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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370937
Report Date: 09/22/2023
Date Signed: 09/22/2023 12:59:34 PM


Document Has Been Signed on 09/22/2023 12:59 PM - 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:NEWPORT COAST PRESCHOOLFACILITY NUMBER:
304370937
ADMINISTRATOR:CUTLER, KAYLAFACILITY TYPE:
850
ADDRESS:6655 RIDGE PARK ROADTELEPHONE:
(949) 424-8978
CITY:NEWPORT COASTSTATE: CAZIP CODE:
92657
CAPACITY:48CENSUS: 20DATE:
09/22/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:58 AM
MET WITH:CUTLER, KAYLATIME COMPLETED:
01:30 PM
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On 09/22/2023 Licensing Program Analyst (LPA), A. Bootorabi conducted an onsite visit for the purpose of a 1 year required inspection. LPA and Kayla C toured the facility inside and outside. Upon arrival, an Entrance Checklist (LIC 125) was provided Miss.Oneill ECE Coordinator.

Room 4: 20 Student 3 Teachers

The LPA and director toured the facility inside. The facility sketch (LIC 999) was verified. Areas stated to be off-limits by the facility sketch were made off-limits by means of closed classroom door.

Documents reviewed and to be posted in a prominent, publicly accessible area at the facility: Facility License, Waivers (if applicable), Menus, LIC 613A Personal Rights, PUB 269, PUB 393 Notification of Parent Rights, and LIC 610 Emergency Disaster Plan. Documents were posted by the front door and visible to the public.

Documents to be reviewed during inspection: Verification of Disaster and Fire Drill, Daily Activity Schedule, Sign In/Out Sheets, and LIC 9148 Earthquake Preparedness. The facility had all documents available for review.
The last Fire Drill was conducted on 09/15/2023. The daily activity schedule was posted by the front door. The facility is using a application to sign in and out. The ECE Coordinator stated that each child's parent has their own unique code.

Classrooms 1 of 1 were toured with the director. Classrooms 1 of 1 were inspected and the activity space, and items that could pose a danger to children (detergents, cleaning compounds, and medications) were observed to be stored out of the reach of children.
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli BootorabiTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:
DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/22/2023
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: NEWPORT COAST PRESCHOOL
FACILITY NUMBER: 304370937
VISIT DATE: 09/22/2023
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NAPPING EQUIPMENT: Cots used for napping were observed to be maintained in a safe condition.

DRINKING WATER: Drinking water was observed and readily available to children in both indoor and outdoor activity areas. Children can bring from their homes and water is available at the facility.

FOOD SERVICES: The ECE coordinator stated that children can bring their own meals from home or have the schools meals that are heated at the school cite and prepared at a different facility.

The facility provides meals and was reminded that in childcare centers providing meals to children, the following shall apply: (1) All food shall be safe and of the quality and quantity necessary to meet the needs of the children. Each meal shall include, at a minimum, the number of food components as specified by Title 7, Code of Federal Regulations, Part 226.20, (Revised January 1, 1990) Requirements for Meals, for the age group served. All food shall be selected, stored, prepared, and served in a safe and healthful manner.

IDENTIFICATION AND LOCATION OF MEDICATION STORED IN THE FACILITY
The facility stores medication in the nurses office that is adjacent to the school grounds where Room 4 is a part of the facility currently does not have student enrolled taking medications and none were observed in the classroom.

Incidental Medical Services (IMS) - Child Care Centers
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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to the publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

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SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli BootorabiTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023
LIC809 (FAS) - (06/04)
Page: 2 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: NEWPORT COAST PRESCHOOL
FACILITY NUMBER: 304370937
VISIT DATE: 09/22/2023
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CARBON MONOXIDE – SMOKE DETECTOR – FIRE EXTINGUISHER
A functioning carbon monoxide detector and smoke alarm were tested by the director during today’s visit and were observed to be functioning. A fire extinguisher was observed in the classroom by the lead teachers desk. The tag marks Aug 18 2023 being the last annual maintenance performed.

OUTDOOR ACTIVITY SPACE: The surface of the outdoor activity space was observed to be maintained in a safe condition for activities. The surface of the outdoor activity space was observed to be free of hazards including, but not limited to, holes, broken glass, and other debris.

The cushioning material used underneath the climbing structure in the outdoor space for children to use consists of artificial grass and cushion like material can be felt underneath. LPA observed additional cushion material in some areas of the play structure. The outdoor equipment and toys were in good repair and were free of sharp edges. There are no bodies of water present at the facility. The facility’s outdoor grounds are safe, sanitary, and in good repair. LPA observed one climbing structure, bikes, sand box and pretend houses as part of the outdoor activity area.

PERSONNEL RECORDS: The LPA requested to review staff records of adults working directly with children. The following documents were requested for review exemptions or exemptions, Staff Qualifications, Immunization Records, LIC 9052 Employee Rights, LIC 9108 Statement Acknowledging Requirement to report Child Abuse, 1 CPR First Aid Certification of staff present at the facility at all times, TB clearance, and a Mandated Reporter Training Certificate.
The facility had one separate file for each staff member. The files reviewed during today’s visit were observed to be completed. There are 1 of 1 staff certified in CPR & First Aide. All staff had current Mandated Reporter Training.

Children’s Records Reviewed :The LPA requested complete children’s records of 3 children enrolled in the program. Children's records were reviewed, and there was a separate, complete, and current record for each child. The LPA reviewed files to verify the following documents Immunization Records, LIC 700 Identification, Emergency Medical Treatment, and LIC 995A Notification of Parents’ Rights. The children’s records were complete currently. A consultation was provided for LIC 700 and Emergency Medical Treatment form.
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli BootorabiTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023
LIC809 (FAS) - (06/04)
Page: 3 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: NEWPORT COAST PRESCHOOL
FACILITY NUMBER: 304370937
VISIT DATE: 09/22/2023
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myChildCarePlan.org The facility representative] was informed of the www.MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP).

LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP.

The facility met the California Code of Regulations, Title 22 Division 12 during today’s visit and no citations were provided.

Notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee [or facility representative] (include name).
Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) 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. First-level appeals should be sent to the regional manager at the address listed above. The Notice of Site Visit was posted and discussed as required by H&S Code Sec. 1596.817.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at:
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process
End of Report
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli BootorabiTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023
LIC809 (FAS) - (06/04)
Page: 4 of 5