304370633-5-9-2023-06-CC-AFCN-CRNQ48-20230509114956

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370633
Report Date: 05/09/2023
Date Signed: 05/09/2023 11:50:12 AM

Document Has Been Signed on 05/09/2023 11:50 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	TUSTIN MEADOWS TINY TOTS PRESCHOOL, INC.		FACILITY NUMBER:	304370633
ADMINISTRATOR:	GALLEGOS, SONYA		FACILITY TYPE:	850
ADDRESS:	14751 CANTERBURY AVENUE		TELEPHONE:	(714) 696-8476
CITY:	TUSTIN	STATE: CA	ZIP CODE:	92780
CAPACITY:	20	CENSUS: 6	DATE:	05/09/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Director-Sonya Gallegos		TIME COMPLETED:	12:10 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	On 5/9/23 Licensing Program Analyst (LPA), Chan conducted an onsite inspection for the purpose of an unannounced Annual Inspection. The facility is located at the Tustin Meadows Community Center, and it has an in-ground pool. Facility door opened at 9:00am for parents and children who are waiting at the front door when LPA arrived. Children did circle time upon arrival at the facility. LPA met with Director Sonya Gallegos and toured the facility inside and outside and the floor and yard plan (LIC 999) were verified. Census was taken, the overall census observed was 6 preschool children, 1 staff and 1 parent volunteer. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. Facility hours are 8:20a.m.- 1:00p.m., Monday through Friday. At this time, the facility is open Tuesdays - Thursdays. The facility prepares the childcare from opening hours and opens its doors to parents and children at 9:00am or earlier if necessary. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During the inspection of the indoor activity space, items which could pose a danger to children (detergents, cleaning compounds, and medications) were observed to be stored out of the reach of children. Poisons/Hazardous Items are not kept on the premises. Children’s food is brought from home by the parents. Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges. Age-appropriate toys and materials such as pretend play, blocks, books, and puzzles are provided for children in care. There is drinking water available to children indoors by sports bottle with the child’s name on it. And facility also provides purified bottled water to children in care. The children's bathroom is located at the patio outside of the classroom and is kept clean and sanitary. Children does not nap in the premises. The facility has conducted an emergency drill within the past six months on May 3, 2023. The facility has a working carbon monoxide detector and fire extinguisher which meets the statutory and fire marshal standards. Facility met all posting requirement. The California Child Passenger Safety Law was posted. Page 1 of 4

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Anna Francesca Chan	TELEPHONE: (818) 216-9775
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023

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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: TUSTIN MEADOWS TINY TOTS PRESCHOOL, INC.	FACILITY NUMBER: 304370633
	VISIT DATE: 05/09/2023

NARRATIVE

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1 Staff file and 1 parent volunteer file were reviewed for staff present during the facility inspection on this date and found to be within compliance. Director stated each parent volunteers 2-3 times a month or as necessary, but less than 15 hours in a week. Health screening and immunizations as required were reviewed. Beginning September 1, 2016, Health and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis, measles for director and parent volunteer were reviewed and within compliance.

Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete mandated reporting training, and to renew the training every two years. Based on observation, record review and interview, the Director’s Mandated Reporter expired on February 27, 2021, and is found to be out of compliance. At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications, which expires May 2, 2025.

3 Children's records were reviewed, and there was a separate, complete and current record for each child. Immunization records, Consent for Emergency Medical Treatment (LIC627), Notification of Parent’s Rights (LIC995A). In the areas reviewed, the children’s files were found to be in full compliance. Sign in/out procedure was reviewed for compliance.

The outdoor activity space was inspected for compliance. There is a patio access door facing the front entrance of the facility. There isa gate access to the pool from the patio but is not accessible by children in care. The facility also has waiver for the children to use the local nearby park, Centennial Park for outdoor space. The facility staff and children go to a nearby playground with parent’s consent at around 12 noon daily. The facility's outdoor patio and outdoor activity space was well maintained and free of hazards. Drinking water in the outdoor activity space is provided by parents using sports bottles with the child’s name on it. There are bodies of water present at the facility. Children does not have access to the community swimming pool. Bodies of water checklist was performed, and facility is found to be in full compliance. The facility grounds were safe, sanitary and in good repair.

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SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Anna Francesca Chan	TELEPHONE: (818) 216-9775
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023

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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: TUSTIN MEADOWS TINY TOTS PRESCHOOL, INC.	FACILITY NUMBER: 304370633
	VISIT DATE: 05/09/2023

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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

The director was informed that Licensing Quarterly Updates are available at www.ccld.ca.gov. Director may request to be added to an email list to receive a Quarterly Update by contacting the Child Care Advocate at childcareadvocatesprogram@dss.ca.gov or at www.ccld.ca.gov
LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian

Information on the additional nutrition training, immunization requirements for children, and Health Schools Act (http://www.cdpr.ca.gov/docs/pestmgt/schoolipm.htm) were provided. The Director was informed, and website given, about the California Child Care Disaster Plan has been posted to the UCSF California Childcare Health Program website: cchp.ucsf.edu/content/disaster-preparedness Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org A copy of the California Department of Social Services Lead Information Brochure was explained and provided to the facility representative.

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Anna Francesca Chan	TELEPHONE: (818) 216-9775
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023

LIC809 (FAS) - (06/04)

Page: 4 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: TUSTIN MEADOWS TINY TOTS PRESCHOOL, INC.	FACILITY NUMBER: 304370633
	VISIT DATE: 05/09/2023

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In the areas that were evaluated, the following violation is being cited in accordance with Health and Safety Code 1596.8662(b)(1) Administration of Child Day Care Licensing on the attached LIC 809D

Exit interview conducted and report was reviewed with the Director Sonya Gallegos. A notice of site visit was given and must remain posted for 30 days.

Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

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SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Anna Francesca Chan	TELEPHONE: (818) 216-9775
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023

LIC809 (FAS) - (06/04)

Page: 5 of 5

Document Has Been Signed on 05/09/2023 11:50 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: TUSTIN MEADOWS TINY TOTS PRESCHOOL, INC.	FACILITY NUMBER: 304370633
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/09/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/09/2023
	Plan of Correction
1 2 3 4	Facility Director stated she will take the mandated reporter training (MRT) and will provide a copy of current MRT certificate to LPA by email or text by due date on 6/9/23.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Anna Francesca Chan	TELEPHONE: (818) 216-9775
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023

LIC809 (FAS) - (06/04)

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