300605744-3-26-2021-06-CC-STOE-BZGRLW-20210326130750

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 300605744
Report Date: 03/26/2021
Date Signed: 03/26/2021 01:08:10 PM

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:	DOLPHIN CLUB DAY CARE CENTER, THE		FACILITY NUMBER:	300605744
ADMINISTRATOR:	BOOS, NICOLE		FACILITY TYPE:	840
ADDRESS:	155 EASTSHORE		TELEPHONE:	(949) 651-0152
CITY:	IRVINE	STATE: CA	ZIP CODE:	92604
CAPACITY:	135	CENSUS: 4	DATE:	03/26/2021
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Nicole Boos		TIME COMPLETED:	01:00 PM

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On 03/26/2021, at 12:30 p.m., Licensing Program Analyst (LPA), Stacy Torrence conducted a virtual inspection with Nicole Boos, Director. The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children in care. There were 4 children and 2 staff present. Due to COVID-19 state of emergency, a waiver to allow the usage of additional spaces, not licensed by the Department, to accommodate their existing school age children according to the current class size restrictions as a precautionary measure with the COVID-19 outbreak, waiver granted on 07/15/2020 until 10/20/2020, department has agreed to extend the waiver to 06/16/2021.

The Orange County Fire Authority Permit was granted on 08/25/2020 to add the following rooms: Multipurpose Room (MPR) and P4.

Facility’s check in procedure: parents have a mobile app, in which children are sign in/out on, staff sign in the children, a wellness check of the children is conducted, children’s temperature is taken, then children go wash their hands. If children become ill during the day, they will rest in the isolation area located, in the director’s office, in room CC3, a bathroom is also located in this room. Staff bathroom is located in room CC2. Children’s authorized representative will be contacted immediately for pick up, if a child becomes ill. Department of Public Health will be contacted in regard to any COVID-19 illness.

Children will stay with the same group as assigned and will not be moved from one group to the other. No more than 16 individuals in a cohort and groups must be kept physically separated. Age appropriate furniture including tables and chairs and are present in each of the rooms to meet the needs of children in care. Children’s bathrooms are located in the classrooms, there are also bathrooms available on the school campus. There are 3 toilets, 5 sinks available. There is a designated outdoor play area with age appropriate equipment and activities. Children bring their own water bottles from home, and there are water pitchers available for refills. The school have water stations outside, ensuring water is available for the children. The facility also provides disposal cups for children who forget their water bottles.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021

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: DOLPHIN CLUB DAY CARE CENTER, THE	FACILITY NUMBER: 300605744
	VISIT DATE: 03/26/2021

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The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often as necessary following the facility’s cleaning and sanitation policies.

A health check on staff and children will be conducted each day upon arrival. LPA discussed the terms and conditions of the waiver and facility will ensure compliance with all terms and conditions of the Temporary Waiver and will adhere to Public Health guidelines and directives.

To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility.

Please feel free to contact the Orange County Child Care Office at (714) 703-2800.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021

LIC809 (FAS) - (06/04)

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