300613978-9-9-2022-06-CC-DTHN-CJ4RMU-20220909130918

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 300613978
Report Date: 09/09/2022
Date Signed: 09/09/2022 01:09:23 PM

Document Has Been Signed on 09/09/2022 01:09 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	MARGUERITE CHRISTIAN SCHOOL		FACILITY NUMBER:	300613978
ADMINISTRATOR:	JACOBS, JYNETTE		FACILITY TYPE:	850
ADDRESS:	26558 MARGUERITE PARKWAY		TELEPHONE:	(949) 582-5856
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92692
CAPACITY:	116	CENSUS: 33	DATE:	09/09/2022
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Jynette Jacobs		TIME COMPLETED:	01:30 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

Licensing Program Analyst (LPA), Dean Thompson and Patricia Duron conducted an unannounced Case Management Inspection, met with Director Jynette Jacobs to discuss the Lead Sampling testing conducted 7/26/22. LPA, Director was advised on 9/7/22 the Lead Sample Report was to be posted; LPA confirmed the Director posted the Sample Report.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test.

Community Care Licensing was notified that lead water testing conducted at the facility on 7/26/2022 failed allowable limit for lead. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedance (ALE).

Instructions for required lead testing are outlined in PIN 21-21-CCP. This PIN which contains Written Directives, have the same force and effects as the regulations contained in Title 22 of the California Code of Regulations.

LPA observed Site ID H located inside the staff lounge which is located behind the office. Director provided LPA and invoice which shows Site ID H had repairs done on August 29, 2022. Director Jynette Jacobs stated Site ID H is not used for drinking or cooking. Director stated the facility does not cook meals and water is brought from home. Facility also provides filtered water for children in care.

Continue to page 2

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Dean Thompson	TELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2022

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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: MARGUERITE CHRISTIAN SCHOOL	FACILITY NUMBER: 300613978
	VISIT DATE: 09/09/2022

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
26
27
28
29
30
31
32

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

Exit interview conducted and report was reviewed with the Director Jynette Jacobs. A notice of site visit was given and must remain posted for 30 days.

Appeal Rights discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Dean Thompson	TELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2022

LIC809 (FAS) - (06/04)

Page: 2 of 2