFP food program.

The following documents were posted in a prominent, publicly accessible area at the facility: Facility License, Notification of Parents' Rights (PUB 393), Personal Rights (LIC 613A), Menu, and Earthquake Preparedness (LIC 9148). PUB 269 Child Passenger System Poster, LIC 610 Emergency Disaster Plan, Menus and Daily Schedule. LEAD results were observed to be posted and visible for parents to see. LPA advised Maria that it must remain posted until next retest is completed. Food Menus were reviewed to ensure that they are being posted one week in advance where it is visible by the child's authorized representative.

LPA Perry reviewed the children’s roster, children’s files, staff files, 15-minute sleep logs, needs and service plans and sign in/out sheets. LPA Perry observed all files to be complete.

LPA Perry observed Director MARIA ELENA JACOBMEIER Red Cross Pediatric First Aid/CPR certification dated 6/2027, current. Preventative Health and Safety certification dated 10/4/2023 and has proof of immunization against Pertussis, MMR, and Influenza declination. Director MARIA ELENA JACOBMEIER has completed the mandated reporter (AB 1207) training dated 6/27/2025. CCLD Orientation was observed to be on file. Director MARIA ELENA JACOBMEIER was advised that the

Licensee MARIA ELENA JACOBMEIER was reminded that all adults 18 and over, 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test as specified in Health and Safety Code section 1597.16. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP.). LPA verified that the lead testing was completed in accordance to the Written Directives (Interim Licensing Standards) outlined in PIN 21-21.1-CCP. LPA referred licensee [or facility representative] to the Department website for lead: Lead Toxicity Prevention and Water Testing Information (https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information).

CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES.

LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for and removing any 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.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and

Licensee MARIA ELENA JACOBMEIER was informed of the MyChildCarePlan.org website; 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.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

A notice of site visit was given and must remain posted for 30 days.

No deficiency will be cited today. Facility is in compliance with Title 22 Regulations.

Exit interview conducted and report was reviewed with Director MARIA ELENA JACOBMEIER and Elia Rodriguez, Program Manager.