304370981-7-10-2023-06-CC-ABOI-CT3KSG-20230623080929

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370981
Report Date: 06/22/2023
Date Signed: 07/10/2023 07:06:40 AM

Document Has Been Signed on 07/10/2023 07:06 AM - 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:	GRATITUDE GARDEN PRESCHOOL		FACILITY NUMBER:	304370981
ADMINISTRATOR:	HEUBNER TAMMY		FACILITY TYPE:	850
ADDRESS:	92 AVENIDA LA PATA		TELEPHONE:	(949) 572-4453
CITY:	SAN CLEMENTE	STATE: CA	ZIP CODE:	92673
CAPACITY:	55	CENSUS: 42	DATE:	06/22/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Tammy Huebner		TIME COMPLETED:	03:45 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 06/22/2023 Licensing Program Analyst (LPA), Mrs. Araceli Bootorabi conducted an on site visit for the purpose of a 1 year required inspection. LPA and director Tammy Huebner toured the facility inside and outside and the floor and yard plan (LIC 999) were verified. Upon arrival, an Entrance Checklist (LIC 125) was provided to director Tammy Huebner. Census was taken upon entry of each classroom: The Nest Classroom - 5 Children & 1 Teacher Sprouts A Classroom - 10 Children & 2 Teachers Sprouts B - 6 Children & 1 Teacher Blossom A Classroom - 9 Children & 1 Teacher Blossom B - 12 Students & 1 Teacher *Documents reviewed and to be posted in a prominent, publicly accessible area at the facility* 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. The Facility License and Waiver was posted in the directors office and a consultation was provided. The facility did not have the LIC 610 check off and a consultation was provided. *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 5 of 5 documents available for review. SIGN IN AND SIGN OUT The facility is currently using paper to sign in/out. The LPA observed the sign-in procedure consisting of parent signature next to the child's name in each classroom and time dropped off/up. Parent signature is not eligible to identify who drops off or picks up children. A consultation was provided.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli Bootorabi	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023

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: GRATITUDE GARDEN PRESCHOOL	FACILITY NUMBER: 304370981
	VISIT DATE: 06/22/2023

NARRATIVE

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FIRE DRILL LOG
The LPA reviewed the Drill Log and concluded that the last Earthquake & Fire drill was conducted on 3/1/2023 and 3/2/2023.

CLASSROOMS
Classrooms 3 out 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.
The LPA observed bunnies in cages inside Sprouts and Blossom classroom. All three classrooms had birds inside bird cages.

NAPPING EQUIPMENT
Nap matts used for napping were observed to be maintained in a safe condition.
The facility was reminded that napping equipment shall be arranged so that each child has access to a walkway without having to walk on or over the cots or mats of other children. Bedding shall not be shared by different children without first laundering the bedding. Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding.

DRINKING WATER
Drinking water was observed and readily available to children in both indoor and outdoor activity areas.

FOOD SERVICES
The facility does not provide meals to children. Children bring their meals from home. LPA observed lunch bags in the classroom. The center does provide two snacks during the day and food was observed to be stored and prepared in the kitchen.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli Bootorabi	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023

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: GRATITUDE GARDEN PRESCHOOL	FACILITY NUMBER: 304370981
	VISIT DATE: 06/22/2023

NARRATIVE

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IDENTIFICATION AND LOCATION OF MEDICATION STORED IN THE FACILITY
The LPA observed medication being stored in a locked cabinet inside the directors office. The LPA reviewed the record of current medications, including the name of the prescribing physician, and instructions. Upon review the LPA observed one medications that were expired and a consultation was provided during today's inspection.
This facility provides Incidental Medical Services – IMS. LPA reviewed the 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 Family Child Care Homes Section 102417.
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)
Commonly Asked Questions American Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
Know the Law About The Americans with Disabilities Act and Individuals with Disabilities Education Act https://rrnetwork.org/assets/general-files/Child-Care-Law-Center-ADA_IDEA_Housing-April-2019.pdf

CARBON MONOXIDE – SMOKE DETECTOR – FIRE EXTINGUISHER
A functioning carbon monoxide detector alarm was tested by the director during today’s visit and was observed to be functioning. A fire extinguisher was observed in the nest classroom by the front door and it was last serviced March 2023 and marked in full.

OUTDOOR ACTIVITY SPACE
The surface of the outdoor activity space for the NEST outdoor play ground 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 ground material in the outdoor space consists of artificial grass. The outdoor equipment and toys were not in good repair and were not free of sharp edges. There are no bodies of water present at the facility. The facility’s outdoor grounds are not safe, sanitary, and in good repair. The LPA observed two children bikes that were rusting and missing pedal, and a children's plastic pool that was broken in the middle with sharp edges. A consultation was provided. The director has removed all three items from the nest play ground during today's inspection and the playground.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli Bootorabi	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023

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: GRATITUDE GARDEN PRESCHOOL	FACILITY NUMBER: 304370981
	VISIT DATE: 06/22/2023

NARRATIVE

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The surface of the outdoor activity space for Sprouts & Blossoms 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 consists of sand. 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
chickens in the outdoor space inside a caged 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 is at least one staff CPR & First Aid Certified. Mandated Reporter training was verified.

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.
LPA provided Guardian Information and website info:
https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian
Video:
https://ccld.childcarevideos.org/family-child-care-providers/background-check-requirements-for-caregivers/
CCLD website www.ccld.ca.gov was provided to licensees to access regulations, updates, and licensing forms.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli Bootorabi	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023

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: GRATITUDE GARDEN PRESCHOOL	FACILITY NUMBER: 304370981
	VISIT DATE: 06/22/2023

NARRATIVE

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Children’s Records Reviewed
The LPA requested complete children’s records of 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 and a consultation was provided for the importance of staying up to date with records.

Child Care Licensing Program Webinars: The Child Care Licensing Program is pleased to continue offering webinars to share important information with the childcare licensing community in 2023.
2023 Webinar Schedule
• Tuesday, June 27, 2023, 6:00 p.m.
• Tuesday, September 26, 2023, 6:00 p.m.
• Tuesday, December 12, 2023, 6:00 p.m.
To register for webinars, see Provider Information Notice (PIN), PIN 22-30-CCP.

Children and Car Safety: Leaving infants or children unattended in a parked car can have disastrous
consequences, as the temperature inside a vehicle can rise quickly, even with a cracked window. Before
leaving a vehicle, it is crucial to double-check that everyone has exited and to check the backseat for any
children who may have fallen asleep. To avoid forgetting a child in the car, caregivers can place a stuffed
animal in the front seat as a reminder and best practice suggestion. Providers are reminded that you are
responsible for the care and supervision of children during transportation regardless of the vehicle type (car or van). It is recommended that providers create, educate, and enforce policies and practices to ensure the safe transportation of children in care.

Heat Precautions in Child Care: Health and age play a significant role in how people react to extreme heat.
Individuals at most significant risk for heat-related illness include infants and children up to four (4) years of
age. By knowing how to prepare for a heat wave, and what to do when one occurs, you can avoid the biggest health dangers, such as heat exhaustion and heat stroke. Before sending children out to play, adequate supervision is required and staff need to know how to protect them against heat-related illness. Providers must meet the requirements of the applicable HSC, Child Day Care Act, Sections 1596.70 et seq., and California Code of Regulations, Title 22, Division 12. Have a safe, healthy, and enjoyable summer!

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli Bootorabi	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/10/2023 07:06 AM - It Cannot Be Edited

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: GRATITUDE GARDEN PRESCHOOL	FACILITY NUMBER: 304370981
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/22/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101223(a)(2)

Personal Rights

(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interviewing the director and record review, the licensee did not comply with the section cited above by means of having expired medication stored for a child and distributing it to the child which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/22/2023
	Plan of Correction
1 2 3 4	The director stated that her plan would be that everytime she gets a new medication from a parent the experation date will be put in her calander so she can let parents know to get the facility something different or the child cannot take it anymore.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli Bootorabi	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023

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: GRATITUDE GARDEN PRESCHOOL	FACILITY NUMBER: 304370981
	VISIT DATE: 06/22/2023

NARRATIVE

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The facility did not meet the California Code of Regulations, Title 22 Division 12, and regulations not met were observed, discussed, and cited at the time of the visit.

The following violations of the California Code of Regulations, Title 22; Division 12, were observed and cited today:CCR 101223(a)(2)

An exit interview was conducted with Tammy H in English. 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. Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00. The Notice of Site Visit must be posted on or adjacent to the door.

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: 06/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023

LIC809 (FAS) - (06/04)

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