304370632-9-13-2019-06-CC-YVIA-BFYPRE-20190913113234

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370632
Report Date: 09/13/2019
Date Signed: 09/13/2019 11:32:39 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:	OC KIDS CHILDCARE INC.		FACILITY NUMBER:	304370632
ADMINISTRATOR:	HOLLENBECK, CASIE		FACILITY TYPE:	830
ADDRESS:	10160 DENNI STREET		TELEPHONE:	(714) 484-7844
CITY:	CYPRESS	STATE: CA	ZIP CODE:	90630
CAPACITY:	10	CENSUS:	DATE:	09/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	07:45 AM
MET WITH:	Amy Diaz, Assistant Director		TIME COMPLETED:	10:45 AM

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Licensing Program Analysts (LPAs) Yesenia Villa and Tina Nguyen conducted an unannounced random inspection on this day to ensure the health and safety of the children in care. LPAs met with Amy Diaz, Assistant Director who guided analysts on a tour of the facility. This is an infant program with a capacity of 10 children, the classroom is located adjacent to the main building. The portable is numbered as 10160-C. Facility operates from Monday through Friday 6:00 am-6:30pm. All individuals present have obtained a criminal record clearance prior to working and being in the presence of the children in care. All areas identified on the facility sketch were inspected. Upon arrival, there were 8 infants with three teachers. The facility was observed to be within ratio. Sign in and Sign out sheets were inspected, and all children present were signed in.

A tour of the facility indoors and outdoors was conducted. The following was observed during this inspection. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Linens are washed daily by parents as stated by Ms. Diaz. The facility has age appropriate furniture and equipment including, but not limited to, cribs, cots or mats: changing tables are at arm’s length of a sink. General sanitation was observed of the facility. The facility has an individual feeding plan for each infant that meets the requirements and are up to date for the last three months.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Director was reminded that all poisons must be under lock or combination. Snacks were observed in the classroom for quantity and menus were posted in a public place where they are visible to parents. All of the childrens milk and belongings were observed to be labeled. The outdoor play area was inspected. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with grass. There is adequate shade in the play yard provided by an awning and an umbrella. There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia Villa	TELEPHONE: (714) 293-9465
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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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: OC KIDS CHILDCARE INC.	FACILITY NUMBER: 304370632
	VISIT DATE: 09/13/2019

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Children’s Records were reviewed for completeness; Inspection of required forms was made. LPA issued the Children’s Record Review (LIC 811) to the Director during this inspection. In review of children’s records, files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

Staff files were reviewed for completion of Immunizations, MMR, TDAP & Influenza, along with the completion of the Mandated Reporter training. Director was reminded that the mandated reporter training expires every two years. Children's roster was reviewed and is current.

First Aid supplies were observed in the classroom. All medication is stored in each classroom in a red locked box. There were no medication in the box during this inspection. Per Ms. Diaz there are no children presently requiring medication.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

LPAs advised the Director where to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. There were no deficiencies cited during this inspection, however a technical advisory note was issued.

An exit interview was conducted with Ms. Amy Diaz, a notice of site visit was provided and was advised to keep posted for 30 days. Failure to maintain posted will result in a $100.00 civil penalty fee. Appeal rights were issued and explained, they must be submitted within 15 days to our Regional Manager Bertha Manzanarez.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia Villa	TELEPHONE: (714) 293-9465
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

LIC809 (FAS) - (06/04)

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