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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304312043
Report Date: 11/14/2024
Date Signed: 11/14/2024 03:45:40 PM

Document Has Been Signed on 11/14/2024 03:45 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:RASTA, MAHJANFACILITY NUMBER:
304312043
ADMINISTRATOR/
DIRECTOR:		RATSA, MAHJANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(949) 481-6748
CITY:SAN CLEMENTESTATE: CAZIP CODE:
92673
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
11/14/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:05 PM
MET WITH:LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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An case management inspection was conducted at the facility by Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek. At the time of inspection at 2:05 pm, LPA met with licensee, Mahjan Rasta who was taking care of 7 children of whom 4 were under 24 months old, 2 were over 2 years old, and one school age child. There was no assistant present with these number of children as it is required to. Licensee was not operating within the licensed capacity as specified on license for Large Family Childcare Home. One infant was picked up at 2:50Pm during LPA's presence.
A review of the Facility Personnel Report Summary on this date indicates all facility residents, staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
According to licensee, currently there are two adults including the licensee, and no minors living in the house. Day care hours of operation is Monday through Thursday from 7:30 am-5:00 pm.
During today’s inspection, LPA and licensee toured the inside and outside areas identified in the facility sketch as accessible to childcare children. Off limits areas are made inaccessible by means of baby gates. The childcare area consists of family room/dinning room. There are two gates installed on both sides of the kitchen make it inaccessible to children. There is a baby gate installed between the children's area and hallway to make it inaccessible for children to the front entrance. There is a baby gate installed in front of the stairs to make upstairs inaccessible to children. There are two closets in the entrance way behind the baby gate. Part of back yard is for children's use. There is a fountain on the other side of the gate in the back yard in the off limit area which was dry and free of water. The gate on the children's area in the side yard make it inaccessible to children from going to the off limit area of back yard. There is a fire pit in the off limit area behind the baby gate which was not in operation. The side yard is covered with carpet for children's use. There are age appropriate toys and equipment for children to play outside. There are 4 cribs available for infants and sleeping bags are available for older children for napping.
The garage is not for children's use and is inaccessible to children by the garage door being locked.
Continued on page 2
Thuy HoTELEPHONE: (714) 703-2741
Mahnaz MalekTELEPHONE: (714) 292-9851
DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2024
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 3
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: RASTA, MAHJAN
FACILITY NUMBER: 304312043
VISIT DATE: 11/14/2024
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There are working carbon monoxide, smoke detector, and fire extinguishers in the home that meet statutory and State Fire Marshall standards.

The licensee has a current roster of children in care. Fire Drill Log was current. The last fire drill was conducted 7/15/2024. Children’s records for children present during LPA’s inspection were reviewed. Seven files were reviewed. They were all in compliance. The log for every 15 minutes check on napping children under 24 months old were available. (for four present infants). LIC 9227 (Individual Infant Sleeping Plan) for infants under 12 months old were available on their files. The licensee's Pediatric CPR/First Aid certifications are current. (Expires 3/18/2025).LPA discussed the safe sleep regulations with Licensee Mahjan Rastai and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as The following deficiency was observed on today's inspection. Please refer to 809D next page.

Licensee, Mahjan Rasta was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00. LPA Malek informed Licensee, Mahjan Rasta that this report dated 11/14/2024 documents type A citation shall be posted for 30 consecutive days as there is immediate risks to the health, safety, or personal rights of children in care. Also, LPA Malek informed the Licensee, Mahjan Rasta to provide a copy of this licensing report dated 11/14/2024 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report.
A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Licensee, Mahjan Rasta was provided with 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.

The exit interview was conducted with Licensee, Mahjan Rasta.

End of report

SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 703-2741
LICENSING EVALUATOR NAME: Mahnaz MalekTELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 11/14/2024 03:45 PM - It Cannot Be Edited

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: RASTA, MAHJAN
FACILITY NUMBER: 304312043

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Staffing Ratio and Capacity- If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). This requirement was not met as evidenced by LPA's
Deficient Practice Statement
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POC Due Date: 11/15/2024
Plan of Correction
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During LPAs' presence, one of the children who was under 24 months old was picked up at 2:50pm. The facility stayed in ratio. Additionally, the licensee agreed to send a statement with the new children's scheduling to show that the facility is staying in ratio at all times.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Thuy HoTELEPHONE: (714) 703-2741
Mahnaz MalekTELEPHONE: (714) 292-9851

DATE: 11/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/14/2024

LIC809 (FAS) - (06/04)
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