304270260-6-25-2019-06-CC-GCOY-BDGREF-20190625125728

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304270260
Report Date: 06/25/2019
Date Signed: 06/25/2019 12:57:42 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:	ST. ANNE EARLY CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	304270260
ADMINISTRATOR:	SLOCUM, DENISE		FACILITY TYPE:	850
ADDRESS:	32451 BEAR BRAND ROAD		TELEPHONE:	(949) 276-6781
CITY:	LAGUNA NIGUEL	STATE: CA	ZIP CODE:	92677
CAPACITY:	104	CENSUS: 15	DATE:	06/25/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	07:30 AM
MET WITH:	Denise Slocum		TIME COMPLETED:	11:15 AM

NARRATIVE

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A case management visit was conducted on this date by Licensing Program Analyst (LPA) Connolly. The purpose for today’s visit was to evaluate the facility for a capacity increase. Facility is currently licensed for 104 preschool age children two to six years old and requesting to increase to 160 children.

Facility had originally operated with capacity at 160 and at one point reduced to capacity 104. Facility is now requesting to increase back to 160.

LPA met with director Denise Slocum. The facility was toured, and census taken. There were 15 children in care in the facility’s summer program with 3 attending staff. Facility will begin the regular school year on 8/26/19 in rooms B -120, B-124, B-117, B-121, B-125, B-129, B-126 and B-130. The facility is currently operating a summer program utilizing rooms B 120 and B 126 only.

The playground has been modified to include a fenced off area for the two-year-old class. This sectioned off area is within the established playground. There is a gate that will allow the two year old children to have access to the remaining playground.

All areas identified on the Facility Sketch were inspected. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Storage for children's belongings and an isolation area with sink, toilet, and mat/cot were inspected. Availability of drinking water was reviewed. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, paper towels, area safety and sanitation. A review of medication policy, including administering, labeling, storage, and records was made. A copy documenting the practice of disaster drills was obtained and application reflecting an increase to 160 children. Posting requirements, children records, mandated reporter training, unusual incident reporting were reviewed as well as criminal records clearances/exemption transfer requests.

Continued on page two

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Gesine Connolly	TELEPHONE: (714) 703-2822
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019

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: ST. ANNE EARLY CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 304270260
	VISIT DATE: 06/25/2019

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Measurements are taken as follows:

Indoor space:
All eight rooms measure the same.
870’ divided by 35’ equals 24 children per room for a total of 192 children.

Toilets: 9 x 15 = 135 children
Sinks: 13 x 15 = 195 children

Outdoor space measured:

13,000 ‘divided by 75’ = 173 children

The sectioned off playground area which is within the entire playground area measures 1560 ‘.
1560 ‘divided by 75 = 21 children.
This sectioned off area is set aside for children two years of age. Per measurement no more than 21 children can be in this gated area at any one time. The director acknowledged if more than 21 children the gate will be opened to allow access to the remaining playground area.

Fire clearance issued from The Orange County Fire Authority for capacity 160 has been received in the licensing office.

The director was informed that based on today’s measurements, facility will be approved for capacity increase for 135 children.

Exit interview was conducted. 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 penalty of $100. “The facility representative was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.”

License with capacity 135 will be mailed when received in the licensing office.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Gesine Connolly	TELEPHONE: (714) 703-2822
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019

LIC809 (FAS) - (06/04)

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