This is a two-story home with 4 bedrooms, 3 bathrooms, kitchen, dining room, family room, living room, laundry room, and garage. Children have access to the living room, dining room, family room, kitchen, and the restroom in hallway to the left of the entrance. Off-limit areas of the home are the entire upstairs, downstairs bedrooms, laundry room, garage, and backyard. There is a swimming pool on the premises. LPA advised licensee that pool area has to meet Title 22 regulations prior to approval for operation. Per licensee, there is an alarm on the sliding door that gives access to the backyard. LPA will confirm operation during POC visit. Off-limits areas are made inaccessible by key locks on bedroom doors. LPA observed several age-appropriate toys and activities in the childcare area.

LPA observed unlocked bedroom doors. LPA advised licensee to place safety knobs on all doors to make it inaccessible. LPA observed safety gate at the bottom of stairs that is inoperable. LPA advised licensee to replace safety gate. LPA observed regular doorknob on front door in childcare area. LPA provided licensee with PIN 23-11-CCP and advised licensee to replace knob with single-action door handle. LPA observed alcohol in the family room on wine rack, in wine refrigerator, and alcohol on top of refrigerator.

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/.

Lead Flyer Requirement Health and Safety Code 1596.7996 mandated that effective January 1, 2019, CCC's and FCCH's are required to provide parents and guardians of children enrolling or reenrolling in care with written information on the risks and effects of lead exposure, blood lead testing requirements and recommendations, and options for locations of affordable blood lead tests as specified. A Lead

Poisoning Facts Flyer was created, in partnership with the California Department of Public Health (CDPH), to satisfy this requirement.

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 [email protected]. 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.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

The licensee was advised it is her responsibility to visit the department's website to access licensing forms, Quarterly Updates and Provider Information Notices (PINs): www.ccld.ca.gov

LPA confirmed that there are no Registered Sex Offenders living in the facility and completed the RSO profile in FAS during the file review.

The home was inspected inside for comfort, cleanliness, telephone service, heating and ventilation. Medications are stored upstairs inaccessible to children. The kitchen knives are stored on top of the refrigerator inaccessible to children. Cleaning compounds are stored under the kitchen sink made inaccessible to children with safety latch.

The First Aid kit is located on top of refrigerator inaccessible to children. LPA observed that kit did not contain a thermometer or scissors. LPA advised licensee to put these items in the first aid kit. Per licensee, there are no weapons or firearms in the home. LPA did not observe any weapons or firearms. Smoke detectors and carbon monoxide detectors are in operable condition. The Fire Extinguisher is green, fully charged, and meets the standards of the State Fire Marshal. The licensee’s Pediatric CPR/First Aid expires on 2/2026; however, is invalid. LPA advised licensee to obtain valid Pediatric First-Aid/CPR from an accredited college or university, American Heart Association, American Red Cross, or an EMSA approved vendor. The licensee has the required immunizations against pertussis (TDAP) and measles (MMR) and has a statement of declination on file for the flu. The licensee completed the required Mandated Reporter training on 2/29/24. Preventative Health and Safety Training was completed 2017. LPA advised licensee to complete Family Child Care Orientation and provide proof of completion to LPA.

The required posted documents were posted and located at the entrance of the facility: Notification of Parent's Rights Poster (PUB394) LPA provided updated form, Emergency Disaster Plan (LIC610A), and Earthquake Preparedness Checklist (LIC9148) LPA provided form for licensee to post.

The following was discussed with the licensee:

Mandatory licensing forms for the children’s files, facility forms/records, and information to be posted in the family child care home; Requirements to conduct fire and disaster drills once every six months and record it; Role and responsibilities of being a mandated reporter were reviewed; The licensee was reminded that 100% supervision is required at all times to children in care; Licensee was made aware that it is her responsibility to know the regulations as well as anyone who assists in providing care; Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified;

LPA discussed the 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.

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.

The licensee was advised of the requirement to report Unusual Incidents. A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The licensee was informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department.

Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, licensees, directors, and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Licensee must meet requirements as a precondition to licensure. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com.

Prior to making alterations or additions to a family childcare home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: Conversion of a garage (either attached or detached) into a "childcare" room; Room additions to the family childcare home. Any change from an area of the family childcare home previously identified as "off limits" to an area where care and supervision will be provided to children in care.

· Fingerprint clearance and TB skin test for Amelia and Andrew

· Pediatric First-Aid/CPR

· Assistant file

· Install fire pull station

· Install single-action handle

· Make alcohol and wine inaccessible

· Make fireplace inaccessible

· Replace safety gate for stairs

· Place scissors and thermometer in first-aid kit

· Make sure swimming pool meets Title 22 requirements

· Fix wall at entrance of facility

This inspection visit was conducted in person. The report was read, and a copy was provided to the licensee, Elizabeth Rodriguez. Notice of Site Visit was given and must remain posted for 30 days. Exit interview was conducted.