304371250-4-9-2021-06-CC-KDEI-BZWRSG-20210409131643

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371250
Report Date: 04/09/2021
Date Signed: 04/09/2021 01:16:54 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:	CANYON HILLS CHILDCARE/CANYON HILLS FRIENDS CHURCH		FACILITY NUMBER:	304371250
ADMINISTRATOR:	RICE, SHARLENE		FACILITY TYPE:	850
ADDRESS:	20400 FAIRMONT CONNECTOR		TELEPHONE:	(714) 290-3993
CITY:	YORBA LINDA	STATE: CA	ZIP CODE:	92866
CAPACITY:	40	CENSUS: 32	DATE:	04/09/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Administrator Ms. Rice Sharlene		TIME COMPLETED:	12:00 PM

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Licensing Program Analyst (LPA) Ketki Desai conducted an unannounced Case Management Licensee initiated inspection for a change in capacity. Licensee is requesting an increase to the current Preschool capacity from 40 preschool age children to 51 preschool children ages (2-5 years old by adding one new classroom (Room # 102 also identified as a yellow room to the Preschool license.

LPA met with Facility Administrator Ms. Rice, Sharlene, who gave a tour of the Preschool classrooms.

All areas identified on the Facility Sketch were inspected. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Storage for children's belongings and an isolation area with sink, toilet, and cot were inspected. Availability of drinking water was reviewed. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, paper towels, area safety and sanitation. First Aid supplies were inventoried. Playground is completely enclosed by a fence. Outdoor activity area is supplied with age and size appropriate equipment including a climbing structure. An adequate amount of cushioning material is in place under the equipment. Shade is provided by awnings and a Water pitcher and personnel water bottles are used for drinking water. A review of medication policy, including administering, labeling, storage, and records were made, disaster drills, posting requirements, children records, mandated child abuse and injury/death reporting, and criminal records clearances/exemption transfer requests.

All the three Preschool rooms were measured on today’s inspection and the measurements are as follows:

Room # 101 (Red) 22'75 x 23'58 = 536'45 - 8'52= 527'93

Room # 102 (Yellow) 18'42 x 20'42 = 376'14

Room # 104 (Blue) 42 x 23'83 = 1000'86 -93'44 = 907'49

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2021

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: CANYON HILLS CHILDCARE/CANYON HILLS FRIENDS CHURCH	FACILITY NUMBER: 304371250
	VISIT DATE: 04/09/2021

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Total Indoor capacity: 1811.49 / 35 = 51.76 (52 children)

Outdoor Activity Space (previously measured on 04/10/2019): 10,000 square feet divided by 75 is approximately 133 children.

Total Sinks: 5 x 15 = 75
Total Toilets: 5 x 15= 75 (One toilet in room # 102)

Based on today's inspection facility has enough space for the requested capacity of 51 Preschoolers . Monday to Friday 7.00 am to 6.00 PM, in the three designated classrooms.

Administrator Ms. Rice, Sharlene is current on the required CPR training (3/23) including the Preventative Health and Safety Nutrition and Lead Poisoning training and facility has completed the new Water testing requirement.

Facility shall now use the Room # 101 (Red) / Room # 102 (Yellow) and Room # 104 (Blue) for the Preschool component.

License shall be granted after the final approval by the management.

Report was read to the Facility Administrator and appeal rights were provided.

Notice of site visit posted.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2021

LIC809 (FAS) - (06/04)

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