304371145-4-18-2023-06-CC-MMAK-CQZS72-20230418133649

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371145
Report Date: 04/18/2023
Date Signed: 04/18/2023 01:36:53 PM

Document Has Been Signed on 04/18/2023 01:36 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:	CYPRESS SCHOOL DISTRICT(CYPSD)EARLY LEARNING PROG		FACILITY NUMBER:	304371145
ADMINISTRATOR:	GLASELL, PAMELA		FACILITY TYPE:	850
ADDRESS:	8710 MOODY STREET		TELEPHONE:	(714) 220-6900
CITY:	CYPRESS	STATE: CA	ZIP CODE:	90630
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 48	CENSUS: 17	DATE:	04/18/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Site Supervisor		TIME COMPLETED:	02:00 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 2 Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted a case management inspection of the facility for the purpose of increasing capacity from 48 preschool children to 72 preschool children by adding room 42 to the license. LPA met with Site Supervisor, Pamela Glasell who toured the facility with LPA. There were no children present at the time of inspection. The staff were in transitioning between the morning and afternoon sessions. According to Site Supervisor there were 17 children present with 8 staff including Site Supervisor in two classrooms in the morning. Currently the facility is licensed for 48 children in rooms 39C (now 44), and 39B (now 43). The applicant has requested to provide care and supervision for 72 preschool children in rooms 42, 43, and 44 for ages 3 to 5 years old, Monday through Friday, 7:30 a.m. to 4:00 p.m. in two sessions of morning and afternoon. 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 staff are employees of Cypress Unified School District) The State Preschool is a Title 5 Program that offers two morning and afternoon sessions. Morning hours are from 8:30 to 11:30 am and afternoon sessions are from 12:30 to 3:30 pm. The facility provides morning snack and afternoon lunch to children. Children do not nap in this program. Children are dropped off and are singed in and out at the entrance door. The facility has met all the posting requirements. The indoor activity space measurement for the current requested capacity is as follows: Room 42 is 861.12 square feet. Room 43 is 900.12 square feet Room 44 is 822.51 square feet Total indoor space is 2583.75 divided by 35 = 73.82 (74 children) Continued on page 2

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:	DATE: 04/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2023

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 2

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: CYPRESS SCHOOL DISTRICT(CYPSD)EARLY LEARNING PROG	FACILITY NUMBER: 304371145
	VISIT DATE: 04/18/2023

NARRATIVE

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Total outdoor activity space measurement is as follows:
Outdoor space in front of the classrooms: 8580 square feet divided 75 = 114.40 (114 children).
The facility used to share the playground with other program but now they have their own playground. Playground is large enough and has appropriate toys and equipment with adequate cushioning under the climbing structure with enough shade.
Each classroom has two sinks and two toilets.
6 toilets X 15= 90 children
6 sinks X 15 - 90 children
The classrooms are equipped with carbon monoxide detector.

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

Orange county Fire authority has approved the total requested capacity of 72 preschool children in rooms 42, 43, and 44 and is on file.

Based on today’s measurements, the sinks and toilets availability, the request of the facility for increasing the capacity to 72 children will be final reviewed and discussed with management in the Regional Office. The facility will be notified if any additional information is required.

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 Site Supervisor, Pamela Glasell.

End of report

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:	DATE: 04/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2023

LIC809 (FAS) - (06/04)

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