304270693-3-12-2025-06-CC-OMEA-DEPQYR-20250312123535

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304270693
Report Date: 03/12/2025
Date Signed: 03/12/2025 12:35:50 PM

Document Has Been Signed on 03/12/2025 12:35 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	RESURRECTION LUTHERAN PRESCHOOL		FACILITY NUMBER:	304270693
ADMINISTRATOR/ DIRECTOR:	MARQUEZ, CASSANDRA		FACILITY TYPE:	850
ADDRESS:	9812 HAMILTON AVENUE		TELEPHONE:	(714) 962-3919
CITY:	HUNTINGTON BEACH	STATE: CA	ZIP CODE:	92646
CAPACITY: 45	TOTAL ENROLLED CHILDREN: 44	CENSUS: 30	DATE:	03/12/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:10 AM
MET WITH:	Casie Marquez		TIME VISIT/ INSPECTION COMPLETED:	12:45 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	On 3/12/2025, Licensing Program Analyst (LPA), Olivia Meza and Licensing Program Manager (LPM), Martha Malane conducted an Annual Inspection. The Director, Cassandra Marquez led (LPA) Meza and (LPM) Malane on a tour of the inside and outside of the facility. There were 30 children and seven (7) Staff. Facility hours are 9:00am to 12:00pm and a “Lunch Bunch” at 12:00 to 1:30pm. A review of the Facility Personnel Report Summary on 3/12/2025 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During the inspection of the indoor activity space, items which could pose a danger to children (detergents, cleaning compounds, and medications) were observed to be stored out of the reach of children. There are no poisons or hazardous Items observed. The Director, Cassandra Marquez stated that the facility does not provide food to children and that the children bring their snacks and lunch from home. Floors, equipment, and furniture were clean and observed to be in good repair and free of sharp edges. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. LPA verified lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. Drinking water is available to children indoors by refillable water bottles brought from home and refilled using Brita water pitcher provided by the Child Care Center. (continue to page two)

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Olivia Meza
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: RESURRECTION LUTHERAN PRESCHOOL	FACILITY NUMBER: 304270693
	VISIT DATE: 03/12/2025

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
26
27
28
29
30
31
32

(page two)
The children's restrooms are clean and sanitary. The facility has conducted an emergency drill within the past six months and keeps documentation of drills, the last disaster drill was conducted on 3/11/2025. The facility has at least one working carbon monoxide detector. Facility meets all posting requirements.

The outdoor activity space was inspected for compliance. The surface of the outdoor activity space is maintained and free of hazards. There are woods chips under high the climbing play equipment and is sufficient to absorb falls. The outdoor equipment and toys are in good repair and free of sharp edges. Director stated that there are no bodies of water present at the facility. Drinking water in the outdoor activity space is provided by refillable water bottles brought from home.

LPA reviewed five (5) Staff files which were in compliance. At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications, which expires 11/12/2027.

A total of five (5) Children's records were reviewed and were in compliance. Sign in/out procedure was reviewed for compliance. The person who signs the child in and out uses their full legal signature and records the time of the day.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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 Director was informed that Licensing Quarterly Updates are available at www.cdss.ca.gov Director may request to be added to an email list to receive a Quarterly Update by contacting the Child Care Advocate at childcareadvocatesprogram@dss.ca.gov or at www.cdss.ca.gov
LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian
(continue to page three)

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Olivia Meza
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025

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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: RESURRECTION LUTHERAN PRESCHOOL	FACILITY NUMBER: 304270693
	VISIT DATE: 03/12/2025

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
26
27
28
29
30
31
32

(page three)
In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.

Appeal Rights and a notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director Cassandra Marquez.

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/process.

(end of report)

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Olivia Meza
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025

LIC809 (FAS) - (06/04)

Page: 3 of 3