304370764-4-30-2021-06-CC-STOE-C2KU8R-20210430152157

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370764
Report Date: 04/30/2021
Date Signed: 04/30/2021 03:22:07 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:	KRISTIN'S KIDDIELAND		FACILITY NUMBER:	304370764
ADMINISTRATOR:	SIMMONS, KRISTIN		FACILITY TYPE:	850
ADDRESS:	27101 ALISO CREEK RD #150,152,		TELEPHONE:	(949) 903-5437
CITY:	ALISO VIEJO	STATE: CA	ZIP CODE:	92656
CAPACITY:	30	CENSUS: 16	DATE:	04/30/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Kristin Simmons, Owner		TIME COMPLETED:	09:30 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	On 04/30/2021, at 9:00 a.m., Licensing Program Analyst (LPA), Stacy Torrence conducted a virtual inspection with Kristin Simmons, Owner, via facetime. The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children in care. There were 16 children and three staff present. Due to COVID-19 state of emergency, a waiver to comingle six toddler component children with preschool children, in order, to create cohorts of children that are stable throughout the day during COVID-19 outbreak, waiver granted on 04/02/2021. Each child has individual boxes, located by the front door of the facility. In those boxes are the child’s sign in/out sheet and pen for the parent to manually sign in/out their child. There is a black square located at the front entrance of the facility, in which the children stand on, and the staff stand behind the black square, then escort the child to his/her classroom. Children’s temperature is taken in the morning and afternoon. If children become ill during the day, they will rest in a little section off area, in the middle classroom, adjacent to another classroom, which is designated as the isolation area. The staff bathroom is designated as the isolation bathroom. The staff bathroom is located towards the back of the facility. Children’s authorized representative will be contacted immediately for pick up, if a child becomes ill. Department of Public Health will be contacted in regard to any COVID-19 illness. Children will stay with the same group as assigned and will not be moved from one group to the other. No more than 16 individuals in a cohort and groups must be kept physically separated. Age appropriate furniture including tables and chairs and are present in each of the rooms to meet the needs of children in care. There is a total of two bathrooms. There are two toilets and two sinks available. There is a designated outdoor play area with age appropriate equipment and activities. There is a water dispenser, water jugs, and sinks with filter water inside the classrooms. Water jugs are used for outside water availability. Each child has their own cups.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2021

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: KRISTIN'S KIDDIELAND	FACILITY NUMBER: 304370764
	VISIT DATE: 04/30/2021

NARRATIVE

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The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often as necessary following the facility’s cleaning and sanitation policies,

A health check on staff and children will be conducted each day upon arrival. LPA discussed the terms and conditions of the waiver and facility will ensure compliance with all terms and conditions of the Temporary Waiver and will adhere to Public Health guidelines and directives.

To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility.

Please feel free to contact the Orange County Child Care Office at (714) 703-2800.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2021

LIC809 (FAS) - (06/04)

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