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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300600557
Report Date: 05/11/2022
Date Signed: 05/11/2022 01:19:41 PM


Document Has Been Signed on 05/11/2022 01:19 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:LA CRISTIANITA PRE SCHOOLFACILITY NUMBER:
300600557
ADMINISTRATOR:DOWNIE, LEIGH ANNFACILITY TYPE:
850
ADDRESS:35522 CAMINO CAPISTRANOTELEPHONE:
(949) 496-1405
CITY:SAN CLEMENTESTATE: CAZIP CODE:
92672
CAPACITY:85CENSUS: 56DATE:
05/11/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Ms. Reynolds Shelby ( Lead Teacher) TIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Desai, Ketki conducted an unannounced Case Management Licensee initiated inspection for a change in capacity by adding additional one new preschool room# 4 A.

Currently facility is licensed for 85 children (75 Preschool age children 2-5 years old in room # 1, 2, 3, 4, 5 and 6 with 10 Toddler option children ages 18 months to 36 months in one toddler room.

Licensee is now requesting a change to the current Preschool capacity from 75 preschool age children to 80 preschool children ages (2-5) years old by adding new room # 4 A. While Toddler option capacity remains at 10 with an overall capacity of 90 children.

Census : 56 children with 8 staff members

LPA met with Facility Lead Teacher Ms. Reynolds, Shelby who gave a tour of the Preschool classrooms along with the new room and Toddler room at the above site.

All areas identified on the Facility Sketch were inspected. Furniture and equipment were inspected for age appropriateness and good repair.



Telephone service, heating, lighting and ventilation were evaluated. Storage for children's belongings and an isolation area with sink, toilet, were inspected. Availability of drinking water was reviewed. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, paper towels, area safety and sanitation. First Aid supplies are available.

A review of medication policy, including administering, labeling, storage, and records were made, disaster drills, posting requirements, children records, mandated child abuse and injury/death reporting, and criminal records clearances/exemption transfer requests.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:
DATE: 05/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/11/2022
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LA CRISTIANITA PRE SCHOOL
FACILITY NUMBER: 300600557
VISIT DATE: 05/11/2022
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On today's inspection, LPA measured all the classrooms including in the new classroom #4A including the Toddler room

Total Indoor capacity for Preschool

2894'43 Sq Ft divided by 35 = 82'70 ( 83 children) in 7 classrooms : room # 1,2,3,4,5,6 and 4 A

Total Indoor capacity Toddler room

339.5 Sq Ft divided by 35= 9'7 (10 Toddlers in assigned Toddler room)

Facility has sufficient indoor capacity to accommodate the requested capacity of 90 children ( 80 Preschool with 10 Toddler option children)

Total sinks and toilets : Sinks : 9 X 15 = 135 / Toilets : 9 X 15 = 135 ( 4 urinals included)

Outdoor yard measurements : 6713' 50 divided by 75 = 89'51 ( 90 children)

Facility has sufficient space to accommodate 90 children (80 Preschool age children with 10 Toddler option children)
Each classrooms has a scheduled time to engage in outdoor activities at a time. Toddler option children are present by themselves during outdoor activities. Yard has age appropriate outdoor activity items. There is sufficient shade in the yard.

Based on today’s inspection and Indoor / Outdoor measurements, Sink and Toilet availability, facility has sufficient space only to accommodate the requested capacity of 90 children in the assigned eight rooms.
80 Preschool age children (2-5 years ) in Room # 1,2,3, 4, 5, 6 and 4 A with 10 Toddler option children in Toddler room.

Administrator Ms. Leigh Ann Downie- Economy has provided the copy of the current CPR / First Aid training valid upto (07/28/22). (2)
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LA CRISTIANITA PRE SCHOOL
FACILITY NUMBER: 300600557
VISIT DATE: 05/11/2022
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Fire clearance approval has been received from Orange county Fire Authority approving the requested capacity of 90 children.

License shall be granted after the final approval by the management.

80 Preschool children (2-5 years old) in Room # 1, 2 , 3, 4 5, 6 and 4A with 10 Toddler option children (18 months to 36 months) in Toddler room. Total capacity (90 children) Monday to Friday 7:00 am to 6:00 PM)

LPA reviewed the following at the time of Exit interview.
Criminal Record Statement : Facility Representative (Ms. Reynolds, Shelby) was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Safe Sleep: LPA discussed the safe sleep regulations with Facility Representative (Ms. Reynolds, Shelby) 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 [applicant, licensee, or facility representative] 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.

Incidental Medical Services : This facility provides Incidental Medical services. IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes 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: http://www.ada.gov/childqanda.htm

(3)

SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LA CRISTIANITA PRE SCHOOL
FACILITY NUMBER: 300600557
VISIT DATE: 05/11/2022
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Exit Interview: Exit interview conducted and report was reviewed with the Facility Representative, Lead teacher ( Ms. Reynolds, Shelby)

Review of records to be maintained : Child Care Centers :LPA reviewed with Facility Representative (Ms.Reynolds, Shelby) the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Subscribe to CCLD important information

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Notice of Site Visit

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4