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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300606946
Report Date: 05/23/2019
Date Signed: 05/23/2019 05:54:34 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:MORNINGSIDE PRESBYTERIAN CHURCH CHILDREN'S CENTERFACILITY NUMBER:
300606946
ADMINISTRATOR:CHIODO, CINDYFACILITY TYPE:
840
ADDRESS:1201 E. DOROTHY LANETELEPHONE:
(714) 441-1227
CITY:FULLERTONSTATE: CAZIP CODE:
92831
CAPACITY:60CENSUS: 45DATE:
05/23/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Cindy Chiodo, DirectorTIME COMPLETED:
05:00 PM
NARRATIVE
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Licensing Program Analyst Stacy Torrence met with the Director, Cindy Chiodo. Also present was Co-Director, Hiedi Martin-LPA who guided analyst on a toured of the inside and outside of the facility. Census was taken and there were a total of 45 school age children being supervised by 5 staff. A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

This program operates Monday - Friday 7:00AM- 6:00PM in the Kids Connection and the Fellowship/Gym, Rooms, serving ages 4.9 years old to 12 years old. The facility was reviewed to ensure compliance with license conditions and limitations, staffing and ratios, inaccessibility to poisons, medication, and hazardous items that can pose a danger to children. Equipment and furniture was inspected to ensure it's in good condition, free of sharp, loose or pointed parts. Toilets and sinks were inspected to ensure they are safe and in a sanitary operating condition, floors were inspected for safety and cleanliness. Indoor/outdoor drinking water was reviewed. School-aged children have a separate playground from the preschool children. Outdoor drinking water is provided by a water faucet and indoor drinking water is provide by a container and water fountain faucet. The food preparation area was inspected for cleanliness, free of rodents/vermin, appropriate storage of food, and verification of posted menus. Per the Director there are no weapons or firearms at the facility. LPA observed no bodies of water in the facility. The playground was inspected for safety, good condition of equipment, including appropriate cushioning material around and under high climbing equipment. Staff's files were reviewed for education verification, TB clearance and health screening, CPR/First Aid, and immunization for Measles, Pertussis, and Influenza vaccines, and mandated reporter training.
A sample of children's files were reviewed for completeness of admission agreement, verification of sign in/out including time the child was signed in/out by authorized representative as well as verification of representatives full legal signature. Carbon monoxide detector was present and in working condition.
report is continued on page 2/LIC809C
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: MORNINGSIDE PRESBYTERIAN CHURCH CHILDREN'S CENTER
FACILITY NUMBER: 300606946
VISIT DATE: 05/23/2019
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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

The following were reviewed and discussed with the Director:


Facility was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov . Director was also informed of how/where to access regulations and forms from CCLD website: www.ccld.ca.gov.

During this inspection, there were no deficiencies cited per CA Code of Title 22, regulations.

Exit Interview conducted with the Director. Report was reviewed and discussed.
The licensee was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. The first level appeal is to Regional Manager, address is above on the report. The Notice of Site Visit was posted. Facility representative was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. This report is to be on file and accessible for public review at the facility for at least 3 years.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2019
LIC809 (FAS) - (06/04)
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