300600189-3-15-2023-06-CC-MMAK-CPXVDH-20230315162046

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 300600189
Report Date: 03/15/2023
Date Signed: 03/15/2023 04:20:51 PM

Document Has Been Signed on 03/15/2023 04:20 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	COMMUNITY PRESBYTERIAN PRESCHOOL & KINDERGARTEN		FACILITY NUMBER:	300600189
ADMINISTRATOR:	TREEMARCKI-BECK, TERRI		FACILITY TYPE:	850
ADDRESS:	32202 DEL OBISPO		TELEPHONE:	(949) 493-9141
CITY:	SAN JUAN CAPISTRANO	STATE: CA	ZIP CODE:	92675
CAPACITY: 100	TOTAL ENROLLED CHILDREN: 100	CENSUS: 31	DATE:	03/15/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Director		TIME COMPLETED:	04:50 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	Page 1 of 3 Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted a case management inspection of the facility for the purpose of adding another room (D) to the existing Preschool Program without changing the total capacity. LPA met with director, Terri Treemarcki-Beck who gave a tour of the school to LPA. Currently the facility is licensed for 100 preschool children ages 2 to 6 years old . LPA observed there were a total of 31 preschool children with 6 staff who were in transitioning for lunch bunch time. 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 has requested to provide care and supervision to 100 preschool children ages 2 to 6 years old, Monday to Friday from 8:00 am to 3:00 pm. The facility runs a full time and part time program. The children are dropped off, signed in and out at the church's patio manually. However they sometimes use the school office as well. The facility has met all the posting requirements. All the classrooms were measured. The indoor activity space measurement for the current requested capacity is as follows: Room A is: 301.20 square feet Room B is: 675.32 square feet Room C is: 673.84 square feet Room D is: 450.40 square feet Continued on page 2

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: COMMUNITY PRESBYTERIAN PRESCHOOL & KINDERGARTEN	FACILITY NUMBER: 300600189
	VISIT DATE: 03/15/2023

NARRATIVE

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Room E is: 670.88 square feet
Room F is: 670.52 square feet
Diaper changing room: 157 square feet
Fellowship is also used on occasions for 20-25 minutes for motor development twice a week for each classroom. The Fellowship's measurement is not included in the total measurements.
The total indoor space for all the 6 classrooms and diaper changing room (A, B, C, D, E, and F) are: 3599.41 square feet divided by 35 = 102.84 (103 children).
Total outdoor activity space measurement is as follows:
Outdoor space for the facility is: 17160 divided by 75 = 228 children.
There are additional outdoor space throughout the facility for children's usage. There is an open space all fenced off (patio) in front of classrooms E and F for children's usage additional to the large playground. There is also additional outdoor space attached to the large playground (side yard) for children's usage. There are appropriate toys and equipment in these additional outdoor spaces for children.
Total of toilets: 8 X 15 = 120 children
Total of sinks: 13 X 15 = 195 children
Total urinal: 1 X 5 = 5 children
Including the total toilets, there are 2 toilets and two sinks in the Girl's bathroom and one toilet and one sink and one urinal in the boy's bathroom located in the lower level next to fellowship for the usage of children whose classrooms are in the lower level. (Classrooms E, and F, and Fellowship). There are 5 toilets in the upper level for the usage of children whose classrooms are on the upper level (Classrooms A, B, C, and D).
There is a an additional small room next to the bathroom of classroom " A" that the staff uses this area to change diapers for younger children. They use a mat on the floor with disposable cover and sanitize the mat with disinfectant spray and wipes after each use and staff wash their hands after each diaper changing. There are 2 diaper changing tables in this room that do not meet Title 22 Regulations and are not within an arm's reach of a sink. The director stated they would remove them from the room.
The facility is equipped with carbon monoxide detector. All the classrooms have age appropriate toys and equipment.
Continued on page 2

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: COMMUNITY PRESBYTERIAN PRESCHOOL & KINDERGARTEN	FACILITY NUMBER: 300600189
	VISIT DATE: 03/15/2023

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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

Parents provide morning, afternoon snacks, and lunch to their children. Water is provided to children by using their own water bottles for indoor and outdoor.

Orange county Fire authority has approved the facility for a total of 100 children by adding the new Room D to existing classrooms and is on file.

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. 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. Exit interview conducted and report was reviewed with the director, Terri Treemarcki-Beck

Based on today’s indoor and outdoor measurements, the sinks and toilets availability, the request of the facility for adding a new room (Room D) without changing capacity will be final reviewed and discussed with management in the Regional Office and after receiving the following. The facility will be notified if any additional information is required.

Please submit the following no later than 30 days of today's date.
1- Securing all the tall cabinets and the bookshelves in the classrooms.
2- Cover for the sand box in the side yard attached to the large playground.
3- Installing an alarm device on the exit door close to the restrooms leading to parking lot
4-Removing the diaper changing tables since they don't meet Title 22 Regulations not being within an arm's reach of a sink.
End of report

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

LIC809 (FAS) - (06/04)

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