304371509-6-4-2021-06-CC-KDEI-C3NSPF-20210604140303

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371509
Report Date: 06/04/2021
Date Signed: 06/04/2021 02:03:20 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:	CHILDREN'S COURTYARD, THE		FACILITY NUMBER:	304371509
ADMINISTRATOR:	UHRICH, CHANTEL		FACILITY TYPE:	850
ADDRESS:	27732 VISTA DEL LAGO		TELEPHONE:	(949) 297-8988
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92692
CAPACITY:	132	CENSUS: 57	DATE:	06/04/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	District Manager: DeAnne McCashland and Director Uhrich Chantel		TIME COMPLETED:	02:30 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) Ms. Ketki Desai conducted an announced on site pre-licensing inspection at the childcare center. It is a Change of Ownership LPA met with Facility Director Ms. Uhrich, Chantel and District Manager of Learning Care group Ms. DeAnne McCashland who gave a tour of the Child Care Center. The applicant has requested to provide care and supervision for 12, Toddlers (18 months - 36 months) and 120 Pre-school age children 2 to 6 years of age, Monday through Friday 7.00 am. to 6.00 PM. in the assigned seven classrooms. Due to COVID 19 guidelines, LPA observed staff and children wearing face mask, social distancing and following CDC and Dept of Public Health Guidelines. 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 a business complex, upon entering the facility through the Wooden glass door, there is a front lobby area, where facility staff receive the children and are lead into the classrooms. The seven assigned classrooms are in the hallway. Due to COVID Pandemic parents are not allowed inside, children are received at the entrance door by the staff, temperatures are checked, hands are sanitized before they are taken to their classrooms. Parents sign them in at the front lobby manually, currently outside visitors are not allowed in the facility. 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 (Page-1)

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021

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: CHILDREN'S COURTYARD, THE	FACILITY NUMBER: 304371509
	VISIT DATE: 06/04/2021

NARRATIVE

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Medication will be stored in Front office in a locked cabinet and shall be administered by the teacher or the Facility in charge, emergency First Aid kits are stored in the classrooms and in the in assigned cabinets. Medication administration forms were reviewed.
Isolation area is the Director’s office and the sick child shall use the adult restroom located in the Staff rest area, there an additional cot and linens for the sick child.

The following were inspected in the indoor activity space:
· Classroom are adequately equipped with age and size appropriate furniture and equipment
· Drinking water is available inside through water pitchers with disposable cups
· 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, including Sprinkler system.
· Cubbies available for storage of individual child’s personal belongings and/or bedding
· Napping equipment: Cots are used and are stored at the end of the classroom, napping linens are provided by the facility and blankets are brought from home.
· Facility shall provide two snacks and lunch , meals are prepared at the facility kitchen,
Kitchen was observed to clean, free of insects or pests. There are two freezers, along with cooking ranges.

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)
· 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)
· COVID Posters
(Page-2)

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021

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: CHILDREN'S COURTYARD, THE	FACILITY NUMBER: 304371509
	VISIT DATE: 06/04/2021

NARRATIVE

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Room Identification	Length	Width	Area	Encumbered	Space
Room # 1(a)	34.08	16.67	568.11	5.24	562.87
Room # 1(b)	34.08	17.08	376.14		376.14
Room # 2	27.58	17.75	489.55		489.55
Room # 3	22.42	17.75	397.96	18.00	379.96
Room # 4 (Toddlers)	26	15.58	405.08	6.50	398.58
Room # 5	26.83	24.33	652.77		652.77
Room # 6 (small area)	17.58	11.25	197.78	20	177.78
Room # 6 (big area)	52.42	33	1729.86		1729.86

Total indoor space : 4767 Sq Ft Divided by 35 = 136.21 (136 children)

Total sinks: 11 X 15= 165 (children) / Total Toilets: 10 X 15= 150 (children)
There are sufficient toilets and sinks in the facility

Toilets and sinks were observed to be age appropriate. Bathrooms were clean and accessible to children. There are four classrooms with one sink along with other sinks in the bathroom.

The following were inspected in the outdoor activity space;
· Playground is fully enclosed by an appropriate fencing
· Drinking water is available outdoors by water pitchers with small disposable cups
· Outdoor activity space is supplied with age and size appropriate equipment, including climbing play structures and outdoor activity toys,
· An adequate amount of cushioning material consisting sand is in place under the play structures
· Adequate shade is provided by shaded structure (Canopy)and benches are placed.
· There are two deck areas are also utilized by Preschool area and they can be accessed from from Room # 1a,1b , 2 and 6
The Deck area is completely fenced and has a window overlooking the Lake area. It is shaded and safe for play.
(Page-3)

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021

LIC809 (FAS) - (06/04)

Page: 3 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: CHILDREN'S COURTYARD, THE	FACILITY NUMBER: 304371509
	VISIT DATE: 06/04/2021

NARRATIVE

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Outdoor Play Yard measurements

Area Identification	Length	Width	Area	Encumbered	Space
Preschool yard	129	101.83	13136.07	392.76	12743.31
Toddler yard	43	42	1806.00	158.21	1647.79
Deck Area	14.25	9.5	135.37		135.37
Deck Area	53.25	16	852.00		852.00

Total outdoor space: 15378'47 = 205.05 (Children)

Toddler yard: 1647'79 divided by 75= 21.97 ( 22 Toddlers)

Based on the indoor and outdoor measurements, sink and toilet availability, facility has enough space to accommodate 12 Toddlers (18 months to 36 months and 120 Preschool children ( 2-6 years old) in the assigned seven classroom

Fire clearance received from Orange County Fire Authority dated 5/24/21 have approved the requested capacity of 132 children in the seven assigned rooms.

Facility Administrator is current on the required Immunization/ Pediatric CPR/ First training valid through 8/2021 and have provided the completion certificate for the Preventive Health training (Nutrition and Lead component)

Water Analysis has been completed by the facility and the report is on file.

LPA discussed with the applicant 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 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: 06/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021

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: CHILDREN'S COURTYARD, THE	FACILITY NUMBER: 304371509
	VISIT DATE: 06/04/2021

NARRATIVE

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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 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 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

LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian

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 following Title 22 requirements at the time of the inspection. Based on today’s measurements, and the sink and toilet availability, this center has enough activity space to support the capacity of 12 Toddlers in Room #4 and 120 Preschool children in (Room # 1a / 1b / 2/ 3/ 5 and 6.

A license will be issued for the capacity of 12 Toddlers (18- 36 months ) and 120 preschool children age 2-6 years old, after a final review. The applicant will be notified if any additional information is required.

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, 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, (Page-5)

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021

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: CHILDREN'S COURTYARD, THE	FACILITY NUMBER: 304371509
	VISIT DATE: 06/04/2021

NARRATIVE

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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: 06/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021

LIC809 (FAS) - (06/04)

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