|(3) An unannounced Random/Annual visit was conducted today by Licensing Program Analyst (LPA), Rina Lopez, who met with Assistant Director, Stefanie Jaramillo. Census was taken inside the infant room, there were 2 staff with 6 infants in care upon LPA's arrival, two of the infants were napping and the other four infants were awake and were being supervised by both staff, leaving the napping infants unattended. Director, Colleen Duran arrived during visit.
A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
The facility was reviewed to ensure compliance with license conditions and limitations, staffing and ratios, inaccessibility to poisons, medication, and hazardous items that can pose a danger to children. Equipment and furniture was inspected to ensure it’s in good condition, free of sharp, loose or pointed parts. Toilets and sinks were inspected to ensure they are in safe and in a sanitary operating condition; floors were inspected for safety and cleanliness. The kitchen was inspected for cleanliness, free of rodents/vermin, appropriate storage of food, and verification of posted menus. There are no weapons, firearms or bodies of water in the facility. Fireplace was screened. The playground was inspected for safety, good condition including appropriate cushioning material around and under high climbing equipment.
Staff files were reviewed for education verification, CPR/First Aid for at least one staff. A sample of children's files were reviewed for completeness of admission agreement, verification of sign in/out including time the child was signed in/out by authorized representative as well as verification of representatives full legal signature.
The facility was not in compliance and violations of the California Code of Regulations, Title 22, Division 12 were observed, discussed and cited at the time of the visit. (See LIC 809-D for specific deficiencies).