304370798-4-20-2022-06-CC-STOE-CDNPVY-20220420113956

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370798
Report Date: 04/20/2022
Date Signed: 04/20/2022 11:40:01 AM

Document Has Been Signed on 04/20/2022 11:40 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	CC'S LEARNING CENTER		FACILITY NUMBER:	304370798
ADMINISTRATOR:	MOTE, MICHELLE		FACILITY TYPE:	830
ADDRESS:	300 EAST IMPERIAL HIGHWAY		TELEPHONE:	(714) 671-6970
CITY:	BREA	STATE: CA	ZIP CODE:	92821
CAPACITY:	8	CENSUS: 7	DATE:	04/20/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:41 AM
MET WITH:	Michelle Mote, Director		TIME COMPLETED:	11:33 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	An unannounced case management inspection was conducted on this date by Licensing Program Analyst (LPA) Stacy Torrence for the purpose of an increase in capacity. The facility is currently licensed for eight infants and is requesting to increase to 9 infants. LPA Torrence met with Director Michelle Mote, who guided analyst on a tour of the facility. Census was taken. There were seven infants present; with three staff supervising. Currently facility’s operations hours are Monday-Friday; 6:30 a.m.-6:00 p.m., serving ages 0-18 months; in classrooms: #2 only. A review of staff records on this date indicates that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions. The following was observed in Infant Room: · Age appropriate furniture · Infant toys and equipment · Sign in/out procedures were reviewed · There is a changing table with the sink within arm’s reach · Changing table has safe padding · The room has a specific napping area where five cribs are arranged. · Each crib has a fitted mattress · Room is divided by a plexi-glass divider separating the napping crib area and the play area. Total previously approved indoor space for infants: 340 sqft. divided by 35= 9 children Sink: 1 x 15= 15 children

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022

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: CC'S LEARNING CENTER	FACILITY NUMBER: 304370798
	VISIT DATE: 04/20/2022

NARRATIVE

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Playground is completely enclosed by a fence. Outdoor activity area is supplied with age and size appropriate equipment including small climbing structures. An adequate amount of cushioning material is in place under the climbing equipment. Shade is provided by an extended roof and water is provided by water cups and parent provide purified water for refill.

Total outdoor activity space: 996 sqft. divided by 75 = 13 children

Based on today’s Indoor and Outdoor measurements, sink & toilet availability, center has enough activity space to support the requested capacity of 9 infants. Fire clearance was granted.

Exit interview conducted with director Michelle Mote. Notice of Site Visit was posted. Appeal right were discussed and presented to the Director. Director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post it will result in civil penalties of $100.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022

LIC809 (FAS) - (06/04)

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