LPA arrived at facility and parked outside. LPA observed that there were three school age children (Child 2, Child 4, and Child 6) running up and down the street without adult supervision, when LPA parked in front of the home. LPA stayed in the car for 5 minutes and did not see any adult supervising children. Picture taken. LPA observed licensee inside the home with three younger children. LPA introduced herself and explained the reason for the inspection. LPA observed the following inside the home: In the living room LPA observed Child #5 in a bouncer and a 1-gallon size hand sanitizer. LPA observed as Licensee removed Child #5 from bouncer and removed sanitizer. Licensee placed sanitizer in an area that is inaccessible to children in care. Licensee stated that Child #5's parent will take bouncer to their home.

In Bedroom 3 LPA observed a play yard with no fitted sheet on mattress, inside the play yard LPA observed a diaper cream and that Licensee removed it. LPA observed that there was a first aid backpack on the ground. LPA informed Licensee that it is best practice to keep backpack in an inaccessible area due to the fact that backpack has various forms of medication and sharp objects. Licensee placed backpack in an inaccessible area. LPA observed in Bedroom 3's restroom various hygiene products, cleaning products, and razors that are accessible to children in care. LPA discussed with licensee that all products that state OUT OF REACH OF CHILDREN, must be made inaccessible to children in care. Licensees stated she understood and removed all items and made them inaccessible to children in care during the inspection.. LPA observed the following in the kitchen: a drawer with various medications accessible to children in care. LPA observed licensee remove medications and place them in an inaccessible area to children.

(Continue on LIC809-C)

LPA toured the home inside and outside and a census was taken. LPA reviewed current facility sketch and confirmed that the living room, bedroom 3, bedroom 3’s restroom, kitchen, hallway bathroom, backyard, and front yard are accessible to children in care. LPA discussed with licensee that there has to be full supervision when children are playing in the front yard. Licensee stated she understood.

All other rooms are off-limits and made inaccessible by use of a door knob spinners. LPA reviewed PIN 23-11-CCP 6.19.2023 Large License Single Action Door Handle/ Single Action Lock. Licensee stated she will communicate with the department if she had any follow up questions.

There is a built-in swimming pool in the backyard which is fenced and made inaccessible. The pool gate is self-latching, self-closing and opens away from the swimming pool from long distance, but does not from a short distance of less than twelve inches. No windows or doors have direct access to the pool area.

There are no firearms or ammunition on the premises.

There is one fireplace in the home located in the kitchen room and is made inaccessible by a table that licensee placed in front of it, and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort.

This is a single level home and there are no stairs. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 706-3496.

(Continue on LIC809-C)

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training was completed on 02/15/2024. Licensee’s pediatric CPR/First Aid certification expired on 01/08/2024. Licensee did not have a current CPR & FA certificate on file. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2).

Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.

LPA discussed safe sleep regulations with licensee 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 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

(Continue on LIC809-C)

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.

Exit interview conducted and report was reviewed with licensee. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page).

Licensee was provided appeal rights.

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.