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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300600843
Report Date: 12/08/2020
Date Signed: 12/08/2020 11:47:58 AM

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:LANGE, ROBERT H. PRESCHOOLFACILITY NUMBER:
300600843
ADMINISTRATOR:YEAKEL, KATHERINEFACILITY TYPE:
850
ADDRESS:24772 CHRISANTA DRIVETELEPHONE:
(949) 837-2500
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:96CENSUS: 81DATE:
12/08/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Director Ms. Yeakel KatherineTIME COMPLETED:
12:00 PM
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A Case Management site inspection was conducted today by LPA Ketki Desai to inspect and measure facility for adding two additional rooms (Room # 9 and 10) to the current 6 rooms.

The program shall continue to operate from: M-F 7:30am--6:00pm. Licensee is now seeking to provide care for 120 preschool children. LPA met with director Ms. Yeakel, Katherine, who gave a tour of the entire facility indoors & outdoors and the following measurements were taken for the all the 8 rooms, including 2 additional rooms.
Indoor measurements:
Room # 1: 31'17" X 25'25" = 787'04" / 35= 22'48" (22 children)
Room # 3: 28'33" X 25'25" = 715'33" / 35= 20.4 (20 children)
Room # 5: 24'42" X 20'92" = 510'87" / 35=14'59" ( 15 children)
Room # 6: 24'42" X 18'33" =447'62" / 35= 12'78" (13 children)
Room #7: 24'42" X 18'33"= 447'62" / 35 = 12'78" (13 children)
Room # 8: 24'42" X 18'25" = 445'67" /35= 12'73" (13 children)
Room #9: 23'75" X 20'25" - 40'07" = 440'87" / 35 = 12'59" (13 children) NEW
Room # 10: 35'58" X 18'17" = 646'49" / 35= 18'47" (18 children) NEW

Total indoor space: 4441'50" divided by 35= 126.90

Total 14 sinks = 210 children
Total: 15 Toilets: 225 children

Outdoor activity yard was observed to have age appropriate climbing structures with safe fall absorbing cushion underneath (wooden chips and sand) it has sufficient shade and is fenced completely on all the sides.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2020
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LANGE, ROBERT H. PRESCHOOL
FACILITY NUMBER: 300600843
VISIT DATE: 12/08/2020
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Center has submitted a waiver request for a staggered schedule due to limited outdoor space.

Outdoor measurements: 108 'X 39' = 4212 divided by 75 = 56 children

The following was observed:
· Classrooms are adequately equipped with age and size appropriate furniture and equipment
· Water fountains are available for inside and outside.
· Playground is enclosed by appropriate fence and play items
· Adequate shade is provided by trees and canopy.
· Food preparation area is equipped with refrigerator; sink with hot and cold running water: storage area; adequate amount of food supplies and additional items.
· Ill children will be in the DIrector's office and shall use the bathroom located in the play yard, next to the office . Additional cot is available
· Medication will be stored in the locked box in the file cabinet in the Director's office.
· First Aid kit is complete.

Director is current on the required CPR/ First aid certification, valid through 1/2021.

Fire clearance has been received from Orange county Fire Department and granted approval for the requested capacity.

Based on today’s measurement, sink & toilet availability, Center have enough indoor space to support to the requested capacity of 120 children. Facility meets all licensing requirements and file will be submitted for approval as of today.

Web address for downloading forms or regulations was provided as (http://ccld.ca.gov/PG411.htm).

Exit interview was conducted and a copy of this report was provided to the director on this date.

Notice of Site visit and appeal rights were presented to the Licensee.

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

DATE: 12/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2020
LIC809 (FAS) - (06/04)
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