Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370807
Report Date: 08/29/2019
Date Signed: 08/29/2019 11:09:37 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:FRANCO, NATHALIEFACILITY TYPE:
850
ADDRESS:2987 MESA VERDE EASTTELEPHONE:
(714) 336-8015
CITY:COSTA MESASTATE: CAZIP CODE:
92626
CAPACITY:72CENSUS: 0DATE:
08/29/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Director, Nathalie FrancoTIME COMPLETED:
11:45 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
Licensing Program Analysts (LPA) Cindy Nguyen conducted a case management inspection at the facility due to the facility has requested to add a toddler option component to the existing preschool license in room (L3-1). Facility is currently licensed 72 preschool children ages 2 years to 6 years of age 7:00 AM to 6:00 PM, Monday through Friday and seeking to add 12 toddlers ages 18 to 36 months old to the preschool license with a total capacity of 84 by adding classroom (L4-2). The facility is currently licensed for 72 preschool children in rooms (L3-1), (L3-2), (L4-1), (L5-1), and (L5-2). LPA met with director, Nathalie Franco. There were no children present during the inspection due to school not beginning until Tuesday September 3, 2019.

LPA toured the entire facility indoors and outdoors and the following measurements were taken:

Indoor:
Room L4-2: 529 square feet
Room L3-1, L3-2, L4-1, L5-1, and L5-2 (Previously measured on 9/20/18): 2602 square feet
Total: 3131 square feet/35 square feet = 89 children

Toilets and sinks:
Toilets 6 x 15 = 90 children
Sinks 10 x 15 = 150 children

Fire clearance from the city of Costa Mesa Fire Prevention has been received and approved for requested capacity. A waiver was requested to use toddlers and younger age preschool children for the Toddler/PreK outdoor yard on a rotating basis.



Continued on Page 2
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019
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 3
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: 08/29/2019
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
26
27
28
29
30
31
32
Page 3

Facility representative was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov.

Based on today’s measurement and the sink & toilet availability, center has sufficient activity space to support the requested increase capacity that include the 12 toddler option component ages 18 to 36 months with a total capacity of 84 children. This facility meets licensing requirements for the issuance of license to care for a total capacity of 84 children 7:00 AM to 6:00 PM, Monday through Friday. File will be submitted for a final in office review prior to issuance of a license.

There are no Title 22 deficiencies cited during today's inspection.

Exit interview was conducted with Director, Nathalie Franco. Report reviewed and discussed. Notice of Site Visit was posted during the visit. Facility representative 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. Appeal rights provided and explained. The facility representative was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. Facility representative was informed of how/where to access regulations and forms from CCLD website: www.ccld.ca.gov
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3
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: 08/29/2019
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
26
27
28
29
30
31
32
Page 2

The following was observed:
· Classroom are adequately equipped with age and size appropriate furniture and equipment.
· Drinking water is available for inside and outside drink.
· Playground is fully enclosed by an appropriate fence.
· Outdoor activity area is supplied with age and size appropriate equipment.
· Shade is provided trees and shade structures.
· Snacks and lunches are provided by parents and provided by the facility if the child does not bring one.
· The preschool office will serve as the isolation area for ill children until parents arrive.
· A separate staff restroom is available.
· Medication will be stored in the office inaccessible to children in care.
· Sign in/Sign out procedure was reviewed and meets regulation requirements. This facility utilizes an electronic sign in/out system.
· There is a working smoke detector, carbon monoxide detector and fire extinguisher that meet statutory requirements.

Director was reminded about teacher child ratio requirements, direct visual supervision requirements, emergency/disaster drills, posting requirements, children records, mandated child abuse and injury/ death reporting, mandated reporter training, immunization requirements against measles, pertussis, and influenza and fingerprint clearance requirements.

This facility provides Incidental Medical Services -IMS. LPA reviewed storage of medication, 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. When any IMS is provided, an updated 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)/ (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
Continued on Page 3
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3