304371034-9-17-2019-06-CC-STOE-BG55FD-20190917195457

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371034
Report Date: 09/17/2019
Date Signed: 09/17/2019 07:55:06 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:	BOUSD- LAUREL EARLY LEARNING CENTER		FACILITY NUMBER:	304371034
ADMINISTRATOR:	MARTINEZ, MELISSA		FACILITY TYPE:	850
ADDRESS:	200 S. FLOWER AVE		TELEPHONE:	(714) 990-7550
CITY:	BREA	STATE: CA	ZIP CODE:	92821
CAPACITY:	22	CENSUS: 10	DATE:	09/17/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:35 PM
MET WITH:	Melissa Martinez, Director		TIME COMPLETED:	02:35 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	An unannounced inspection was conducted by the Licensing Program Analyst (LPA) Torrence on 09/17/2019. During this inspection, LPA Torrence met with Director Melissa Martinez, who guided analyst on a tour of the Early Childhood Setting indoors and outdoors. Upon arrival there were 10 napping children present; with two staff supervising. This program operates 7:00 a.m. to 6:00 p.m., Monday-Friday, serving ages 3-5-year-old, on the Laurel Elementary School campus in classroom 16. The facility has waivers to share the playground and the elementary school bathrooms. A review of staff records on this date indicates that all facility staff or other individuals who required 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. Food is provided by the school’s cafeteria. Per the Director there was no weapons or firearms at the facility. LPA observed no bodies of water in the facility. The playground was inspected for safety, good condition of equipment, including appropriate cushioning material around and under high climbing equipment.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: BOUSD- LAUREL EARLY LEARNING CENTER	FACILITY NUMBER: 304371034
	VISIT DATE: 09/17/2019

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
26
27
28
29
30
31
32

Staff's files were reviewed for education verification, and required immunization's for (Measles, Pertussis, and Influenza vaccines). At least one staff member present had current Pediatric CPR & First Aid on file. Staff is in the process of completing the mandated reporter training.

A sample of children's files were reviewed for completeness of admission agreement, immunization, and all licensing required documents. There was a carbon monoxide detector present at the facility.

LPA reviewed and discussed the following with the facility Director: Quarterly updates and Child Care Advocate Program childcareadvocatesprogram@dss.ca.gov.

During this inspection, there were no deficiency cited in accordance with California Code of Regulations, Title 22, Division 12.

Exit Interview conducted. Report was reviewed and discussed with Director. The licensee was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. The first level appeal is to regional manager, address is above on the report. 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. LPA informed the licensee of how to access regulations and forms from CCLD websites. http://www.ccld.ca.gov/http://ccld.ca.gov/PG411.htmThis report is to be on file and accessible for public review at the facility for at least 3 years.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2