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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371292
Report Date: 09/03/2019
Date Signed: 09/03/2019 03:42:47 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:WESTMONT PRESCHOOLFACILITY NUMBER:
304371292
ADMINISTRATOR:BAITX-KENNEDY, NICOLEFACILITY TYPE:
850
ADDRESS:8251 HEIL AVENUETELEPHONE:
(714) 847-3561
CITY:WESTMINISTERSTATE: CAZIP CODE:
92683
CAPACITY:48CENSUS: 0DATE:
09/03/2019
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Nicole Baitx-Kennedy, Director Child Director Programs TIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Port conducted an inspection of the facility for the purpose of evaluating the facility for licensure. The applicant has requested a license to care for 48 preschool age children from 2 to 5 years of age Monday through Friday 6:30 AM to 6:00 PM in Rooms B1 and B2. This facility is located on the campus of Westmont Elementary School in the Johann Sebastian Bach building and is operated by the Ocean View School District. Fire clearance from the Orange County Fire Authority was received and supports the requested capacity of 48 children, 24 children in each room (B1 and B2).

LPA toured the entire facility indoors and outdoors. The following measurements were obtained

Indoor:
Room B1: 954 square feet
Room B2: 951 square feet
Total: 1905 square feet/ 35 = 54 children.

Toilets and sinks:
Toilets 4 x 15 = 60 children
Sinks 6 x 15 = 90 children

Outdoor:
Outdoor Yard: 14566 square feet
Total: 14566 square feet/75 = 195 children
A waiver to co-share the outdoor yard on a rotating basis with preschool Special Day Class Students from the elementary school has been received.

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SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Wendy PortTELEPHONE: (714) 293-9315
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2019
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 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: WESTMONT PRESCHOOL
FACILITY NUMBER: 304371292
VISIT DATE: 09/03/2019
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The following was observed:
-Classrooms are adequately equipped with age and size appropriate furniture and equipment
-The health office of the elementary school will serve as the isolation area for ill children until parents arrive.
-Water is available both indoors and outdoors by water fountains.
-Outdoor activity area is supplied with age and size appropriate equipment.
-There is sufficient napping equipment for the children
-Bedding will be sent home weekly to be laundered by parents
-There is adequate shade provided outdoor by a shade structure over the playground equipment and two easy-up tents above the bench area.
-Lunch and snacks are provided the elementary school food services and will be brought to each classroom
-A separate staff restroom outside on the elementary school campus is available for adults.
-Medication will be stored in the preschool office between Room B1 and Room B2 inaccessible to children.
-First Aid kit is complete.
-Sign in/Sign out procedure was reviewed and meets regulation requirements
-There is a working smoke detector, carbon monoxide detector and fire extinguisher that meet State Fire Marshall standards.

Applicant was notified about emergency/disaster drills, posting requirements, children records, mandated child abuse and injury/ death reporting, and fingerprint clearance requirements. A hard copy of Form 311A, Records to be Maintained at the Facility – Child Care Centers was provided to the facility representative. Facility was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov . Facility was advised on Mandated Reporter Training requirements as outlined in Health and Safety Code 1596. 8662. A certificate of completion for Mandated Reporter Training for staff members shall be kept on file. A copy of the Department of Social Services Lead Information Brochure was provided and explained.

Criminal Record and child abuse clearances for school district employees at this facility are monitored by the Department of Education due to being a Title 5 facility.

(Continued on Page 3)
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Wendy PortTELEPHONE: (714) 293-9315
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2019
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: WESTMONT PRESCHOOL
FACILITY NUMBER: 304371292
VISIT DATE: 09/03/2019
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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Based on today’s measurement and the sink and toilet availability, center has sufficient activity space to support the capacity of 24 children in Room B1 and 24 children in Room B2. A license to care for 48 preschool children from 2 years of age to 5 years of age 6:30 AM to 6:00 PM, Monday through Friday will be issued effective 09/03/2019.

Exit interview was conducted. Report reviewed and discussed. Applicant was also advised, once licensed, the Notice of Site Visit must be posted for 30 days and if A violations are cited then the Licensing Report (LIC809 or 9099) must be posted by the Notice of Site Visit for a period of 30 days or $100 civil penalties will be assessed. The licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above. Licensee was informed of how/where to access regulations and forms from CCLD website: www.ccld.ca.gov.

SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Wendy PortTELEPHONE: (714) 293-9315
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2019
LIC809 (FAS) - (06/04)
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