336300028-8-5-2021-10-CC-SBRR-C5LQUC-20210805122831

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 336300028
Report Date: 08/05/2021
Date Signed: 08/05/2021 12:28:44 PM

Document Has Been Signed on 08/05/2021 12:28 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME:	MEGAN COPE STATE PRESCHOOL		FACILITY NUMBER:	336300028
ADMINISTRATOR:	ELIZABETH ZARAGOZA		FACILITY TYPE:	850
ADDRESS:	2550 VIA LA SIERRA LN		TELEPHONE:	(951) 929-7700
CITY:	SAN JACINTO	STATE: CA	ZIP CODE:	92582
CAPACITY: 40	TOTAL ENROLLED CHILDREN: 0	CENSUS: 7	DATE:	08/05/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Director Elizabeth Zaragoza		TIME COMPLETED:	12:35 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	(1) On 08/05/2021 at 9:05 AM, Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility for the purpose of conducting a required – 1 year Annual Inspection. In addition to the Licensee Director Elizabeth Zaragoza, has requested to make a room change in the designated indoor activity space for child care by adding Room #416 to the license and eliminating Room # 412 from the license which will decrease the program capacity to 24. A fire clearance was issued on 06/25/2021. Measurements were taken and the following was observed: A census was taken in classroom 413 with 7 children supervised by 4 staff. Days and Hours of Operation MON - FRI, 7:50 AM TO 10:50 AM & 11:35 AM TO 2:35 PM Preschool Children Ages, 3 through 5 YEARS. Waiver on file for shared restrooms and playground. Preschool Indoor Activity Areas Designated Preschool Rooms 413 and 416. LPA has determined that there is sufficient space to accommodate 54 children. Room 413 948.22 sq. ft - (23.72 sq ft encumbered) = 995.29 divided by 35 sq ft = 28 children Room 416: 948.22 sq ft - (23.14 sq ft encumbered) = 922.09 divided by 35 sq ft = 26 children Total usable square footage is 1,920.37 divided by 35 square feet = 54.87 Preschool Bathroom Fixtures 4 toilets x 15 = 60 children 4 sinks x 15 = 60 children Preschool Outdoor Activity Area: Transitional Kindergarten & Kindergarden School Yard LPA has determined that there is sufficient space to accommodate 54 children. The applicant has a current waiver on file for shared use of Outdoor Space with staggered play time schedules and separate areas from school age children.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: MEGAN COPE STATE PRESCHOOL	FACILITY NUMBER: 336300028
	VISIT DATE: 08/05/2021

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Per Health and Safety code Section 1596.806. This program is exempt from square footage requirements and toilet and sink requirements, fencing, outdoor activity requirements, and isolation area requirement, as the program is operated on a functioning school site which has been approved for public accommodation and instruction.

Limiting factor for preschool capacity is the restrooms, due to the classrooms not having toiletsand only 1 sink in each classroom. The applicant has a current waiver to share 4 toilets and 2 additional sinks with the the School Age children located in buildings 403 and 409, next to the classrooms 407, 412, 406 and 401.

Limiting factor for preschool capacity is the lack of restrooms and sinks. Preschool capacity is limited to 40 children with an approved waiver for shared Restrooms and Outdoor Activity Area, per applicant request. The applicant will withdraw the application to decrease the capacity and keep the current capacity of 40 with the use of the waivers. Preschool capacity is limited to 40 children with 1,920.37 square feet determined sufficient to accommodate.

· A review of the staff records and review of a sampling of children's records were conducted as part of this evaluation. See Confidential Names List (LIC811)
· The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days:
1. LIC 500 Personnel Report
2. LIC 610 Emergency & Disaster Plan
3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made)
4. LIC 309 Administrative Organization (only if changes have been made)
5. LIC 308 Designation of Administrative Responsibility (only if changes have been made)
· The following items have been posted and are updated where necessary:
- License
- Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148)
- Parent’s Rights Poster (PUB393)

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: MEGAN COPE STATE PRESCHOOL	FACILITY NUMBER: 336300028
	VISIT DATE: 08/05/2021

NARRATIVE

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- Personal Rights (LIC613A)
- Child Car Seat Law and Menu
· The facility is operating within the terms of the license
· Ratios were met during this inspection
· Appropriate supervision was provided during this inspection
· Classrooms are equipped with age appropriate furniture and equipment in good condition
· Classrooms are clean and free of hazards
· No weapons stored at the facility
· There are no accessible bodies of water present. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Medications are stored in the nurses office where inaccessible to children. The school nurse is responsible for dispersing any medications and keeping logs. There are no children receiving medication at this time
· Hazards are stored where inaccessible to children which include: Disinfectants, cleaning solutions and other items that are dangerous
· Poisons and toxins are locked.
· All floors shall be clean and safe
· Bathrooms were observed to be safe, sanitary and in operating condition
· Playgrounds are enclosed by appropriate fences and free of hazards
· Outdoor activity areas are supplied with age and size appropriate equipment in good condition
· Food preparation area is clean, free of litter, rubbish and free of rodents and other vermin
· Food is stored appropriately and protected from contamination
· All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair.
· Menus shall be posted at least one week in advance in a place visible by the child’s authorized representative, dated and kept on file for 30 days, and made available upon request
· Uncontaminated drinking water shall be readily available both indoors and out and provided by store bought water bottles provided by the school district.
· The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: MEGAN COPE STATE PRESCHOOL	FACILITY NUMBER: 336300028
	VISIT DATE: 08/05/2021

NARRATIVE

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· Sign in/Sign out record was reviewed and meets regulation requirements.
· A Staff member is present with current Pediatric CPR/First Aid which expires on 01/2022.
· Opening and closing staff member’s CPR/First Aid expires on 12/2021
· Director completed Health and Safety Training on file.
· The Licensee was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO10@dss.ca.gov
· Required records for children shall ensure that each child’s record contain a medical assessment and contain the Identification and Emergency Information
· Required records for staff shall ensure that each personnel record contain a health screening. Verified
· Documentation of fire & earthquake drills to be conducted every six months.
· A review of staff records on 08/05/2021 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 Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations858@dss.ca.gov
Facility is providing IMS This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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.

· For more information on SIDS and Safe Sleep Environments, please visit:
California Department of Public Health – California SIDS Program: http://www.cdph.ca.gov/programs/SIDS/pages/default.aspx
AAP – Safe Sleep Campaign: http://www.healthychildcare.org/sids/html
AAP-Free Training: Reducing the Risk of SIDS in Early Education and Child Care: http://shop.aap.org/Reducing-the-Risk-of-SIDS-in-Early-Education-and-Child-Care
And Caring for our Children, Safe Sleep Practices and SIDS/Suffocation Risk Reduction: http://cfoc/nrckids/org/standardview/spccol/safe_sleep

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: MEGAN COPE STATE PRESCHOOL	FACILITY NUMBER: 336300028
	VISIT DATE: 08/05/2021

NARRATIVE

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No deficiencies cited.

The following was also reviewed and discussed:
v Access to forms & Regulations for a Child Care Center are online at www.ccld.ca.gov.

v Please subscribe at www.childcareadvocatesprogram to receive Department updates. They will be sent directly to your e-mail account once you have set up an account. This website can also be accessed through www.ccld.ca.gov

v The Duty Officer is available to answer questions Monday – Friday at 1-844-LET-US-NO (1-844-538-8766).

No Civil Penalty has been assessed during this inspection.

An exit interview was conducted and during the interview, the licensee, Elizabeth Zaragoza confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS

This report must be available for review, upon request, for the next 3 years.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

LIC809 (FAS) - (06/04)

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