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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270291
Report Date: 06/07/2023
Date Signed: 06/07/2023 12:46:58 PM


Document Has Been Signed on 06/07/2023 12:46 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:SOUTH COAST YMCA-OAKGROVEFACILITY NUMBER:
304270291
ADMINISTRATOR:LORI SILVAFACILITY TYPE:
840
ADDRESS:22705 SANBORNTELEPHONE:
(949) 360-1427
CITY:ALISO VIEJOSTATE: CAZIP CODE:
92656
CAPACITY:180CENSUS: 72DATE:
06/07/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Charmaine CrutchfieldTIME COMPLETED:
01:20 PM
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On 06/07/2023 Licensing Program Analyst (LPA) Araceli Bootorabi conducted an on site visit for the purpose of a 1 year required inspection. The LPA and Charmaine Crutchfield director toured the facility inside and outside. The floor and yard sketch was reviewed (LIC 999) and verified. Upon arrival.

Census was taken in each classroom as was as followed:

Room 1 – Identified as Y1 – Teachers: 2 Students 24

Room 2 – Identified as Y2 – Teaches: 2 Students: 20

Room 3 – Identified as Y3 – Teachers: 2 Students: 28

The facility was operating within its licensing capacity. The hours of operation are Monday - Friday 6:45 am - 6pm

Documents verified to be posted in a prominent, publicly accessible area at the facility. The LPA verified the following documents to be posted in a prominent, and publicly accessible area at the facility license, menus, LIC 613 A Personal Rights, PUB 269 Child Passenger Restraint system poster, PUB 393 Notification of Parent Rights, and LIC 610 Emergency Disaster Plan.

Documents to be reviewed during the inspection: Verification of Disaster and Fire Drills, Daily Activity Schedule, Sign-in/out sheets, and LIC 9148 Earthquake Preparedness. The last drill conducted was April 20,2023 at 2 pm (Earthquake Drill). The facility personnel was reminded of the importance of completing a drill every 6 months and maintaining a log. The facility met the requirements for this section.

Sign-in/out is completed through an app called Day Care Works and only uses a pin code to check in and out. The director stated that if the system does not work then paper is use to sign in and out.

SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli BootorabiTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:
DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/07/2023
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: SOUTH COAST YMCA-OAKGROVE
FACILITY NUMBER: 304270291
VISIT DATE: 06/07/2023
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Classroom Walk-Through: The LPA and director visited 3 of 3 classrooms. During the inspection of the indoor activity space, items that could pose a danger to children such as detergents, cleaning compounds, and medications were observed to be stored out of the reach of children in classrooms. The LPA did not observe poisons, and hazardous items such as detergents, cleaning compounds, and medications. The classrooms had age-appropriate toys for the ages served. Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges.

Restrooms: The children's restrooms are clean and sanitary. The bathrooms had flushing water. Toilets used by school-age children provide individual privacy. Supervision by staff was observed and only one child is allowed in the restroom to allow adequate supervision. The director was reminded that all toilets, and hand washing, areas shall be maintained in safe and sanitary operating conditions. The director stated that the children are supervised and a staff member monitors the restrooms/children go to the restroom on their own.


Food Service: The Center programs providing before- and/or after-school care makes available and offers nutritious snacks to children. Snack is prepared in Y3 and children eat outside next to Y3. Children bring their lunches during summer camp.

Outdoor Activity Space: The outdoor activity space provides a shaded rest area for the children. The surface of the outdoor activity space was maintained in a safe condition for the activities planned and was free of hazards including, but not limited to, holes, broken glass, and other debris.

Large Climbing Equipment: The areas around and under high climbing equipment, swings, slides, and other similar equipment were cushioned with material that absorbs falls by means of rubber like flooring.

The playground is fenced and enclosed to protect children and to keep them in the outdoor activity area. The fence was at least four feet high.

There are no bodies of water present at the facility. The outdoor activity area was clean, safe, sanitary, and in good repair during the inspection. The LA discussed with the director that equipment shall be maintained in a safe condition, free of sharp, loose, or pointed parts.

The director was reminded that the childcare center shall be clean, safe, sanitary, and in good repair at all times to ensure the safety and well-being of children, employees, and visitors.

SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli BootorabiTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
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: SOUTH COAST YMCA-OAKGROVE
FACILITY NUMBER: 304270291
VISIT DATE: 06/07/2023
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The director was also reminded that measures to keep the center free of flies, other insects, and rodents. The staff shall safely dispose of water and any disinfectants/solutions that have been used for cleaning. All children shall be protected against hazards within the center by means of properly storing medication, cleaning solutions, and other hazardous items out of the reach of children. All outdoor and indoor passageways, stairways, inclines, ramps, open porches, and other areas of potential hazard shall be kept free of obstruction. Disinfectants, cleaning solutions, poisons, and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. Storage areas for poisons shall be locked. Firearms and other weapons shall not be allowed on or stored on the premises of a childcare center.

Personnel Record: Personnel records were reviewed at. The LPA requested a separate, complete, and current record for staff. The following documents must be identified for staff personnel: Staff Qualifications, Proof of immunization of measles, pertussis, and Influenza, Current Pediatric CPR and First Aid Certification (designated staff), TB Clearance or risk assessment, LIC 503 Health Screening Report, LIC 9108 Statement Acknowledging Requirement to report Child Abuse, Mandated Reporter Training Certificate, and LIC 9052 Employee Rights. The facility met the requirements for this section.



Background Checks: A review of the Facility Personnel Report Summary was conducted during today’s inspection. The Facility Personnel Report Summary indicated all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions. The Director was advised that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, before the initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/person will be assessed if this regulation is violated.

LPA provided Guardian Information and website info:


https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian

Video: https://ccld.childcarevideos.org/family-child-care-providers/background-check-requirements-for-caregivers/
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli BootorabiTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
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: SOUTH COAST YMCA-OAKGROVE
FACILITY NUMBER: 304270291
VISIT DATE: 06/07/2023
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Identify Location: LPA requested to view the Medication stored at the facility (includes medication for permissible medical services, if applicable), Functioning Carbon Monoxide Detector, Smoke Alarm(s), and Fire Extinguisher. The carbon and smoke alarm/detector was tested by the director in Y1 and both were functioning. The director stated the school comes in and checks for functioning on a regular basis as well and they submit request for batteries to be changed when needed. Medication was observed to be locked and not accessible to children in care.

LPA reviewed the storage of medication and equipment/supplies and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

CCLD website www.ccld.ca.gov was provided to licensees to access regulations, updates, and licensing forms.



The licensee was informed of the important updates available at www.ccld.ca.gov and may request to be added to an email list to receive Community Care Licensing Important Notifications from the above website and selecting Receive Important Updates: https://www.cdss.ca.gov/inforesources/community-care-licensing/policy/provider-information-notices/child-care

Child Care Licensing Program Webinars: The Child Care Licensing Program is pleased to continue offering webinars to share important information with the child care licensing community in 2023.


2023 Webinar Schedule
• Tuesday, June 27, 2023, 6:00 p.m.
• Tuesday, September 26, 2023, 6:00 p.m.
• Tuesday, December 12, 2023, 6:00 p.m.
To register for webinars, see Provider Information Notice (PIN), PIN 22-30-CCP. Providers may wish to view previously recorded webinars.
• Child Care Licensing Program Provider Webinar (Nov/Dec 2022)
• Child Care Licensing Program Provider Webinar (October 2022)
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli BootorabiTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SOUTH COAST YMCA-OAKGROVE
FACILITY NUMBER: 304270291
VISIT DATE: 06/07/2023
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• Child Care Licensing Program Provider Webinar (September 2022)
• Child Care Licensing Program Provider Webinar (August 2022)

Heat Precautions in Child Care: Health and age play a significant role in how people react to extreme heat. Individuals at most significant risk for heat-related illness include infants and children up to four (4) years of age. By knowing how to prepare for a heat wave, and what to do when one occurs, you can avoid the biggest health dangers, such as heat exhaustion and heat stroke. Before sending children out to play, adequate supervision is required and staff need to know how to protect them against heat-related illness. Providers must meet the requirements of the applicable HSC, Child Day Care Act, Sections 1596.70 et seq., and California Code of Regulations, Title 22, Division 12. Have a safe, healthy, and enjoyable summer!

The director understands they must be present in the facility and must ensure children in care are always supervised. Children are not to be left alone in parked vehicles. When the director is temporarily absent from the facility, arrangements must be made for a qualified substitute adult to care for and supervise children while absent.

The facility was in compliance and no violations of the California Code of Regulations, Title 22, Division 12 were observed, discussed, and cited at the time of the visit.

An exit interview was conducted with director Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First-level appeals should be sent to the regional manager at the address listed above. The Notice of Site Visit was posted and discussed as required by H&S Code Sec. 1596.817. Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00. The Notice of Site Visit must be posted on or adjacent to the door.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at:
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process (End of Report)
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Araceli BootorabiTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
LIC809 (FAS) - (06/04)
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