PHYSICAL PLANT

All areas identified on the Facility Sketch, for the Infant program, were inspected. The following was observed during the tour of facility: Disinfectants, cleaning solutions, medication, and other items that are dangerous to children, were inaccessible to children. Per Director, facility has no firearms or poisons on the premises. LPA advised Director to store all poisons in a key or combination locked, off- limit area. Per Director, medications are stored in the kitchen. Cleaning compounds are stored in an upper locked cabinet in both the Infant and Toddler room, and were observed to be inaccessible to children in care. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All toilets and hand washing facilities are safe, sanitary and are operating properly. LPA observed no bodies of water on the premises. The facility has a functioning carbon monoxide detector located in the hallway. LPA observed a smoke detector, meeting the standards, in each room. Director states isolation area is located in the office. Fire extinguishers were last serviced on 2/17/2021. LPA observed complete First Aid supplies stored in each room. Trash cans used to discard food have tight fitting lids. At 10:55 a.m., in the "Toddler Room," LPA observed labeled "sippy" water cups and labeled sports bottles stored in a mini refrigerator inaccessible to children in care. LPA advised Director and staff to have water and cups readily available, and accessible to the children to retrieve themselves.

LPA inspected the kitchen/ food storage area. All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin. All storage containers for solid waste,

including moveable bins shall have tight-fitting covers that are kept on, and in good repair.

available drinking water or cups for the children in care outside. Per Director, outdoor water faucet is turned off and not being used at this time per COVID-19 sanitary practices, but can be turned on if needed. LPA advised to keep available water and cups outside for children to easily access.

Outdoor playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. The facility shall ensure that each infant is never left unattended, and is under the direct visual supervision of a staff person at all times.

FACILITY RECORDS

CHILDREN’S RECORDS

In review of children’s records, files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. All Infant files reviewed have completed Individual Infant Sleeping Plan (LIC 9227) form on file. Menus are posted for a month in advance where it is visible by the child's authorized representative. Per Director, facility prepares and provides breakfast, lunch, and snacks in between meals. LPA observed snack and lunch menus posted. Snacks were reviewed for availability, quantity and appropriateness to children in care. Per Director, children's authorized representatives bring their own formula and bottles from home.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation

Per Director, one child, in the Toddler Room uses an inhaler. LPA observed labeled Albuterol, with physician's instructions and child's name clearly labeled on medication, stored in medication box in kitchen.

LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Director 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.

LPA provided the following documents about SIDS: A Child Care Provider’s Guide to Safe Sleep from the American Academy of Pediatrics, Never Shake a Baby, and Updated/Current Title 22 Safe Sleep regulations.

Exit interview conducted and report was reviewed with the Director, Alycia Tucker.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.