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Riverside County Family Child Care Association>
Child Care Quarterly Updates - October
November 8, 2007
MANAGEMENT CHANGES IN COMMUNITY CARE LICENSING
Earl Nance, Regional Manager of the Chico Regional Child
Care Office and the Child Care Units in Rohnert Park,
retired on August 31, 2007. Earl has been with our
Department for 34 years. He worked in numerous Community
Care Licensing Division (CCLD) offices around the State as
a Manager for both the Residential and Child Care programs.
Earl spent much of his time on the road in recent years
driving from Chico to Rohnert Park on a weekly basis in
order to cover both offices which spans from Sonoma County
to the Oregon Border. He was an invaluable employee for
CCLD and we will miss him greatly.
I’m pleased to announce that on September 10th, Linda Kryla
was appointed as the new Regional Manager for the Chico
Regional Office and the Child Care Units in Rohnert
Park. Linda started working as a Licensing Program Analyst
in the San Bruno office in 1991. She worked with CCLD as a
Licensing Program Manager I in both Residential and Child
Care after 1995. She also worked as a Compliance Officer
covering CCLD offices from Santa Barbara to San Francisco,
and was part of the Statewide Workload Study Group
for the Department. She has been a Manager with the Water
Quality Control Board for the last year.
Linda brings a wealth of experience to this position, and
we are so happy to welcome Linda back to CCLD as a
Licensing Program Manager II.
After 43 years of state service, CCLD looses Tom Hersant to
retirement. The Mission Valley Child Care Office and the
San Diego child care community will miss Tom. Tom is
busy with many family activities and is looking for his
next challenge. Best of luck to Tom in his new endeavors.
Robert Gonzalez has been the Regional Manager for the
Inland Empire (Riverside and San Bernardino Counties) Child
Care Regional Office for the last five years. He has
recently accepted a position with the Department of
Corrections (Equal Employment Opportunity). It was with
great reluctance that he leaves the Child Care community.
His presentations and availability to providers and
advocacy agencies has contributed greatly to placing a
“face” to Community Care Licensing in his catchments. His
guidance has assured increased safety for children in care
and his legacy will continue as a model to his staff. His
change in career path reflects his desire to continue his
personal growth and contributions to the California public.
His personal presence will be much missed and we all wish
him well with his future pursuits.
Both the Mission Valley and the Inland Empire Regional
Manager vacancies will be filled in the near future.
Recruitment has begun and excellent candidates have been
applying. Until permanent appointments can be made, Mary
Kaarmaa, Orange County Regional Manager, will be acting for
the Mission Valley Regional Office. Colleen Young,
Central Coast (Santa Barbara Tri-county area) Regional
Manager, will be acting for the Inland Empire Regional
Office.
NEW OFFICE LOCATION FOR SAN JOSE REGIONAL OFFICE
The San Jose Regional Office relocated their office a few
months ago. For your information, their new contact
information is as follows:
2580 N. First Street, Suite 300, MS: 29-08
San Jose, CA 95131 (408) 324-2148, FAX (408) 324-2160
The San Jose office is still managed by Barbara Mordy and
covers Monterey, San Benito, Santa Clara and Santa Cruz
counties.
INSULIN INJECTIONS
The California Health and Safety Code (HSC), is the law
upon which all of the Title 22 Child Care Regulations are
based. HSC Section 1596.750 defines child care facilities
as facilities that provide non-medical care to children
under the age of 18. Allowing a licensed child care
provider to provide medical services, such as insulin
injections, would be a violation of the HSC, as well as The
Business and Professions Code (B&PC), which governs the
Medical Practices Act and the Board of Registered Nursing.
Child care providers are required to meet the needs of the
clients in care. One condition of placement of a child is
that the provider must determine if they can meet the
child’s needs. As the licensee can not provide medical
care, in this case insulin injections, they may use skilled
health professionals, parents, or the parent’s authorized
representative, other than the licensee or staff, to meet
these particular needs.
One exception to this requirement is that in 1997 HSC
Section 1596.797 and B&PC Section 1241 were amended to
permit licensed child care providers to administer a
finger stick test to a diabetic child if certain conditions
were met.
In 2005, after consulting with the Board of Registered
Nursing and California School Nurses Association, CCLD
allowed the administration of glucagons as a life saving,
emergency measure for a child diagnosed with diabetes.
Licensees/providers who choose to administer glucagons to a
child may do so under specified conditions provided they
request and receive an exception for each child from CCLD.
The regulations and the law do not allow the licensing
agency to approve the use of insulin injections by the
licensee or their staff. As a state agency, CCLD can only
operate within the boundaries of applicable laws.
Legislative mandates shape the scope of our enforcement
activity.
CLARIFICATION OF TYPE A DEFICIENCIES
It is the mission of Community Care Licensing to promote
the health, safety, and quality of life of each person in
community care through the administration of an effective,
collaborative regulatory enforcement system. All licensed
child care facilities are expected to be in full compliance
with all licensing laws and regulations. It is the
responsibility of the licensee to comply with the
regulatory requirements. A random sample of 30% of licensed
facilities is visited each year. A Licensing Program
Analyst (LPA) will make an unannounced visit to conduct a
comprehensive evaluation of your facility. When an LPA
makes an unannounced visit, a report will be written that
will note any deficiencies cited.
There are two types of deficiencies:
?? Type A: are violations of the regulations and the Health
and Safety Code that, if not corrected, have a direct and
immediate risk to the health, safety or personal
rights of those in care.
?? Type B: are violations of the regulations and the Health
and Safety Code that, without correction, could become an
immediate risk to the health, safety orpersonal rights of
children.
While the list below is not exhaustive, the following are
examples of violations that arealways considered Type A
because the violation is such that if it is not immediately
corrected, will have a direct and immediate risk to the
health, safety, or personal rights of children in care:
?? Fire Safety – Violations of fire clearance regulations
include over capacity, failure to maintain smoke detectors
and/or fire extinguishers.
?? Criminal Record Clearance – For all individuals who
work, reside or have contact with children, failure to
obtain a criminal record clearance or exemption.
The presence of an excluded person on facility premises.
?? Care and Supervision – Failure to meet staffing ratios;
leaving children unattended in vehicles; children wandering
from facility; injuries or other incidents
attributed to a lack of supervision.
?? Personal Rights – Violations that have a direct negative
impact on either the physical or emotional well-being of
children in care. These include violations
such as: physical abuse, sexual abuse, verbal abuse,
neglect, withholding of food and water, and use of corporal
punishment.
?? Buildings and Grounds – Accessible bodies of water (no
approved fence or cover for bodies of water), accessible
fire arms or ammunition or both, accessible
poisons and toxic substances, broken or sharp edges on play
equipment and other items determined to be dangerous to
children in care.
?? Telephones – Failure to have a working telephone on the
facility premises. ?? Refused entry - to a facility or part
of a facility of a duly authorized officer,
employee, or agent of the department during day care hours
of operation.
?? Health Related Services – Failure to treat injuries or
illness and/or summon emergency medical personnel or a
physician for injuries or illness.
?? Statutorily Mandated Immediate Civil Penalties – Any
violation of law that requires assessment of an immediate
civil penalty.
If you are cited for a Type A deficiency, you will be
expected to correct the deficiency immediately, whenever
possible, or within 24 hours.
For more information, please visit the CCLD website at
www.ccld.ca.gov . Our website has self-assessment guides
for Child Care Centers and Family Child Care Homes.
Complete regulations are also available on the website. You
can always contact your local Licensing Regional Office and
speak with the Duty Officer of the day to answer
any specific questions about child are licensing. Our
offices are open Monday through Friday from 8:00 a.m. until
5:00 p.m.
CHANGE YOUR CLOCK, CHANGE YOUR BATTERY
November 3rd is Day Light Savings Time. Don’t forget to
change your clocks to fall back one hour on November 3rd!
And while you’re changing your clocks, it’s a great
time for you to change your smoke detector batteries too.
According to local fire authorities, each year roughly 65
percent of home fire deaths result from fires in homes
that have inoperable smoke detectors or no smoke detectors.
Smoke detectors fail most often because of missing,
disconnected or expired batteries. Although not a
licensing requirement, local fire authorities recommend
that smoke detectors be tested once a month, and batteries
changed twice a year. Also, don’t forget that fire/disaster
drills must be practiced with your day care children at
least once every six months.
Since Day Light Savings Time occurs every six months, this
would also be a good time to plan your practice drills.
SAFETY TIPS FOR TRICK OR TREATERS
Halloween and Harvest Day can be a very exciting and fun
occasion for those families who choose to participate in
the festivities. However, a fun night can turn into a very
negative experience if certain precautions are not taken to
ensure the health and safety of our children during inside
activities, as well as on the streets. There are a number
of websites that are full of tips and information on
costumes, pumpkin carving, home safety, safety on the
trick-or-treat trail, and nutrition. To mention a few
reliable
resources:
The American Academy of Pediatrics:
http://www.aap.org/advocacy/releases/octhalloween.htm
The National Safety Council:
http://www.nsc.org/library/facts/halloween.htm
Centers for Disease Control and Prevention:
http://www.cdc.gov/women/owh/halloween/#related
The American Red Cross:
http://www.redcross.org/services/hss/tips/october/octtips.html
The Food and Drug Administration:
http://www.fda.gov/oc/opacom/kids/treats.html
CHILDHOOD OBESITY
With California leading the way in preventing childhood
obesity, Governor Arnold Schwarzenegger and President Bill
Clinton announced, on September 19th, their partnership
with the Alliance for a Healthier Generation to inspire
America’s youth to develop lifelong healthy habits.
Initiatives like the Alliance for a Healthier Generation
are providing the framework for a healthier America. Please
take the time to view the website of the Alliance for a
Healthier Generation where you will find valuable resources
for schools and parents, including helpful tools and
training, integration ideas, and helpful tips on nutrition
and exercise. Use the Healthy Schools Product Calculator to
determine if a snack food or side item
meets the Alliance’s Guidelines for Competitive Foods. The
science-based and ageappropriate Guidelines promote
nutrient-rich foods, fat-free and low-fat dairy products
and place limits on calories, fat, saturated fat, trans
fat, sugar and sodium. Launch the calculator.
NEW WEBSITE DESIGN
The Internet has become our primary means of communication
with the various external constituencies we serve, as well
as the more than 4,000 employees within the California
Department of Social Services (CDSS). We provide important
programs and service delivery, in addition to a wealth of
useful information that is often difficult to locate on our
website. Governor Schwarzenegger has implemented a new
service-oriented design with a common look-and-feel for all
state organizations. The design is intended to improve the
usability of California’s state government web sites,
comply with California’s new accessibility standards, and
allow visitors to more easily find the information they are
seeking or conduct their business with the state online.
Over the past year, a CDSSInternet Workgroup has been
working to redesign and streamline its current websites in
an effort to meet the Governor’s directive and to make CDSS
web sites more simplistic and user-friendly. The CDSS
project will involve migrating all CDSS Internet pages to
the new design around the first of the year, so be on the
look-out for a new look-and feel for CCLD websites.
California’s home page has already been converted to the
new look-and-feel.
LICENSED CHILD CARE STATISTICS
Enclosed are the most recent statistics on licensed child
care facilities and capacities. Further breakouts by
category and location are available.
SUMMARY
If you have questions about items included in this Update,
or suggestions for future topics, please contact Gloria
Merk, Program Administrator, Child Care Program Office,
at (916) 229-4500. You may also visit our internet website
at www.ccld.ca.gov to obtain copies of licensing Updates,
office locations, provider letters, regulations, forms, the
Licensing Evaluator Manual, or to learn more about
licensing programs and services.
Sincerely,
(original signed by J Frederick)
JO FREDERICK
Deputy Director
Community Care Licensing Division
Enclosures
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