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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371652
Report Date: 12/01/2023
Date Signed: 12/01/2023 04:24:39 PM

Document Has Been Signed on 12/01/2023 04:24 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:TRF ST. PETERFACILITY NUMBER:
304371652
ADMINISTRATOR:MEJICO, DANETTWFACILITY TYPE:
850
ADDRESS:1510 NORTH PARTONTELEPHONE:
(310) 420-1025
CITY:SANTA ANASTATE: CAZIP CODE:
92706
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 0DATE:
12/01/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Renee Jacobs and Danette MejicoTIME COMPLETED:
02:00 PM
NARRATIVE
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On 12/01/2023, Licensing Program Analyst (LPA), Mila Quinto and Licensing Program Manager (LPM), Monica Cuddy conducted an announced Pre-Licensing inspection for a new license. Upon arrival, LPA met with Applicant, Renee Jacobs and Director, Danette Mejico. Applicant is requesting to be licensed for 32 preschoolers (2 years old thru 5 years old) in classrooms 2-A and 2-B. Hours of operation will be Monday – Friday, 7:30am-6:00pm.

All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Renee Jacobs that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, Renee Jacobs stated that they will be in a higher cabinet located in the office. A fully equipped first aid kit is located in the back room next to the restroom. There is an operational carbon monoxide detector on site. All required licensing documents were observed posted in the lobby area. Children will be signed in and out at classroom entrance.

LPA continued to tour the facility and measured all indoor and outdoor activity space. Total indoor activity space measured at 1028.20 square footage and can accommodate a capacity of 29 preschool children. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via filtered water. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 10/12/2023.

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SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 12/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/01/2023
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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: TRF ST. PETER
FACILITY NUMBER: 304371652
VISIT DATE: 12/01/2023
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LPA observed a total of 2 sinks and 2 toilets available for children’s use. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be the office.
Facility will provide breakfast, lunch and snacks through the Santa Ana Unified School District.

The facility currently has a fully fenced playground area. Fencing is made of wrought iron and brick wall and is at least four feet high. The total square footage for all the outdoor activity space is 2917.89 square feet. Shade is provided via shade sale and buildings around the playground. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a climbing structure on the playground and is age appropriate for the ages 2 years old through 5 years old. There is adequate cushioning in fall zones of climber provided by turf. Applicant stated the cushioning material will be replaced with a new turf and substrate. Drinking water is available via igloo collers. LPA observed all hazardous items on the playground to be inaccessible to children. Applicant, Renee Jacobs was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

For child care 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).



The following corrections are needed from applicant, Renee Jacobs prior to the issuance of the license:
1) Health Screening Report (LIC503) Negative TB test results, and proof of immunity against measles, pertussis, and influenza (or provide a statement declining the influenza vaccine).
2) Updated facility sketch for the outdoor activity space by decreasing the accessible area located by the garden.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2023
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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: TRF ST. PETER
FACILITY NUMBER: 304371652
VISIT DATE: 12/01/2023
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Applicant. Renee Jacobs understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.

Applicant 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.

This facility plans to provide 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) 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 reviewed with applicant the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Applicant 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. “



Exit interview conducted and report was reviewed with the director, Danette Mejico.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2023
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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: TRF ST. PETER
FACILITY NUMBER: 304371652
VISIT DATE: 12/01/2023
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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 licensed 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.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2023
LIC809 (FAS) - (06/04)
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