304370064-4-7-2021-06-CC-STOE-BZUQ5B-20210407115139

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370064
Report Date: 04/06/2021
Date Signed: 04/07/2021 11:51:43 AM

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:	AMERIMONT ACADEMY, INC		FACILITY NUMBER:	304370064
ADMINISTRATOR:	MADRIGAL, SAMANTHA		FACILITY TYPE:	850
ADDRESS:	490 ANAHEIM HILLS ROAD		TELEPHONE:	(714) 974-4664
CITY:	ANAHEIM HILLS	STATE: CA	ZIP CODE:	92807
CAPACITY:	130	CENSUS: 26	DATE:	04/06/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	02:29 PM
MET WITH:	Samantha Madrigal, School Administrator		TIME COMPLETED:	04:00 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	A case management inspection was conducted on this date by Licensing Program Analyst (LPA) Stacy Torrence. Licensee submitted an application requesting a decrease in the preschool program capacity. The purpose for today’s inspection was to evaluate the facility for decrease in capacity. Facility is currently licensed for a total capacity of 130, which include 108 preschool children and 22 toddler option children. Per Samantha Madrigal, School Administrator, the toddler option program was removed from the license in 2020. Preschool children are in the following rooms: Eagles #1, Eagles #2, Pioneers, and Explorers. Facility is requesting to decrease the preschool program capacity to 82 children. LPA met with Director Samantha Madrigal and toured the facility. During today’s inspection, there were 26 preschool children and 7 staff supervising. 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. The Director’s office will serve as the isolation area for ill children temporarily until parents arrives. The staff bathroom conveniently located down hall from the director’s office will serve as the isolation children’s bathroom. Medication will be stored in each classroom, and the staff break room in a locked cabinet, ensuring it is inaccessible to children in care. First Aid kit is in each classroom, in a backpack, out of reach of children. Sign in / sign out record meets regulation requirements. The facility provides AM and PM snacks. Evaluator reviewed Title 22 Sections 101227 and 101327 with applicant and that the licensee is ultimately responsible to provide adequate, nourishing food. Classrooms are adequately equipped with age and size appropriate furniture and equipment. Drinking water in the indoor/outdoor activity space will be supplied by water fountains or children bring water bottles from home.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 04/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2021

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: AMERIMONT ACADEMY, INC	FACILITY NUMBER: 304370064
	VISIT DATE: 04/06/2021

NARRATIVE

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Inside Activity Space measurements are as follows:
Total indoor activity area:
Eagles #1&#2: 44.04 x 31.03 = 1,366.56 sqft.
Pioneers: 25.00 x 27.01 = 675.25 sqft.
Explorers: 42.11 x 21.10 = 888.52 sqft.
Total= 2,930.33 sqft. divided by 35 = 84 children

Total children toilets and sinks:
Toilets 5 x 15 = 75 children
Sinks 5 x 15 = 75 children

Total outdoor activity area:
28,586.61 sqft. divided by 75 = 381 children

Playground is completely enclosed by a fence. Outdoor activity area is supplied with age and size appropriate equipment including a climbing apparatus and a playhouse. An adequate amount of cushioning material (rubber chips) is in place under the equipment. Shade is provided by mature trees and several awnings.

Based on today's inspection, facility does not have enough toilets or sinks to accommodate 82 preschool children. The facility can accommodate 75 preschool children, (ages 2-7 years old). Monday to Friday 6:30 a.m. to 6:30 p.m.

Director Samantha Madrigal required CPR/1^st Aid training expires on 03/2022.

Facility provides Incidental Medical services.

In the areas evaluated, no deficiency was observed and cited today per CA Code of Regulations, Title 22, and Division 12.

Facility meets all licensing requirements and file will be submitted for approval.

Exit interview was conducted. A copy of this report and appeal rights were discussed and provided to the director. The Notice of Site Visit was posted. The director 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.

A license for 75 preschool children will be issued upon approval.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 04/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2021

LIC809 (FAS) - (06/04)

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