Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370807
Report Date: 08/31/2017
Date Signed: 08/31/2017 03:17:09 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:RENASCENCE SCHOOL INTERNATIONAL PRESCHOOLFACILITY NUMBER:
304370807
ADMINISTRATOR:TORJESEN, SOPHIAFACILITY TYPE:
850
ADDRESS:2987 MESA VERDE EASTTELEPHONE:
(714) 336-8015
CITY:COSTA MESASTATE: CAZIP CODE:
92626
CAPACITY:60CENSUS: 0DATE:
08/31/2017
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Sophia Torjesen-DirectorTIME COMPLETED:
03:30 PM
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An inspection was conducted today by LPAs Taylor and Romero to inspect and measure new classroom and old classroom due to a change in classroom but no change in capacity. The program will operates from: M-F 7:00 AM-6:00 PM. The program is currently licensed to provide care for 60 preschool children. LPAs toured the entire facility indoors & outdoors.

There were no children present during the inspection due to school not beginning until Tuesday September 5, 2017.

Fire clearance has been approved for 60 preschool children.


The measurements were taken for Increase as follows:
Indoor (Please see attached capacity worksheet):
New Classroom L3 - 435 divided by 35 = 12 children
Old Classroom L3-450 divided by 35=13
Total for indoor space = 2107 divided by 35 = 60 children

Toilets and sinks:
5 toilets x 15 = 75 children
6 sinks x 15 = 90 children
Outdoor:
Total outdoor activity space: 7476 square feet divided by 75 = 99 children
SUPERVISOR'S NAME: Marian WallmeierTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Andrea TaylorTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2017
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: RENASCENCE SCHOOL INTERNATIONAL PRESCHOOL
FACILITY NUMBER: 304370807
VISIT DATE: 08/31/2017
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The following was observed:
· Classroom is adequately equipped with age and size appropriate furniture and equipment
· Water jugs will be available for inside & outside drink.
· Playground is enclosed by appropriate fence.
· Outdoor activity area is supplied with age and size appropriate equipment.
· Adequate shade is provided by the patio area
· The center will be catering lunches and snacks are brought from home.

The facility is not requesting an increase in capacity only to add one classroom to the license.

Exit interview was conducted and a copy of this report was provided to the director on this date.
A copy of the 2016 “A Child Care Providers Guild to Safe Sleep” was provided to the facility representative.
English: https//www.cdph.ca.gov/programs/SIDS/Doucments/SIDSchildcaresafesleep.pdf
Spanish: https//www.cdph.ca.gov/programs/SIDS/Doucments/ChildCareProvSleepSPAN2011.pdf
Provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org A copy of the 2016 “A Child Care Providers Guild to Safe Sleep” was provided to the facility representative.
SUPERVISOR'S NAME: Marian WallmeierTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Andrea TaylorTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2017
LIC809 (FAS) - (06/04)
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