304370965-2-13-2020-06-CC-ATAR-BLRRDG-20200213115556

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370965
Report Date: 02/13/2020
Date Signed: 02/13/2020 11:56:13 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:	AMERIMONT ACADEMY		FACILITY NUMBER:	304370965
ADMINISTRATOR:	BERNHARDT, KRISTI		FACILITY TYPE:	830
ADDRESS:	5360 STONEHAVEN DRIVE		TELEPHONE:	(714) 693-7700
CITY:	YORBA LINDA	STATE: CA	ZIP CODE:	92887
CAPACITY:	20	CENSUS: 10	DATE:	02/13/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Samantha Madrigal-Administrator		TIME COMPLETED:	12:00 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	Licensing Program Analyst (LPA) Andrea Taylor conducted an on site visit due to increase in the infant program and adding a classroom at the child care center. LPA met with Samantha Madrigal, administrator and Christy Licato, Owner and toured center. The applicant requested to provide care and supervision for children 6 weeks to 2 years of age, Monday through Friday, 6:30 a.m. to 6:00 p.m. in rooms Stars, Sparklers and adding Firecrackers room. A review of the Facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Office area is located front of the building and will serve as the isolation area for ill children temporarily until parents arrive. The staff/adult restroom will be used as the isolation restroom for ill children and is conveniently located to the isolation area. Medication will be stored locked medicine cabinet near front desk. Medication administration forms were reviewed. First Aid supplies were inspected and are stored classroom, on the playground and at front desk inaccessible to children. EMSA approved Pediatric CPR & First Aid are current for the director and expires on 3/20. Provides IMS This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. 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.htm

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Andrea Taylor	TELEPHONE: (714) 658-6048
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

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: AMERIMONT ACADEMY	FACILITY NUMBER: 304370965
	VISIT DATE: 02/13/2020

NARRATIVE

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The following were inspected in the indoor activity space:
· Classroom are adequately equipped with age and size appropriate furniture and equipment
· Sign in/Sign out procedure was reviewed and meets regulation requirements
· There is a working smoke detector, carbon monoxide detector and fire extinguisher that meet statutory requirements
· Cubbies available for storage of individual child’s personal belongings and/or bedding
· The changing table is within arm’s reach of a sink
· The changing table is padded with raised sides
· Bedding will be washed daily on site by the facility
· There is a designated napping area surrounded by a 4 ft wall with sufficient infant napping equipment
· The infant indoor is physically separate from the preschool/toddler component

The indoor activity space was measured and is as follows:
Room Stars 287 sqft
Room Sparkler 470 sqft
Room Firecrackers 422 sqft
Total 1179 sq ft divided by 35 = 34 children

Total children toilets and sinks:
Toilets: 3 X 15 = 45 children
Sinks: 4 X 15 = 60 children

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Andrea Taylor	TELEPHONE: (714) 658-6048
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: AMERIMONT ACADEMY	FACILITY NUMBER: 304370965
	VISIT DATE: 02/13/2020

NARRATIVE

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LPA discussed with the applicant/facility representative that all employees must have criminal record clearances associated to the facility prior to their presence in the facility, staff to child ratio requirements, direct visual supervision requirements, emergency/disaster drills, children records, mandated reporter training, and staff immunization requirements against measles, pertussis, and influenza. Applicant/facility representative was advised the children's bedding must be stored individually and may not touch another children's bedding.

The following were inspected in the indoor activity space;
· Playground is fully enclosed by appropriate fencing
· Outdoor activity space is supplied with age and size appropriate equipment, including slide, tunnels, bikes.....
· An adequate amount of cushioning material
· Adequate shade is provided by umbrellas.

Total outdoor activity space was measure and is as follows:
Yard 3359 sqft

Total: 3359 sqft divided by 75 = 45 children

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Andrea Taylor	TELEPHONE: (714) 658-6048
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

LIC809 (FAS) - (06/04)

Page: 3 of 3