304371251-9-10-2020-06-CC-KDEI-BTBTDS-20200910143850

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371251
Report Date: 09/10/2020
Date Signed: 09/10/2020 02:39:16 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:	304371251
ADMINISTRATOR:	RICE, SHARLENE		FACILITY TYPE:	830
ADDRESS:	20400 FAIRMONT CONNECTOR		TELEPHONE:	(714) 290-3993
CITY:	YORBA LINDA	STATE: CA	ZIP CODE:	92866
CAPACITY:	19	CENSUS: 9	DATE:	09/10/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Adminsitrator Ms. Rice Sharlene		TIME COMPLETED:	02:45 PM

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Licensing Program Analyst (LPA) Ketki Desai conducted a in person Case Management Licensee initiated inspection for adding a new classroom to the Infant license. The capacity for Infant license shall increase to 30 infants.

LPA met with Facility Administrator Ms. Rice Sharlene, who gave a tour of the new infant classroom along with the additional two infant rooms.

The new infant room is assigned in (Room # 102: Yellow room) It has one sink and one toilet inside the classroom. The other two infant rooms have one sink in each room and additional three potty chairs shall be used for the infants. LPA observed age appropriate furniture and toys for the infants.

On today's inspection the capacity for Infant is being increased to 30 infants ages (6 weeks to 24 months) Monday to Friday 7.00 am to 6.00 PM)

Measurements of the infant rooms are as follows:
Nursery : 18.92 x 20 = 378.40
Yellow: 18.42 x 20.42 = 376.14 ( New room # 102)
Green : 23.75 x 14.67 = 348.14

Total space: 1102.95 divided by 35= 31.51 children

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2020

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: CANYON HILLS CHILDCARE/CANYON HILLS FRIENDS CHURCH	FACILITY NUMBER: 304371251
	VISIT DATE: 09/10/2020

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Sinks and Toilet
4 sinks= 60 children
1 toilet: 15 children plus three potty chairs in younger infant rooms

Infant playground is approximately 2425 square feet divided by 75 is approximately 32 children. Playground area is completely fenced off. Outdoor activity area is supplied with age and size appropriate equipment. Shade is provided by awnings.

Based on today's measurements, facility has enough space for the requested capacity of 30 Infants (6 weeks – 24 months). Monday to Friday 7.00 am to 6.00 PM.

Orange county Fire Authority has granted the Fire clearance for the requested capacity of 70 children
(40 Preschool age children and 30 infants)

Administrator Ms. Rice Sharlene is in process of obtaining the Water testing report for the facility and shall be submitted to LPA.

This report and the appeal rights were presented to the Administrator Ms. Rice Sharlene.

Exit interview conducted and Notice of Site visit issued

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2020

LIC809 (FAS) - (06/04)

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