Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370807
Report Date: 09/20/2018
Date Signed: 09/20/2018 11:58:29 AM

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:AFUANG, JOANAFACILITY TYPE:
850
ADDRESS:2987 MESA VERDE EASTTELEPHONE:
(714) 336-8015
CITY:COSTA MESASTATE: CAZIP CODE:
92626
CAPACITY:60CENSUS: 22DATE:
09/20/2018
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Carrie Mizera (Executive Director) and Natalie Franco (Preschool and Kindergarten Coordinator) TIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Du conducted a case management inspection due to the facility has requested to increase capacity from 60 to 72 preschool children by adding another classroom (L3-1) to the existing license. Fire clearance was approved on 09/05/18 for a total of 72 preschool children. The facility is currently licensed for 60 preschool children in rooms L3 (L3-2), L4, L5, and L5-2. LPA met with executive director and preschool and kindergarten coordinator today. Census was taken. There were a total of 20 preschool age children and 6 staff observed. A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

LPA measured classroom L3-1. The total indoor activity for L3-1 was 439 square feet, accommodates 12 children. Based on the measurement of today of L3-1 and previous measurements ( 08/31/17 and 09/11/12), the total indoor space is approximately 2602 square feet that accommodates 74 preschool children in rooms L3 (L3-2), L3-1 L4, L5, L5(ll). There are a total of 6 toilets and 8 sinks in the building for the use of the children for this facility. Based on the measurement of the existing playground dated 9/11/2012 the total outdoor space area is approximately 7476 square feet divided by 75 = 99 preschool children.

The classroom L3-1 is equipped with child size furnishings. There are individual cubbies for storing children's personal belongings. Children will be napping on cots/mats. The children will be bringing lunches to school and the parents provide am & pm snack. LPA observed a complete first aid kit in each room.

In the areas evaluated, no deficiencies were observed and cited today per CA Code of Regulations, Title 22, and Division 12.

An updated license is issued effective 09/20/2018 for 72 preschool children in rooms L3-1, L3-2, L4, L5-1, and L5-2.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Susan DuTELEPHONE: (714) 703-2816
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2018
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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: RENASCENCE SCHOOL INTERNATIONAL PRESCHOOL
FACILITY NUMBER: 304370807
VISIT DATE: 09/20/2018
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The Notice of Site Visit was posted. Executive director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The site director was provided a copy of their appeal right (LIC 9058) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager at the address listed above. This report is to be on file and accessible for public review at the facility for at least 3 years. Exit interview was conducted.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Susan DuTELEPHONE: (714) 703-2816
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2018
LIC809 (FAS) - (06/04)
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