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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370730
Report Date: 07/20/2023
Date Signed: 07/31/2023 11:09:56 AM

Document Has Been Signed on 07/31/2023 11:09 AM - 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:ACADEMY ON THE HILLSFACILITY NUMBER:
304370730
ADMINISTRATOR:LUNN, MONICAFACILITY TYPE:
850
ADDRESS:10 MAREBLUTELEPHONE:
9493607022
CITY:ALISO VIEJOSTATE: CAZIP CODE:
92656
CAPACITY: 102TOTAL ENROLLED CHILDREN: 117CENSUS: DATE:
07/20/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Monica LunnTIME COMPLETED:
04:30 PM
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On 07/20/2023 Licensing Program Analyst (LPA), A. Bootorabi conducted an on site visit for the purpose of a 1 year required inspection. LPA and director Monica Lunn toured the facility inside and outside and the floor and yard plan (LIC 999) were verified. Upon arrival, an Entrance Checklist (LIC 125) was provided to the director. A consultation on LIC 999 was provided during the inspection as the center made changes to the play yard and no LIC 999 was filed with CCLD.

Census was taken upon entry of each classroom:
Pre-K1: 22 Children & 2 Lead Teachers - Pre-k 2: 23 Students & 3 Teachers - Jr Pre-K 22 Children - 2 teachers - Two's : 24 Children & 2 Lead Teachers

Documents reviewed and to be posted in a prominent, publicly accessible area at the facility: Facility License, Waivers (if applicable), Menus, LIC 613A Personal Rights, PUB 269, PUB 393 Notification of Parent Rights, and LIC 610 Emergency Disaster Plan. Documents were posted by the entrance hallway and visible to the public. A consultation was provided on posting requirements.

Preschool Classrooms 4 of 4 were toured with the director. Classrooms 4 of 4 were inspected and the activity space, and items that could pose a danger to children (detergents, cleaning compounds, and medications) were observed to be stored under sink areas with no locks. The LPA provided a consultation during today's inspection to ensure the safety of children in care.

NAPPING EQUIPMENT: Cots used for napping were observed to be maintained in a safe condition. The facility was reminded that napping equipment shall be arranged so that each child has access to a walkway without having to walk on or over the cots or mats of other children. Bedding shall not be shared by different children without first laundering the bedding. Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2023
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: ACADEMY ON THE HILLS
FACILITY NUMBER: 304370730
VISIT DATE: 07/20/2023
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Drinking water was observed and readily available to children in both indoor and outdoor activity areas.

The facility provides meals and was reminded that in childcare centers providing meals to children, the following shall apply: (1) All food shall be safe and of the quality and quantity necessary to meet the needs of the children. Each meal shall include, at a minimum, the number of food components. Meals should include requirements for meals, for the age group served. All food shall be selected, stored, prepared, and served in a safe and healthful manner.

A functioning carbon monoxide detector and smoke alarm were tested by the director during today’s visit and was observed to be functioning. A fire extinguisher was observed in the in the staff room and was last serviced in Feb 2023

A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to the initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Children and Car Safety: Leaving infants or children unattended in a parked car can have disastrous
consequences, as the temperature inside a vehicle can rise quickly, even with a cracked window. Before
leaving a vehicle, it is crucial to double-check that everyone has exited and to check the backseat for any
children who may have fallen asleep. To avoid forgetting a child in the car, caregivers can place a stuffed
animal in the front seat as a reminder and best practice suggestion. Providers are reminded that you are
responsible for the care and supervision of children during transportation regardless of the vehicle type (car or van). It is recommended that providers create, educate, and enforce policies and practices to ensure the safe transportation of children in care.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023
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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: ACADEMY ON THE HILLS
FACILITY NUMBER: 304370730
VISIT DATE: 07/20/2023
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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 mustmeet 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!

myChildCarePlan.org The facility representative was informed of the www.MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

The facility met the California Code of Regulations, Title 22 Division 12 during today’s visit and no citations were provided. The annual inspection will continue on 7/21/2023

Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the director Monica L
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 07/31/2023 11:10 AM - It Cannot Be Edited


Created By: Araceli Bootorabi On 07/21/2023 at 12:07 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ACADEMY ON THE HILLS
FACILITY NUMBER: 304370730

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/20/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101221(b)(10)
Child's Records
(b) Each record shall contain information including, but not limited to, the following: (10) Record of current medications, including the name of the prescribing physician, and instructions, if any, regarding control and custody of medications.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA's observation, interview, and record review, the licensee did not comply with the section cited above by means of not having parent consent forms completed, and physicians' information labels on medication for children in care which poses an immediate health and safety risk to persons in care.
POC Due Date: 07/28/2023
Plan of Correction
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The director stated that first, she will be emailing parents about the medication she has for students. She will then follow by providing LIC 9221 to parents and will request medication has physicians information if applicable. The director stated that moving forward every child enrolling in the program will be provided the correct documentation. The director will be sending LPA a statement when parent consent forms are completed.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Patricia Magana
LICENSING EVALUATOR NAME:Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE:
DATE: 07/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2023


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 07/31/2023 11:10 AM - It Cannot Be Edited


Created By: Araceli Bootorabi On 07/21/2023 at 12:07 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ACADEMY ON THE HILLS
FACILITY NUMBER: 304370730

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/20/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101226(e)(3)(B)
Health-Related Services
(3) Prescription medications may be administered if all of the following conditions are met: (B) For each prescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA's observation, interview, and record review, the licensee did not comply with the section cited above by means of not having parent consent forms for prescription medication or physicians information which poses a potential health and safety risk to persons in care.
POC Due Date: 07/28/2023
Plan of Correction
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The director stated that first, she will be emailing parents about the medication she has for students. She will then follow by providing LIC 9221 to parents and will request medication has physicians information if applicable. The director stated that moving forward every child enrolling in the program will be provided the correct documentation. The director will be sending LPA a statement when parent consent forms are completed.
Type B
Section Cited
CCR
101226(e)(4)(B)
Health-Related Services
(4) Nonprescription medications may be administered without approval or instructions from the child's physician if all of the following conditions are met: (B) For each nonprescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA's observation, interview, and record review, the licensee did not comply with the section cited above by means of not having parent consent forms for nonprescription medication which poses a potential health and safety risk to persons in care.
POC Due Date: 07/28/2023
Plan of Correction
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The director stated that first, she will be emailing parents about the medication she has for students. She will then follow by providing LIC 9221 to parents and will request medication has physicians information if applicable. The director stated that moving forward every child enrolling in the program will be provided the correct documentation. The director will be sending LPA a statement when parent consent forms are completed.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Patricia Magana
LICENSING EVALUATOR NAME:Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE:
DATE: 07/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2023


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