304370131-1-23-2020-06-CC-KDEI-BL4SUZ-20200123131158

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370131
Report Date: 01/23/2020
Date Signed: 01/23/2020 01:12:07 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. MARGARET'S WEE TARTAN/TODDLER CENTER		FACILITY NUMBER:	304370131
ADMINISTRATOR:	LONG, LEIGHA		FACILITY TYPE:	830
ADDRESS:	31641 LA NOVIA		TELEPHONE:	(949) 661-0108
CITY:	SAN JUAN CAPISTRANO	STATE: CA	ZIP CODE:	92675
CAPACITY:	8	CENSUS: 5	DATE:	01/23/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Director Lozon Criselda & Assistant Director Pipitone Tammy		TIME COMPLETED:	11:00 AM

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’s) Ketki Desai conducted an on-site annual / Random inspection at this Infant care center. LPA’s met with Facility Director Lozon Criselda & Assistant Director Pipitone Tammy and toured the infant classroom ( 106). The facility also has a separate Preschool license with Toddler option Facility number 300603559. Center provides care and supervision for infant children 6 weeks to 24 months of age. Monday through Friday . Operating hours: 7:20AM TO 4:30PM in ROOM 106 ONLY. A review of the Facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Census: 5 infants with three staff were observed in the infant room ( 3 infants with one teacher in the yard/ one staff in the napping area and one staff in the classroom) Facility Reception area is located upon entrance into the building . Director and Assistant Director's office are behind the reception area. This offices serve as the isolation area for ill infants temporarily until parents arrive. The restroom in the reception area is used as the isolation restroom for ill children This facility provides Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. 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. Currently there are no enrolled children who receive the above services. The following were inspected in the indoor activity space in the Infant classroom: · Classroom are adequately equipped with age and size appropriate furniture and equipment

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2020

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. MARGARET'S WEE TARTAN/TODDLER CENTER	FACILITY NUMBER: 304370131
	VISIT DATE: 01/23/2020

NARRATIVE

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· Drinking water is available inside by individual bottles.
· Sign in/Sign out procedure was reviewed and meets regulation requirements (Sign in clip board is in the classroom)
· There is a working smoke detector, carbon monoxide detector and fire extinguisher that meet statutory requirements
· Cubbies available for storage of individual child’s personal belongings and/or bedding
· The changing table was within arm’s reach of a sink. The changing table is padded with raised sides
· Bedding fitted sheets are washed daily on site by the facility
· There is a designated napping area surrounded by a 4 ft wall with sufficient infant napping equipment and staff was observed in the napping area while two infants were napping
· The infant indoor is physically separate from the preschool/toddler component

Center policy is that formula/ baby food/ Diapers/ pull ups/ lotions / wipes/ crib linens/ personal utensils/ bowls are provided by the parents, every infant shall have their own bin to store personal items.

The following were inspected in the outdoor activity space;
· Playground is fully enclosed by an appropriate fencing
· Drinking water is available outdoors by fountain
· Outdoor activity space is supplied with age and size appropriate equipment, including climbing play structures and sand pit.
· Adequate shade is provided by canvas canopy in the play yard.

Licensee was advised of the following : https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative
Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials
· Always place infants on their backs for sleeping
· Use only a tight-fitting sheet on the crib or play yard mattress
· Do not hang any items from the crib or above the crib
· Keep all items, including blankets, out of the crib or play yard
· Pacifiers may be used as long as they do not have items attached to them

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2020

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. MARGARET'S WEE TARTAN/TODDLER CENTER	FACILITY NUMBER: 304370131
	VISIT DATE: 01/23/2020

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·Infants should not be swaddled or have any items covering them while sleeping
· The temperature of the room should be comfortable enough for an adult to wear a t-shirt and not be too hot or too cold

Provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org

The facility representative was informed that the CRIMINAL RECORD STATEMENT (LIC 508) has been updated, and the facility must now use the new form with revised date 7/15. The facility representative was also informed that the LIC 508 must be submitted with all Criminal Background Clearance Transfer Request (LIC9182). The facility representative was informed that Licensing Updates are available at www.ccld.ca.gov

No deficiencies were cited on today's inspection. Facility remains in complaince with Title 22 regulations.

Exit interview was conducted. Report reviewed and discussed. Notice of Site Visit was posted during the visit. Appeal Rights and deficiencies were discussed. The director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days. Licensee was informed of how/where to access regulations and forms from CCLD website: www.ccld.ca.gov

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 $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2020

LIC809 (FAS) - (06/04)

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