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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371417
Report Date: 05/09/2022
Date Signed: 05/09/2022 11:50:26 AM

Document Has Been Signed on 05/09/2022 11:50 AM - It Cannot Be Edited

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:COMMUNITY SEEDLINGS PRESCHOOLFACILITY NUMBER:
304371417
ADMINISTRATOR:CONTI FETTER, CARRIEFACILITY TYPE:
850
ADDRESS:27002 CAMINO DE ESTRELLATELEPHONE:
(949) 215-5355
CITY:CAPISTRANO BEACHSTATE: CAZIP CODE:
92624
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 46DATE:
05/09/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator Ms. Conti Fetter, Carrie TIME COMPLETED:
12:00 PM
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An unannounced case management inspection was conducted on this date by Licensing Program Analyst (LPA) Desai, Ketki for the purpose of adding a room (Palm Room # 6) and an increase in capacity The facility is currently licensed for 80 children and is requesting to increase to 95 children. LPA Desai, Ketki met with Director Conti Fetter, Carrie, who guided analyst on a tour of the facility. Census was taken. There were 46 preschool children pre sent; with ten staff supervising the children present. Currently facility’s operations hours are Monday-Friday 7:30 a.m.- 5:00 p.m, serving ages 2.5 to 5.5 years old; in classrooms: Room #1 (Oak) Room # 2 (Sequoia), Room # 3 (S.T.E.M) Room # 4& 5: Cypress along with the Multipurpose Napping room. Facility is now adding new room # 6 (Palm room)

A review of staff records on this date indicates that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The following was observed in added Preschool Room:
· Age appropriate furniture and equipment
· Room is well lighted and ventilation was good
· Drinking water is available through water pitchers and personal water bottles
· Sign in and out procedures were reviewed (Manual)

Indoor measurements : Room # 6 was measured on today's inspection.

Total Indoor measurements : 4117'18 divided by 35 = 117'63 (118 children)

Facility has sufficient indoor space to accommodate the request capacity of 95 children.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2022
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: COMMUNITY SEEDLINGS PRESCHOOL
FACILITY NUMBER: 304371417
VISIT DATE: 05/09/2022
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Bathroom is located in the hallway, adjacent to the classroom.
Total sinks and toilets : Toilets: 7 X 15 = 105 children and Sinks: 9 X 15 = 135 children

There are sufficient sinks and toilets for 95 children the requested capacity.

Playground is completely enclosed by a fence. Outdoor activity area is supplied with age and size appropriate equipment including climbing structures, tricycles. An adequate amount of cushioning material is in place under the climbing equipment. (Tyre chips/ sand and wooden chips) Shade is provided by trees , awings along with shaded structures and drinking is provided by a water pitcher and personal water bottles.

Total outdoor activity space: 12884.45 divided by 75 = 171.79 (172 children)

After a tour of the center, no deficiency was observed.

Facility Administrator is current on the required Pediatric CPR/First Training: Valid up to 009/02/2023

Based on today’s Indoor and Outdoor measurements, sink & toilet availability, center has enough activity space to support the requested capacity of 95 preschool children.

Fire clearance was granted by Orange County Fire Authority for a total of 95 total capacity.

License shall be issued upon Management approval.
Criminal Record Statement : Facility Representative (Ms. Conti Fetter, Carrie ) was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2022
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: COMMUNITY SEEDLINGS PRESCHOOL
FACILITY NUMBER: 304371417
VISIT DATE: 05/09/2022
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Safe Sleep: LPA discussed the safe sleep regulations with Facility Representative (Ms. Conti Fetter, Carrie) discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed [applicant, licensee, or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services : This facility provides Incidental Medical services. IMS. For IMS information, see PIN 22-02-CCP. 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

Exit Interview: Exit interview conducted and report was reviewed with the Facility Representative (Ms. Conti Fetter, Carrie)

Review of records to be maintained : Child Care Centers :LPA reviewed with Facility Representative (Ms.Conti Fetter, Carrie) the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Notice of Site Visit

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2022
LIC809 (FAS) - (06/04)
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