300611759-3-5-2020-06-CC-KDEI-BMEVMS-20200305153402

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 300611759
Report Date: 03/05/2020
Date Signed: 03/05/2020 03:34:11 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:	YORBA LINDA PRESCHOOL & DAY CARE		FACILITY NUMBER:	300611759
ADMINISTRATOR:	BAWA, NINA		FACILITY TYPE:	850
ADDRESS:	18132 YORBA LINDA BLVD.		TELEPHONE:	(714) 524-1340
CITY:	YORBA LINDA	STATE: CA	ZIP CODE:	92886
CAPACITY:	64	CENSUS: 12	DATE:	03/05/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:05 PM
MET WITH:	Administrator Bawa Nina		TIME COMPLETED:	03:45 PM

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	An unannounced, Required-1 year inspection was conducted on this date by Licensing Program Analyst (LPA;s) Ketki Desai and Gigi Mia. Upon arrival, LPA was greeted by Administrator Bawa Nina, who gave access to the LPA's into the facility. When done, LPA's were let into the office and the reason for the inspection was stated to the Administrator, who then guided LPA's on a tour of the facility both inside and outside. Census: Room # 3 (6 preschoolers with one staff ) Room # 4 (6 preschoolers with one staff ) along with the Administrator on site to provide additional support. All staff were verified to be cleared and associated to the pre-school. All children were verified to be signed in (Manual sign in sheets are placed in a binder at the entrance. Parents access the rooms through the front door and each parent have an access code. The Center's days and hours of operation are Mon.-Fri. 6.30 AM to 6.00 PM. Posting requirements: All posting requirements were observed on the Parent Boards. The license, Personal Rights, Child Passenger Safety Law, Exposure to Lead and Notification of Parents Rights are posted on the Parent Board to the left of the entryway of the door through which parents enter to get into the main part of the Center. Physical Plant: Director guided LPA on a tour of the pre-school classrooms and the pre-school playground. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating and air-conditioning, lighting and ventilation were evaluated. Storage for children's belongings and an isolation area with a sink and toilet was inspected. Ill children will remain in the Director's office, which is located across the entrance from the main door. Availability of drinking water was reviewed. The facility provides filtered water bottles to each child and there is drinking fountains outside in the play yard but most of the children use the bottled water..There is a carbon monoxide detector mounted on the wall and is operable.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020

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: YORBA LINDA PRESCHOOL & DAY CARE	FACILITY NUMBER: 300611759
	VISIT DATE: 03/05/2020

NARRATIVE

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Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. There is concrete area, shaded area and wood chip cushioning underneath the playground equipment. The pre-school teachers bring one classroom group at a time. There is drinking fountain accessible to children and restroom is located in the classroom. The playground is surrounded on all four sides by a five foot fence. The play area was inspected for hazards and inaccessibility to bodies of water. The toys are stored in the shaded patio area.

Napping: Children nap in the classrooms on the cots. Linens and blankets are brought from home and washed on a weekly basis.
Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed.

Food Service: Children bring in their own lunch & snack from home, lunch boxes are stored in their own cubbies. Facility also has back up snacks if needed.

All staff are current on the required First Aid and CPR training, which is valid through 02/7/2022

Health-Related Services: There is one First Aid Kit in each classroom A review of medication policy, including administering, labeling, storage, and records was made. Medications are stored in a locked cabinet in the kitchen.
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173
101226. 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 athttp://www.ada.gov/childqanda.htm www.ada.gov/childqanda.html.

Currently there are children who receives the above medical services. Medication is stored in the locked medication cabinet in the kitchen and the medication is administered per medical orders on PRN basis and the staff are trained.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020

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: YORBA LINDA PRESCHOOL & DAY CARE	FACILITY NUMBER: 300611759
	VISIT DATE: 03/05/2020

NARRATIVE

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Transportation: This facility does not provide transportation for pre-schoolers.

An Emergency Disaster Drill log is kept. The last fire drill was ran 02/15/2020

Information on the additional nutrition training, immunization requirements for children, and Health Schools Act (http://www.cdpr.ca.gov/docs/pestmgt/schoolipm.htm) were provided. The Facility Director was informed, and website given, about the California Child Care Disaster Plan has been posted to the UCSF California Childcare Health Program website: cchp.ucsf.edu/content/disaster-preparedness Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org A copy of the California Department of Social Services Lead Information Brochure was explained and provided to the facility representative.

In the areas that were evaluated, there were no deficiencies cited under California Code of Regulations, Title 22, Division 12 at the time of the visit.

Exit interview was conducted. The report was reviewed and discussed. Appeal Rights discussed and provided to the facility Director.

The 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 $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020

LIC809 (FAS) - (06/04)

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