274400238-9-9-2020-07-CC-SCOS-BTAUQY-20200909154752

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274400238
Report Date: 09/04/2020
Date Signed: 09/09/2020 03:47:59 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	ST. DUNSTAN'S PRESCHOOL		FACILITY NUMBER:	274400238
ADMINISTRATOR:	PROULX, LAUREN		FACILITY TYPE:	850
ADDRESS:	28003 ROBINSON CANYON ROAD		TELEPHONE:	8316249250
CITY:	CARMEL	STATE: CA	ZIP CODE:	93923
CAPACITY:	45	CENSUS: 8	DATE:	09/04/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:53 AM
MET WITH:	Lauren Proulx		TIME COMPLETED:	11:30 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Stephanie Collins conducted an announced Tele-Inspection via a video call with school Director Lauren Prouix . Facility was informed that due to the COVID-19 pandemic and "Shelter in Place" Order, this report will be emailed to the facility. Facility’s reply to the email will serve as acknowledgement that the report was received. The Tele-Inspection is in response to Licensee's request to add Room 6 (Multi-Purpose Room), Change the Facility, Type by discontinuing the Infant Program/Licenses in room 5 and Change of capacity with Toddler option from 8 to 10 and Preschool count from 37 to 60 total capacity 70 Preschool School Children in care. A fire clearance was granted on 07/30/2020 for day care use. During this video call LPA observed and assisted Director Lauren Prouix measure the added space ( Multi-Purpose room 6. LPA observed preschools rooms where furnished with furniture and equipment such as tables, chairs, sinks, etc. Room 5 will continue to be used as a napping room. Indoor Activity Space Measurement Preschool Rooms = (Total sq. ft.) – (Total Encumbered Space) Rooms 1,3, and 7 (2,079.988 sq. ft.) – (120.116 sq. ft) = 1,959.864 sq. ft. Room 2 (toddler rm) (422.56 sq. ft) – (10.522 sq. ft.) = 412.038 sq. ft. (per report 8/24/2018 /Joseph Macias) Room 5 (351.1 sq. ft.) – (0.00 sq. ft.) = 351.1 Sq. ft. (per report 08/04/2016 / Jean Walton) =2,723.002 sq. ft.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Stephanie Collins	TELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ST. DUNSTAN'S PRESCHOOL	FACILITY NUMBER: 274400238
	VISIT DATE: 09/04/2020

NARRATIVE

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Added Preschool Room: per report 09/04/2020/Stephanie Collins
= (Total sq. ft.) – (Total Encumbered Space sq. ft.)
Room 6 (1,297.989) - (54.512) sq. ft. = 1,243.477 sq. ft.

2,723.002 sq. ft. + 1,243.477 sq. ft.= 3,966.476 sq. ft.
Total Indoor Activity Space = 3,966.47 sq ft. divided by (35 sq. ft. / child) = 113 Children

LPA inspected and observed measurements of Room 6 to determine the new maximum capacity that meets the requirement of 35 square feet of indoor activity space .

There are 5 (75) toilets and 8 (120) sink available to children in care

Exit interview was conducted License will be granted pending Management's Approval .

A NOTICE OF SITE VISIT WAS ISSUE AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Stephanie Collins	TELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2020

LIC809 (FAS) - (06/04)

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