304371085-2-13-2020-06-CC-MMAK-BLRU8F-20200213142128

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371085
Report Date: 02/13/2020
Date Signed: 02/13/2020 02:21:33 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:	MISSION HILLS CHRISTIAN SCHOOL		FACILITY NUMBER:	304371085
ADMINISTRATOR:	FAULKNER, LINDA		FACILITY TYPE:	850
ADDRESS:	29582 AVENTURA		TELEPHONE:	(949) 589-4504
CITY:	RANCHO STA MARGARITA	STATE: CA	ZIP CODE:	92688
CAPACITY:	40	CENSUS: 18	DATE:	02/13/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Director		TIME COMPLETED:	02:45 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	Page 1 of 1 An unannounced case management inspection was conducted today by Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek for the purpose of increasing the capacity by adding one more classroom. The facility has requested to increase their capacity from 40 to 52 preschool children in rooms 401, 405, 406, and 506. Monday through Friday from 7:00am to 6:00 pm ages 3 to 5 years old. The new room that will be added is room 506. A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA met with director, Linda Faulkner. LPA toured the facility inside and outside with the director. Census was taken. There were a total of 18 preschool children with 3 staff in two different classrooms. All the current rooms were inspected (401, 405, and 406). The new room 506 was measured and it was approximately 410 square feet. Based on the measurement of 4/27/2016 total indoor measurement for rooms 401, 405, and 406 are proximately 1412 square feet. Therefore 1412 square feet + 410 square feet = 1822 square feet divided by 35= 52 children. There are two toilets and 5 sinks inside the classrooms for children's use. There are 2 toilets and one sink from the boys bathroom and there are 2 toilets, and one sink from the girls bathroom outside the classroom located on the elementary ground. These outside bathrooms are shared with kindergarten children form elementary school. (A waiver is required) Continued on page 2

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
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)

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: MISSION HILLS CHRISTIAN SCHOOL	FACILITY NUMBER: 304371085
	VISIT DATE: 02/13/2020

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

Page 2 of 2

Based on the measurement of 4/27/2016 the outside activity area (playground) measurement is approximately 3392 square feet divided by 75 = 45 children

Playground is completely enclosed by a fence. Outdoor activity area is supplied with age and size appropriate equipment including climbing structures. An adequate amount of cushioning material is in place under the equipment. Shade is provide by a canopy cover and water fountain provide drinking water.

An exit interview was completed. Appeal Rights were reviewed. 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. The licensee was provided a copy of their appeal right (LIC 9058 1/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days. First level appeal is to Regional Manager, address is above on the report.
A copy of child care provider's guide to safe sleep pamphlet and a copy of Never Ever Shake a Baby pamphlet with the website www.dontshake.org and an updated pamphlet regarding safe sleep regulations in childcare and a pamphlet for lead poisoning facts were given to the director on the last inspection date.
In the areas that were evaluated, the facility was in compliance of the California Code of Regulations, Title 22, Division 12. No deficiency was cited.
The increasing capacity approval remains pending after the following documents are received and reviewed by the Department.

1- waiver request for the requested capacity for outdoor space since the outdoor space accommodates 45 children.
2- Waiver request for the preschool children to share the restrooms outside the classrooms with kindergarten children of elementary school. (A sign needs to be posted to designate one stall from each restroom for preschool children).
3- Carbon Monoxide Detector for room 506 since the rooms are far away from each other. (Room 401, 405, and 406 are equipped with Carbon Monoxide Detectors).

This report ends here.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
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 2