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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371285
Report Date: 02/12/2020
Date Signed: 02/12/2020 11:37:49 AM

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:ENVIRONMENTAL NATURE CENTER (ENC) NATURE PRESCHOOLFACILITY NUMBER:
304371285
ADMINISTRATOR:BIERLICH, SUSAN M.FACILITY TYPE:
850
ADDRESS:745 DOVER DRIVETELEPHONE:
(949) 645-8489
CITY:NEWPORT BEACHSTATE: CAZIP CODE:
92663
CAPACITY:75CENSUS: 27DATE:
02/12/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Susan BierlichTIME COMPLETED:
12:00 PM
NARRATIVE
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The purpose of this visit was to conduct a Case Management Evaluation of the facility. LPA Jungmi Han and director toured the facility. A census was taken. The overall census observed was 7 preschool staff and 27 preschool children. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 2/7/2020, the Licensing Office received a self-report an incident that occurred on 2/7/2020. The facility filed Unusual Incident Report (UIR) stating that a child was discovered alone in a locked restroom. It was reported that the child was out on the play yard and used restroom without staff’s supervision. During the transition, child#1 left alone in the locked restroom for about 5 minutes. The door for the the outdoor restroom remains locked and each staff carries key.

LPA Han interviewed the director and 2 out of 7 staff who were present during the incident. It was related to LPA Han that around 2:55 PM child#1 went out to outdoor area with staff#1. Approximately at 3:00PM, staff#1 sent a child#2 to outdoor restroom with staff#2. At about 3:05PM, child#1's babysitter came to pick up child#1. Staff#1 couldn't find child#1 from outdoor area. Staff#1 checked out locked restroom. Staff#1 found child#1 was pooping alone at the second toilet. The child was not qualified for the interview.

Based on LPAs observations and interviews the following violation was observed is being cited in accordance with California Code of Regulations, Title 22, Division 12, Chapter 3, Section 101229 (a)(1) is being cited on the attached LIC 809D. Civil penalty has been issued.

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SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jung Mi HanTELEPHONE: (714) 309-7211
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020
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: ENVIRONMENTAL NATURE CENTER (ENC) NATURE PRESCHOOL
FACILITY NUMBER: 304371285
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/12/2020
Section Cited

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101229 (a)(1) Responsibility for Providing Care and Supervision (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement is not met as evidenced by:
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Based on 3 out of 7 staff interviews, staff#2 failed to ensure to provide supervision at all times. The child was in locked outdoor restroom alone for less than 5 minutes without any supervision. This poses an immediate Health and Safety risk to the children in care.
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**Civil penalty has been issued **

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jung Mi HanTELEPHONE: (714) 309-7211
LICENSING EVALUATOR SIGNATURE:
DATE: 02/12/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/12/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: ENVIRONMENTAL NATURE CENTER (ENC) NATURE PRESCHOOL
FACILITY NUMBER: 304371285
VISIT DATE: 02/12/2020
NARRATIVE
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LPA Han discussed the incident with director.

LPA received during the case management evaluation:


· Each classroom daily schedule
· Center policy including supervision
· Meeting Agenda forTeacher/Staff meeting on 2/11/2020
· Meeting Summary for Teacher/Staff meeting on 2/11/2020
· Notification letter to all parents about the incident on 2/7/2020

LPA informed director about TSP (Technical Support Program) referral service. Director requested LPA to add the facility on the TSP referral service.

An exit interview was completed with director. The report was reviewed and discussed. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

If the facility receives a Type A violations, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day, and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file. Failure to post Type A reports for 30 days will result in a Civil Penalty of $100.00

The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.

End of Report

SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jung Mi HanTELEPHONE: (714) 309-7211
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020
LIC809 (FAS) - (06/04)
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