304270035-10-1-2019-06-CC-STOE-BGJUET-20191001153140

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304270035
Report Date: 10/01/2019
Date Signed: 10/01/2019 03:31:45 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:	EVFREE PRESCHOOL		FACILITY NUMBER:	304270035
ADMINISTRATOR:	ERNST, STEFANI		FACILITY TYPE:	830
ADDRESS:	2801 BREA BLVD.		TELEPHONE:	(714) 529-5544
CITY:	FULLERTON	STATE: CA	ZIP CODE:	92835
CAPACITY:	30	CENSUS: 15	DATE:	10/01/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Stefani Ernst, Director		TIME COMPLETED:	04:00 PM

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An unannounced annual inspection was conducted by the Program Analyst (LPA) Torrence on 10/01/2019. During this inspection, LPA Torrence met with Director Stefani Ernst who guided analyst on a tour of the Early Childhood Setting indoors and outdoors. Census was taken. LPA observed nine toddler children napping in room B118 with one staff supervising and in room B111 one staff feeding three infants and three infants in the napping area being supervised by one staff. A review of staff records on this date indicates that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions. This program serves children ages 6 weeks to 24 months. Operation hours are: 8:00 AM to 5:00 PM, Monday through Friday.

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 were inspected to ensure it's in good condition, free of sharp, loose or pointed parts. The napping area is separated from the activity area. The facility has sufficient infant napping equipment that meets the requirements. There were no baby walkers observed on the premises. The changing table is within arm reach of a sink. Per the Director there was 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. There was a carbon monoxide detector present at the facility.

Staff's files were reviewed for education verification, and required immunization's for (Measles, Pertussis, and Influenza vaccines). At least one staff member present had current Pediatric CPR & First Aid on file. Staff had the mandated reporter training on file.

A sample of children's files were reviewed for completeness of medical assessment. The facility has an individual feeding plan for each infant and each infant has an infant Needs and Services Plan.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019

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: EVFREE PRESCHOOL	FACILITY NUMBER: 304270035
	VISIT DATE: 10/01/2019

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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. 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.
LPA reviewed and discussed the following with the facility Director: Quarterly updates and Child Care Advocate Program childcareadvocatesprogram@dss.ca.gov. English: https//www.cdph.ca.gov/programs/SIDS/Doucments/SIDSchildcaresafesleep.pdf.

During this inspection, there were no deficiency cited in accordance with California Code of Regulations, Title 22, Division 12.

Exit Interview conducted. Report was reviewed and discussed with Director. 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. LPA informed the licensee of how to access regulations and forms from CCLD websites. http://www.ccld.ca.gov/http://ccld.ca.gov/PG411.htmThis report is to be on file and accessible for public review at the facility for at least 3 years.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019

LIC809 (FAS) - (06/04)

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