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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370817
Report Date: 05/16/2019
Date Signed: 05/16/2019 10:35:16 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:RED APPLE PRESCHOOL, THEFACILITY NUMBER:
304370817
ADMINISTRATOR:FOSTER, MARYAMFACILITY TYPE:
850
ADDRESS:23532 EL TORO RD. SUITE #1TELEPHONE:
(949) 460-9221
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY:30CENSUS: 0DATE:
05/16/2019
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Maryam Foster, Director, and Amir Mansouri Assistant DirectorTIME COMPLETED:
10:45 AM
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An Informal Meeting was conducted on this day in the Orange Regional Office. Present during the meeting were Judy Hanson, Licensing Program Manager (LPM), Cindy Nguyen, Licensing Program Analyst (LPA), Maryam Foster, Director, and Amir Mansouri, Assistant Director. The purpose of this meeting is to discuss the facility’s Type A violation. The Licensing office received a complaint alleging that children are forced to sit in chair for time out for an excessive amount of time.

On 05/31/2017 a complaint investigation was completed. Children and staff were interviewed, and the allegation was substantiated. A citation was issued for Section 101223.2(a)-Discipline - Any form of discipline or punishment that violates a child's personal rights as specified in Section 101223 shall not be permitted regardless of authorized representative consent or authorization. During interviews it was related that the office was the designated place for time. As part of the proof of correction, the director indicated she would review discipline policies with her current and future staff. A copy of agenda, including ways of children's guidance, was submitted to our office.

The following was also discussed with the Director & the Assistant Director:


  • Facility discipline policy.
  • Licensee have installed in 12 cameras in the facility.
  • The director was advised of the responsibility to know & understand Title 22 Regulations.
  • The facility must always remain in compliance with Title 22 regulations.
  • The licensee and director were advised to check the Child Care Licensing web site at www.ccld.ca.gov for quarterly updates, training, forms and regulations.
  • Children Home Society (CHS).
  • Child Care Licensing E-Learning Modules accessed on line were provided.

Continued on Page 2
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 703-2834
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019
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: RED APPLE PRESCHOOL, THE
FACILITY NUMBER: 304370817
VISIT DATE: 05/16/2019
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The Director and Assistant Director was also informed to visit the www.ccld.ca.gov website for Quarterly Updates. The Director and Assistant Director was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov.

Issued: Title 22 Regulations, Effects of Lead Exposure, and Safe Sleep in Child Care.



Director will update the facility discipline policy to Cindy.Nguyen@dss.ca.gov

Exit interview was conducted. Report reviewed and discussed. Notice of Site Visit was given. Facility representative was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Appeal rights provided and explained. The facility representative was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 703-2834
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019
LIC809 (FAS) - (06/04)
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