304371258-11-22-2021-06-CC-KDEI-C8ZSKY-20211122125732

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371258
Report Date: 11/22/2021
Date Signed: 11/22/2021 12:57:41 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:	DANA POINT MONTESSORI		FACILITY NUMBER:	304371258
ADMINISTRATOR:	SWINSON, LENA		FACILITY TYPE:	850
ADDRESS:	33501 DEL OBISPO STREET		TELEPHONE:	(949) 443-4213
CITY:	DANA POINT	STATE: CA	ZIP CODE:	92629
CAPACITY:	36	CENSUS: 27	DATE:	11/22/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Administrator: Ms. Swinson, Lena		TIME COMPLETED:	01:15 PM

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Licensing Program Analyst (LPA) Desai, Ketki conducted an unannounced Case Management Licensee initiated inspection for a change in capacity by adding additional 2 new preschool rooms # 3 & 4 along with outdoor space including toilets and sinks.

Currently facility is licensed for 36 Preschool age children (2-6) years old in room # 1 and 2 only, while room # 3 was for Infant program, which is being closed by the Licensee.

Licensee is now requesting a change to the current Preschool capacity from 36 preschool age children to 75 preschool children ages (2-6) years old by adding new rooms # 3 and 4.

Initially Room # 3 was the Infant program and is being closed now. Room # 3 is now being added to the Preschool program.

LPA met with Facility Administrator Ms. Swinson, Lena who gave a tour of the Preschool classrooms and the new room and yard being added to the above site.

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, 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 are available.

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.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

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: DANA POINT MONTESSORI	FACILITY NUMBER: 304371258
	VISIT DATE: 11/22/2021

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

Room Identification	LENGTH	WIDTH	AREA	ENCUMBERED	SPACE
Room #1	29.58	23.92	707.55	126.09	581.46
Room # 2	27.25	20.75	565.43	13.52	551.91
Room # 3	20.75	11.5	238.62	6.52	232.10
Room # 4 (new)	33.17	28.33	939.70		939.70

Total Indoor capacity: 2305’17 divided by 35 = 65’86 (66 children)

Total sinks and toilets

Toilets/Urinals = 5x15= 75 and Sinks: 8 X 15 = 120

Outdoor yards: Facility has three yards surrounding the classrooms. The play yard 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 (soft cushion) is in place under the equipment. Shade is provided by awnings and a Water pitcher and personnel water bottles are used for drinking water. There is a sink for washing hands in the play yard. Additional tables and benches are also placed under the shade for outdoor tabletop activities including lunch activity. The yard has partial grass and concrete flooring.

Outdoor measurements:

Area Identification	LENGTH	WIDTH	AREA	ENCUMBERED	SPACE
Preschool yard # 1	87.33	19.25	1681.10		1681.10
Preschool yard # 2	42.58	23.83	1014.68		1014.68
Preschool Yard # 3	38.67	14.25	551.05		551.05

Outdoor Activity Space: Total: 3246’83 divided by 75 = 43’29 (43 children)

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

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: DANA POINT MONTESSORI	FACILITY NUMBER: 304371258
	VISIT DATE: 11/22/2021

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Facility shall request a Waiver for a rotating schedule between the four classrooms.

Based on today’s inspection and Indoor / Outdoor measurements, Sink and Toilet availability, facility has enough space only to accommodate 66 Preschool age children in the assigned four rooms. Limiting factor is the indoor space.

Administrator Ms. Swinson, Lena has provided the copy of the current CPR / First Aid training valid upto (12/19/22).

Fire clearance approval has been received from Orange county Fire Authority approving the requested capacity of 75 children.
LPA to contact the fire authority for the change in capacity approved on today’s inspection.

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

66 Preschool children (2-6 years old) in Room # 1, 2 , 3 and 4. Monday to Friday 7:30 am to
5:30 pm.
Facility shall submit a Waiver request for rotating schedule for outdoor activities.

Report was read to the Facility Administrator, appeal rights were provided and Notice of Site visit was posted.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

LIC809 (FAS) - (06/04)

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