304370619-10-29-2019-06-CC-GCOY-BHEVFA-20191029162338

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370619
Report Date: 10/29/2019
Date Signed: 10/29/2019 04:23:51 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:	CCLC-ZIGGURAT CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	304370619
ADMINISTRATOR:	BOYER, STEPHANIE		FACILITY TYPE:	830
ADDRESS:	24000 AVILA ROAD STE 3409		TELEPHONE:	(949) 360-2004
CITY:	LAGUNA NIGUEL	STATE: CA	ZIP CODE:	92677
CAPACITY:	28	CENSUS: 17	DATE:	10/29/2019
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Stephanie Boyer		TIME COMPLETED:	04:30 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	An Annual inspection was conducted on this date by Licensing Program Analyst (LPA) Connolly. Upon arrival LPA met with director, Stephanie Boyer, who accompanied the LPA on a tour of the infant program. LPA observed 10 infants, one year of age, with three attending staff and 7 infants younger than one year with four attending staff. A review of staff records on 10/28/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances. Operating hours are 7:00 am to 6:00 pm, Mon-Fri. The items which could pose a danger to infants ( cleaning compounds, and medications) were stored inaccessible to infants. Poisons/hazardous items are not stored on site and none were observed. The toys, floors and other equipment appeared clean, safe and age appropriate for infants. There is sufficient napping equipment for the infants, and bedding are within compliance. Crib bedding is laundered daily, on site. Cot bedding is laundered weekly, on site. Blankets used by infants one year and older are brought home at the end of the week, laundered and returned the following week. The changing table, which appears clean and sanitary is within arm’s reach of a sink. Food provided for infants are brought by parents, and are named and dated daily. Snacks are provided by the facility for the toddlers. Snack menu is posted. Bottles and food containers brought from home are properly labeled with name and date and stored in an refrigerator in the classroom. Garbage cans containing solid waste have tight fitting lids. There is a working smoke detector, carbon monoxide detector and fire extinguisher. Indoor and outdoor activity space for infants is separate from other age groups. The playground is completely fenced and free of hazards. Continued on page two

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Gesine Connolly	TELEPHONE: (714) 293-9314
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019

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: CCLC-ZIGGURAT CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 304370619
	VISIT DATE: 10/29/2019

NARRATIVE

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Children and staff records were reviewed and are within compliance. The sign in/out procedure was reviewed. At least one staff member present possessed current CPR/First Aid certifications, which expire September 2020.

After a tour of the center and review children and staff's records, no deficiency was observed.

During exit interview, the director was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. Notice of Site Visit was posted. The director was informed to keep the Notice of Site Visit posted for 30 days during the day care hours or $100 civil penalty will be assessed.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Gesine Connolly	TELEPHONE: (714) 293-9314
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019

LIC809 (FAS) - (06/04)

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