304371580-7-13-2023-06-CC-MMAK-CTPT2Q-20230713142105

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371580
Report Date: 07/13/2023
Date Signed: 07/13/2023 02:21:10 PM

Document Has Been Signed on 07/13/2023 02:21 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:	NOBIS MONTESSORI		FACILITY NUMBER:	304371580
ADMINISTRATOR:	FOSTER, SUSAN		FACILITY TYPE:	830
ADDRESS:	264 NORTH MAIN STREET		TELEPHONE:	(714) 997-8333
CITY:	ORANGE	STATE: CA	ZIP CODE:	92868
CAPACITY: 12	TOTAL ENROLLED CHILDREN: 12	CENSUS: 7	DATE:	07/13/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Susan Foster		TIME COMPLETED:	11:30 AM

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 3 Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted a case management inspection of the facility for the purpose of increasing capacity of the infant room (Room # 6) which was measured on the pre-licensing inspection date of 12/28/2022 accommodating 17 infants. LPA met with director, Susan Foster who gave LPA a tour of the facility. Currently the facility is licensed for 12 infants and toddles ages 6 weeks old to 18 months old in Room # 6. LPA observed there were a total of 3 staff with 7 infants and toddlers in the grass area in the outdoor space for infants. 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 facility has requested to provide care and supervision to 16 infants and toddlers ages 6 weeks to 18 months old in Room # 6, Monday to Friday from 7:00 am to 6:00 pm. Children are dropped off, signed in and out manually at the entrance gate of the playground leading to rooms. The facility has met all the posting requirements. The facility representative, Susan Foster was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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. Continued on page 2

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023

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: NOBIS MONTESSORI	FACILITY NUMBER: 304371580
	VISIT DATE: 07/13/2023

NARRATIVE

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The indoor activity space measurement for the current requested capacity is as follows:
Indoor activity space Room # 6 based on measurement on 12/28/2022 is : 589 square feet divided by 35 = 16.82 ( 17 infants and Toddlers).
The facility has enough indoor space to meet the requested capacity for indoor space for 16 infants in infant Room (Room # 6).
The room measurement is after the deduction of the napping area which was 279 square feet.
Total sinks: 2 X 15= 30 children
1 X 15 toilets= 15 children
Outdoor activity space based on measurement dated 12/28/22 is: 980 square feet divided by 75 = 13 infants and toddlers.
Today LPA measured the additional added outdoor space to the infant playground and is: 378.00 square feet. So the total measurement of the playground from last inspection date and today's measurement is: 1358 square feet divided by 75= 18.11 (18 children).
There is a diaper changing table in Room # 6 that has 4 raised sides at least 3 inches. The diaper changing table is located within the arm's reach of a sink. The positioning of diaper changing table was discussed with director and staff. LPA was told there are additional staff in the infant room to supervise children while the other staff is changing diapers. LPA discussed the procedures and position of diaper changing table. LPA was told the staff disinfect the diaper changing pad surface before and after each use and follow the diaper changing procedure. Staff were reminded to make sure never leave a child unattended on the diaper changing table.
The facility is equipped with carbon monoxide detector. The room has age appropriate toys and equipment.

The director and staff were reminded of safe sleep regulations and logging every 15 minutes check on infants and toddlers under 24 months old. The logs for every 15 minutes checking on sleeping infants were reveivwed. The infant needs and service for infants were reviewed as well. They were in compliance. A sample of the log was given. LPA also discussed the items not allowed in the childcare facilities for infants and toddlers. A flyer of the banned items was given to director. The facility has adequate staff with current CPR and 1st aide.
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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023

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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: NOBIS MONTESSORI	FACILITY NUMBER: 304371580
	VISIT DATE: 07/13/2023

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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) or (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. LPA discussed the safe sleep regulations with facility representative 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 the facility representative 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. 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 platforms. To receive important license related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. The facility representative was informed of the MyChildCarePlan.org site, 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. A notice of site visit was given to director, Susan Foster and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

The facility has requested to increase their capacity to 16 children, However the facility's availability for number of toilet is only one toilet which accommodates 15 infants. Therefore based on today’s indoor and outdoor measurements, the sinks and toilets availability, the request of the facility for increasing their capacity for 15 children ages 6 weeks to 18 mots old will be final reviewed and discussed with management in the Regional Office. The facility will be notified if any additional information is required.

Exit interview conducted and report was reviewed with the director, Susan Foster.

End of report

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023

LIC809 (FAS) - (06/04)

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