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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370857
Report Date: 10/25/2024
Date Signed: 10/25/2024 12:55:47 PM

Document Has Been Signed on 10/25/2024 12:55 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:MAOF/SSA TUSTIN FAMILY CAMPUS ECECFACILITY NUMBER:
304370857
ADMINISTRATOR/
DIRECTOR:		QUINTANILLA, ELIZABETHFACILITY TYPE:
830
ADDRESS:15405 LANDSDOWNE ROADTELEPHONE:
(714) 566-2870
CITY:TUSTINSTATE: CAZIP CODE:
92782
CAPACITY: 8TOTAL ENROLLED CHILDREN: 1CENSUS: 1DATE:
10/25/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Director-Elizabeth QuintanillaTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 10/25/2024 at 10:00AM, Licensing Program Analyst (LPA), Navar conducted an onsite inspection for the purpose of a 3 Year Inspection. LPA and Director Elizabeth Quintanilla toured the facility inside and outside. The floor and yard plan (LIC 999) were verified. Census was taken in each individual classroom. LPA observed a total of 1 infant with 2 staff.

During the inspection it was determined the facility is operating within its licensed capacity and within compliance with staffing ratios. 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.

Facility hours are Monday through Friday, 8 AM to 4 PM. 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.
During the inspection of the indoor activity space, LPA did not observe any items which could pose a danger to children (poisons, detergents, cleaning compounds, medications, or hazardous items). Director stated there are no firearms and/or other dangerous weapons in the facility; none were observed during the inspection. Director informed LPA that there is a sheriff that is located outside in the hallway next to the entrance of a preschool door that leads to preschool office that comes in about 2:00PM and that would come into the preschool if needed. Director stated they will apply for a waiver and submit to LPA. The facility provides age-appropriate toys, play equipment, and materials for the children served. There is filtered drinking water available indoors for children in care by the means of a water jug. Director stated that Pure Life delivers water about every 2 weeks. Cups are provided for children in care. The children's bathrooms are clean and sanitary. Infants changing table was observed to be clean and next to sink. Infants nap in cribs or on cots if they choose to sleep, and bedding is stored individually and facility washes blankets weekly. Continue to page 2.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2024
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 4
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: MAOF/SSA TUSTIN FAMILY CAMPUS ECEC
FACILITY NUMBER: 304370857
VISIT DATE: 10/25/2024
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Food is prepared on site. AM Snack, lunch, and PM snacks are provided. The food prep area was observed to be clean and sanitary. Food is properly stored. Menus were posted where they could be reviewed by parents. Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges.

The facility has conducted an emergency drill within the past six months, last conducted on 10/23/2024. The facility has a working carbon monoxide detector and fire alarm. Facility met all posting requirements. The California Child Passenger Safety Law was posted by the entrance of the facility.

The outdoor activity space was inspected for compliance. The playground was enclosed by a fence at least four feet in height. The surface of the outdoor activity space was well maintained and free of hazards. The cushioning material is made of a type of rubber that appears to to absorbs falls. Drinking water in the outdoor activity space is provided by a water jug, director stated each classroom has their own. The outdoor equipment and toys were in good repair and free of sharp edges. Director stated there are no bodies of water present at the facility and LPA did not observe any on this date. The facility grounds were safe, sanitary and in good repair.

LPA reviewed The Entrance Checklist-Child Care Centers for child’s records, personnel records, administrative records, and documents to be posted.



Staff files were reviewed for staff present during the facility inspection this date; 2 staff files were reviewed. Health screening and immunization's as required were reviewed. Beginning September 1, 2016, Health, and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a childcare center if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis and measles for staff were reviewed and within compliance.

Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete Mandated Reporting Training, and to renew the training every two years. 2 Staff present had Mandated Reporter Training completed and none were expired. Staff present possesses current EMSA approved Pediatric CPR/First Aid certifications, which expires 3/2026.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: MAOF/SSA TUSTIN FAMILY CAMPUS ECEC
FACILITY NUMBER: 304370857
VISIT DATE: 10/25/2024
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1 Children's records were reviewed, and there was a separate, complete, and current record for each child. A random sample children's files were reviewed for documentation of the child’s name, address, and telephone number of the child’s authorized representative and of relatives or others that can assume responsibility for the child if the authorized representative cannot be reached when necessary (LIC 700) and a medical assessment. In the areas reviewed the children’s files were found to be in full compliance.

LPA observed no infants from 0-12 months on this date. Director stated she is familiar with form LIC 9227 Individual Infant Sleeping Plan and no infants under 12 months are enrolled at this time. In the areas reviewed the children’s files were found to be in full compliance. 15 minute sleep checks were reviewed and in compliance.

LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and- resources/safe-sleep as an additional resource. LPA also informed director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

This facility provides Incidental Medical Services – Director stated there are no children enrolled who take medication and reviewed with LPA storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

LPA verified CCC has COMPLETED LEAD TESTING ON 10/20/2022 AND NO LEAD EXCEEDANCES: LPA obtained a copy for records. 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. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing in accordance with the Written Directives outlined in PIN 21- 21.1-CCP. Continue to page 4.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: MAOF/SSA TUSTIN FAMILY CAMPUS ECEC
FACILITY NUMBER: 304370857
VISIT DATE: 10/25/2024
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Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

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 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.

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



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

Exit interview conducted and report was reviewed with Director-Elizabeth. A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with postal requirements shall result in an immediate civil penalty of $100.



Appeal Rights discussed. The Director was provided with a copy of their appeal rights (LIC 9058) 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.To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4