304370946-9-27-2023-06-CC-ABOI-CW3VB8-20230927161706

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370946
Report Date: 09/27/2023
Date Signed: 09/27/2023 04:17:27 PM

Document Has Been Signed on 09/27/2023 04:17 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:	ST. EDWARD THE CONFESSOR PRESCHOOL		FACILITY NUMBER:	304370946
ADMINISTRATOR:	BADER, NICOLE		FACILITY TYPE:	850
ADDRESS:	33866 CALLE LA PRIMAVERA		TELEPHONE:	(949) 496-1241
CITY:	DANA POINT	STATE: CA	ZIP CODE:	92629
CAPACITY:	66	CENSUS: 98	DATE:	09/27/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	BADER, NICOLE		TIME COMPLETED:	05:00 PM

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 09/27/2023 Licensing Program Analyst (LPA), A. Bootorabi conducted an on site visit for the purpose of a 1 year required inspection. LPA and Director, Nicole Bader toured the facility inside and outside. Census was taken upon entry of each classroom: Mini Monarch Room 12 Children 2 Staff / Mighty Monarch 7 Children 1 Staff / Jr Monarch 11 Children 2 Staff 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 entrance of the classrooms and in the directors office and visible to the public. A consultation was provided to ensure all documents are posted and visible to families. Menu's are not posted as a portal is available for parents who choose to use the lunch service provided by the school from an outside vendor or parents can also choose to bring their own lunch. The menu for meals is available on the school's website (stated by director). 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 4 of 4 documents available for review. The last Fire Drill was conducted on 09/06/2023. The daily activity schedule was posted in the director's office and classrooms have copies too (stated by director). The facility is using a paper/pen to sign in and out children. Page 1

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli Bootorabi	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023

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: ST. EDWARD THE CONFESSOR PRESCHOOL	FACILITY NUMBER: 304370946
	VISIT DATE: 09/27/2023

NARRATIVE

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CLASSROOM TOUR: Classrooms 3 of 3 were toured with the director. Classrooms 3 of 3 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.

The tables and chairs were observed to be scaled to the size of the children in the classrooms. All play equipment and materials used by children were observed to be age-appropriate. The facility provided a variety of age-appropriate equipment, toys, and materials in good condition and in sufficient quantity to allow children present to fully participate in planned activities. Furniture and equipment were observed to be maintained in good condition, free of sharp, loose, or pointed parts.

NAPPING EQUIPMENT: Mats used for napping were observed to be maintained in a safe condition. The director stated that each child stores their napping equipment in a bag to avoid equipment touching one another. The director stated that parents bring their own bedding and take it home the last day children come to school each week.

DRINKING WATER: The facility was reminded that drinking water from a non contaminating fixture or container shall be readily available both indoors and in the outdoor activity area. The children in care shall be free to drink as they wish. Anchored steps or a broad based platform shall be utilized when a drinking fountain is too high for the children in care.

FOOD SERVICES: The school receives food from a third party vendor and parents request the meals children will have or can bring their own lunch. The vendor sends a copy of the food being delivered and ordered with deliver. The director stated that they reference that sheet to ensure children receive the correct meal.

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. A consultation was provided regarding LIC 9221form for children enrolled in the program.
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 Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli Bootorabi	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023

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: ST. EDWARD THE CONFESSOR PRESCHOOL	FACILITY NUMBER: 304370946
	VISIT DATE: 09/27/2023

NARRATIVE

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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 hall way and was last serviced in August 2023.

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 structure in the outdoor space for preschool children consists of soft cushion material. 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 sand boxes, artificial grass, children size tables and shaded areas.

PERSONNEL RECORDS review began at 2:28 pm: 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. Mandated Reporter training expired today 9/27/2023 and a consultation was provided to the director. There was at least one staff CPR & First Aide Certified within the records reviewed. LPA consulted the director regarding fully qualified staff.

BACKGROUND CLEARANCE : A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
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SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli Bootorabi	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023

LIC809 (FAS) - (06/04)

Page: 3 of 11

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: ST. EDWARD THE CONFESSOR PRESCHOOL	FACILITY NUMBER: 304370946
	VISIT DATE: 09/27/2023

NARRATIVE

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Children’s Records Reviewed : The LPA requested complete children’s records of X 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 are complete currently. A consultation was provided for missing admissions agreement. (record review ended 3:02 pm)

myChildCarePlan.org : The director 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.

Safe Sleep: LPA discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Lead Testing: 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.
No records were found for the facility and LPA requested a copy of testing.

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 director.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli Bootorabi	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023

LIC809 (FAS) - (06/04)

Page: 4 of 11

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: ST. EDWARD THE CONFESSOR PRESCHOOL	FACILITY NUMBER: 304370946
	VISIT DATE: 09/27/2023

NARRATIVE

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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 Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli Bootorabi	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023

LIC809 (FAS) - (06/04)

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