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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370822
Report Date: 07/17/2019
Date Signed: 07/17/2019 05:21:21 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:STEPPING STONESFACILITY NUMBER:
304370822
ADMINISTRATOR:KIM, ESTHERFACILITY TYPE:
850
ADDRESS:3320 NORTH HARBOR BLVD.TELEPHONE:
(714) 398-6314
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY:201CENSUS: 82DATE:
07/17/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Ester, Kim, DirectorTIME COMPLETED:
05:25 PM
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Licensing Program Analyst (LPA) Stacy Torrence conducted an unannounced annual inspection to the above facility. Upon arrival, LPA met with Kyumg, Roh, Assistant Director. Director Ester Kim arrived five minutes later. The Director guided analyst on a tour of the inside and outside of the facility. This is a preschool program which consist of nine classrooms. Since the summertime has started, the facility only utilizes seven classrooms. The following census was taken in the classrooms: Maple; seven children, with one staff supervising; Olive: four children, with one staff supervising; Butterfly: 10 children with one staff supervising; Tulip: 19 children with two staff supervising; Jasmine: 18 children with two staff supervising; Lily: 14 children with two staff supervising; and Poppy: seven children with two staff supervising. Per Director, there are 115 children enrolled. This program operates Monday -Friday 7:00 am to 6:00 pm, serving children ages 2-6 years of age. A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The facility was reviewed to ensure compliance with license conditions and limitations, staffing and ratios, inaccessibility to poisons, medication, and hazardous items that can pose a danger to children. Equipment and furniture were inspected to ensure it's in good condition, free of sharp, loose or pointed parts. Toilets and sinks were inspected to ensure they are safe and in a sanitary operating condition, floors were inspected for safety and cleanliness. This facility does provide food for the children. This facility provides AM snack, lunch, and PM snack. Per Director, there are no weapons, firearms in the facility. The playground was inspected for safety, good condition of equipment, including appropriate cushioning material. Staff's files were reviewed for education verification, CPR/First Aid, and new immunization requirements; such as, MMR, Pertussis, and Influenza vaccines. The staff files are current with the new immunization requirements. A sample of children's files were reviewed for completeness of admission agreement, verification of sign in/out including time the child was signed in/out by authorized representative as well as verification of representative’s full legal signature.

SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019
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: STEPPING STONES
FACILITY NUMBER: 304370822
VISIT DATE: 07/17/2019
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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.htmThe updated plan of operation has been received in our office for providing Incidental Medical Services. (IMS).

The facility representative was informed that licensing updates, regulations, and forms are located on the CCLD website: www.ccld.ca.gov . Facility was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov LPA provided licensee with a copy of the Effects of Lead Exposure.



There was no deficiency cited per CA Code of Regulations Title 22, Division 12; however, a Technical Violation Advisory Note was given for violation of regulation 101226 (e)(2) Health-Related Services; child’s allergy medication expired on 06/19.

Report was reviewed and discussed. The licensee was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. The Notice of Site Visit was posted. 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. This report is to be on file and accessible for public review at the facility for at least 3 years.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019
LIC809 (FAS) - (06/04)
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