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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370131
Report Date: 09/13/2019
Date Signed: 09/13/2019 02:06:43 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 CENTERFACILITY NUMBER:
304370131
ADMINISTRATOR:LONG, LEIGHAFACILITY TYPE:
830
ADDRESS:31641 LA NOVIATELEPHONE:
(949) 661-0108
CITY:SAN JUAN CAPISTRANOSTATE: CAZIP CODE:
92675
CAPACITY:8CENSUS: 4DATE:
09/13/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Assistant Director: Tammy Pipitone TIME COMPLETED:
02:15 PM
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Licensing Program Manager Lopez and Licensing Program Analyst Connolly conducted a case management inspection due to facility requesting a room change in the infant program. Facility is currently licensed for 8 infants in Wee Tartan room located in an adjacent building, Suite F, and is moving to room 106 in the main building to be closer to the preschool licensed rooms. The capacity remains the same. The new room was inspected and measured and is adequate for room change. Fire clearance for inspection made 8/20/19 has been received in the licensing office.

Indoor Space for Room 106 total = 302 Sq Ft divided by 35 = 8 Children


Outdoor Space: There is a small outdoor play area behind the classroom and a larger area in the front area of the indoor space for a total of 725 Sq Ft divided by 75 = 9 Children
Facility will be using two potty chairs. There was a sink within arms reach of a changing table.

During today's case management inspection the infant program was toured by the LPM and LPA. Census was taken. There were four infants in care with two attending staff. A review of staff criminal clearance records 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

Facility is adequate for room change. License, effective this date, will note operating hours: Monday through Friday, 7:20 AM to 4:30 PM in room 106 for ages 6 weeks to 2 years: capacity 8.

No deficiencies were observed during today's inspection. Report was reviewed and discussed with Tammy Pipitone

Notice of Site Visit was posted.


The 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 $100.00. The 'Notice of Site Visit' must be posted on or adjacent to the door.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Gesine ConnollyTELEPHONE: (714) 293-9314
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019
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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