304371452-10-6-2020-06-CC-KDEI-BU5RSY-20201006131731

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371452
Report Date: 10/06/2020
Date Signed: 10/06/2020 01:17:50 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:	SPECTRUM MONTESSORI AT PORTOLA SPRINGS		FACILITY NUMBER:	304371452
ADMINISTRATOR:	FRANCO, BRENDA		FACILITY TYPE:	850
ADDRESS:	950 TOMATO SPRINGS ROAD		TELEPHONE:	(714) 651-4031
CITY:	IRVINE	STATE: CA	ZIP CODE:	92618
CAPACITY:	204	CENSUS: 0	DATE:	10/06/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Administrator Franco Brenda		TIME COMPLETED:	01:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Ketki Desai conducted an on site pre licensing inspection at this proposed child care center. LPA met with Facility Administrator Ms. Franco, Brenda along with Owners Ms. Hang, Shirley and Mr. Ayres Scott and toured the new center. The applicant has requested to provide care and supervision for children 18 months to 3 years old in the Toddler rooms and 2.5 years to 6 years in the preschool classrooms, Monday through Friday, 7.00 am. to 6.00 PM, in the Ten assigned rooms ( Three Toddler classrooms , Seven Preschool rooms and one Multipurpose room). A review of the Facility Personnel Report Summary 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. The facility is located in front of the community parking lot, it has ample open parking space for the parents drop off and pick up. To access the facility, parents shall be given a digital code, per Facility Administrator the main door shall remain closed and locked. Facility Reception area is located in front of the entrance door to guide the parents upon entering the facility. The sign in shall be completed in each individual classrooms manually , but currently due to Pandemic they shall be signed in by the staff who shall guide the children to their assigned classrooms. Upon entering the Director‘s office is on the right hand side and it will serve as the isolation area for ill children temporarily until parents arrive. The staff/adult restroom will be used as the isolation restroom for ill children and is conveniently located to the isolation area. Incidental Medication services shall be provided by the facility, required medications will be stored in the Director’s office in a locked cabinet. Medication administration forms were reviewed. First Aid supplies were inspected and are stored in the Director’s office. EMSA approved Pediatric CPR & First Aid are current for the director and expires on ( June 2022) .Applicants have completed the 8-hour Preventative Health Practices and Nutrition and Lead Course. The facility is a new construction completed in 2020. Facility has provided the water testing certificate. Page-1

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2020

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: SPECTRUM MONTESSORI AT PORTOLA SPRINGS	FACILITY NUMBER: 304371452
	VISIT DATE: 10/06/2020

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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

The following were inspected in the indoor activity space: 10 Classrooms
· Classrooms are adequately equipped with age and size appropriate furniture and equipment
· Drinking water is available inside by filtered water dispenser (Water fountains in the out door area.
· Sign in/Sign out procedure was reviewed and meets regulation requirements (manual sign in and out)
· There is a working smoke detector, carbon monoxide detector and fire extinguisher that meet statutory requirements (Sprinkler system has been installed)
· Cubbies available for storage of individual child’s personal belongings and/or bedding in each classroom
· Napping equipment shall be stored in individual cubbies when not in use and cots shall be used. Linens are to be provided by the parents.
Center has a catering company who shall cater lunches which shall be delivered in individual packs to the children while AM/PM snacks shall be provided by the Center. If the lunch is not catered, it shall be brought from home and labelled. There is a kitchen area with Freezer and Storage cabinets. Snacks shall be prepared in the kitchen area and would be taken to each classroom. Dry snacks shall be stored in air tight containers. The kitchen area shall be locked inaccessible to children. Evaluator reviewed Title 22 Sections 101227 and 101327 with applicant and that the licensee is ultimately responsible to provide adequate, nourishing food. If food is brought from home the containers shall be labelled and stored appropriately .

LPA discussed the posting requirements including, but limited to, the following:
· Facility License in public area (101160)
· Emergency Disaster Plan (LIC 610)
· Earthquake Preparedness Check List (LIC 9148)
· Parents’ Rights Poster (PUB 393)
· Personal Rights (LIC 613A) (Page-2)

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2020

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: SPECTRUM MONTESSORI AT PORTOLA SPRINGS	FACILITY NUMBER: 304371452
	VISIT DATE: 10/06/2020

NARRATIVE

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· Menus
· Activity Schedule
· Notice of Site Visit (LIC 9213) and Type A deficiencies
· Plan of Corrections of Type A deficiencies
· Granted Waivers (available for review)
· Child Car Seat Law (PUB 269)

The indoor activity space was measured and is as follows: Three Toddler Classrooms
Toddler room # 1(Big area) 17.12 x 15.58 =300.97 -17.00= 283.97
Toddler room #1 (Small area) 10.5 x 12.58 =132.09
Toddler room # 2( Big area) : 17.25 x 18.17 =313.43- 17= 296.43
Toddler room # 2(small area) 10.33 x 12.75 = 131.71
Toddler room # 3 (Big area) 17.25 x 18.17 = 313.43 -17= 296.43
Toddler room # 3 (Small area) 10.42 x 11.25 = 117.23

Total Indoor capacity for Toddlers: 1257.86 Divided by 35 = 35.94 ( 36 toddlers )

Toddler play yard = 60 x 45 = 2700 divided by 75= 36 Toddlers
Sinks 6 x 15= 90
Toilets : 5 x 15 = 75 children

Each Toddler room has age and size appropriate furniture and activities.

Toddler option is attached to the Preschool License.

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SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2020

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: SPECTRUM MONTESSORI AT PORTOLA SPRINGS	FACILITY NUMBER: 304371452
	VISIT DATE: 10/06/2020

NARRATIVE

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Indoor measurements for Seven Preschool Classrooms is as follows
Preschool (7) Big area : 26.25 x 27.08= 710.85 - 17= 693.85
Preschool (7) Small area: 17.17 x 6.83 = 117.27
Preschool (6) Big area: 32 x 22.42 = 717.44 - 17 = 700.44
Preschool (6) Small area: 21.42 x 6.5 = 139.23
Preschool (5) Big Area: 32 x 22.25= 712.00 -17= 695.00
Preschool (5) Small area : 21.5 x 6.58 = 141.47
Preschool (4) Big area: 32 x 22.25 = 712.00 - 17 = 695.00
Preschool (4) Small area : 21.5 x 6.58 = 141.47
Preschool (3) Big Area: 32 x 22.25 = 712.00 -17 = 695.00
Preschool (3) small Area 21.5 x 6.58 = 141.47
Preschool (2) Big area: 32 x 22.25 =712.00 -17= 695.00
Preschool (2) Small area: 21.5 x 6.58 = 141.47
Preschool (1) Big area: 32 x 22.25 = 712-17= 695.00
Preschool (2) Small area: 21.5 x 6.58 =141.47
Multipurpose room : 28.75 x 24.17 = 694.89

Total Indoor space: 6,528.84 divided by 35 = 186.53

Preschool yard : 221.5 x 88.08 = 19509.72 -120= 19389.72
total outdoor space for Preschool : 19389.72 divided by 75= 258.53

Sinks : 22 x 15 = 330
Toilets: 15 x 15 = 225

LPA discussed with the applicant/facility representative that all employees must have criminal record clearances associated to the facility prior to their presence in the facility, staff to child ratio requirements, direct visual supervision requirements, emergency/disaster drills, children records, mandated reporter training, and staff immunization requirements against measles, pertussis, and influenza. Applicant/facility representative was advised the children's bedding must be stored individually and may not touch another children's bedding. (page 4)

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2020

LIC809 (FAS) - (06/04)

Page: 4 of 6

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: SPECTRUM MONTESSORI AT PORTOLA SPRINGS	FACILITY NUMBER: 304371452
	VISIT DATE: 10/06/2020

NARRATIVE

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Total outdoor activity space : The facility has an open indoor yard, it is completed fenced from all the sides, with artificial grass flooring, It has shaded umbrella's and shaded area for the children. Toddler area is fenced off and has its own entrance and exit area. The yard has four water fountains installed, there is an additional toilet with sink for the preschool children , while toddler shall use the restroom in the classrooms. Age appropriate outdoor toys were observed. Both the yards have age appropriate climbing structure which has been placed on a firm rubber flooring to absorb the any falls. There is also a walking trails for the children. At the end of the yard there is shed which shall be used as a storage and shall remain locked.

The applicant was given a pamphlet on Lead Exposure and was discussed with provider. Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org. The Chaptered Legislation for AB 2084 (Nutritious Beverages) is available to view on the website at: http://ccld.ca.gov/res/pdf/12APX-11.pdf

Applicant/facility representative was informed of Mandated Reporter Training for self and all assistants. Department web site form was given to down load forms, Title 22 regulations, and training's on-line at www.ccld.ca.gov. The applicant/facility representative was also informed to visit the website for Quarterly Updates. The applicant was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov. or at www.ccld.ca.gov

Information on the additional nutrition training, immunization requirements for children, and Health Schools Act (http://www.cdpr.ca.gov/docs/pestmgt/schoolipm.htm) were provided. The applicant/facility representative was informed, and website given, about the California Child Care Disaster Plan has been posted to the UCSF California Childcare Health Program website: cchp.ucsf.edu/content/disaster-preparedness

The facility was in compliance with Title 22 requirements at the time of the inspection. Based on today’s measurements, and the sink and toilet availability, this center has sufficient activity space to support the capacity of 204 children (36 Toddlers -18 months to 3 years old & 168 Preschool children ages 2.5 to 6 years olds )

A license will be issued for the capacity requested after a final review. The applicant will be notified if any additional information is required.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2020

LIC809 (FAS) - (06/04)

Page: 5 of 6

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: SPECTRUM MONTESSORI AT PORTOLA SPRINGS	FACILITY NUMBER: 304371452
	VISIT DATE: 10/06/2020

NARRATIVE

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Orange County Fire Authority has granted the requested capacity for 204 preschool children as requested.

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 (LIC 809 or 9099) must be posted by the Notice of Site Visit for a period of 30 days or $100 civil penalties will be assessed, and the report shall posted and copies provided to the 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.

An exit interview was completed.

The report was reviewed and discussed. Appeal Rights were discussed. The applicant was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2020

LIC809 (FAS) - (06/04)

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