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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300600217
Report Date: 12/27/2022
Date Signed: 12/27/2022 01:45:59 PM

Document Has Been Signed on 12/27/2022 01:45 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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CORNERSTONE CHRISTIAN PRESCHOOLFACILITY NUMBER:
300600217
ADMINISTRATOR:ROBYN DELGADOFACILITY TYPE:
850
ADDRESS:17575 EUCLID STREETTELEPHONE:
(714) 962-5414
CITY:FOUNTAIN VALLEYSTATE: CAZIP CODE:
92708
CAPACITY: 84TOTAL ENROLLED CHILDREN: 84CENSUS: 17DATE:
12/27/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:DirectorTIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted a case management inspection of the facility for the purpose of decreasing capacity from 84 preschool children to 80 preschool age children by removing Room # 7 (Conference Room) from the license. LPA met with director, Robyn Delgado who toured the facility with LPA. There were a total of 17 children with 5 staff in three different rooms. Currently the facility is licensed for 84 preschool children in rooms 1, 2, 3, 4, 5, 6, and 7. The licensee has requested to provide care and supervision for 80 preschool children in rooms 1, 2, 3, 4, 5, and 6 for ages 2 to 6 years old, Monday through Friday, 6:30 am to 6:00 pm.

A review of the Facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Director’s office area is located in the front of the facility next to the entrance and will serve as the isolation area for ill children temporarily until parents arrive. The staff/adult restroom will be used as the isolation restroom for ill children and is conveniently located close to the isolation area.

For Incidental Medical Services (IMS) information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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
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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE: DATE: 12/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/27/2022
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CORNERSTONE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 300600217
VISIT DATE: 12/27/2022
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The indoor activity space measurement is as follows:
Room # 1: 459 square feet
Room # 2 408 square feet
Room # 3: 435 square feet
Room # 4 406 square feet
Room # 5 : 435 square feet
Room # 6 336 square feet
Total indoor space is 2479 square feet divided by 35 = 70.82 (71 children)
Total outdoor activity space measurement is as follows:
Small playground: 4418 square feet divided by 75 = 58.9 (60 children)
Large Playground: 6467 square feet divided by 75 = 86.22 (86 children).
The facility has a waiver to share the large playground with school age children in different timing's since July 2013. The total capacity of school age license is 50 school age children and total capacity for preschool will be 71 children and the total outdoor space is enough for 146 children. The total requested capacity for both programs are 120 children.
Total children toilets and sinks:
Toilets: 10 x 15 = 150 children
Sinks: 10 x 15 = 150 children

Orange county Fire authority has approved the requested capacity of 84 preschool children. Based on today’s measurements, and the sinks and toilets availability, the minimum factor is the indoor measurement which is enough for 71 children in 6 rooms.
An updated license for a capacity of 71 children will be issued for rooms 1, 2, 3, 4, 5, and 6, Monday through Friday from 6:30 am to 6:00 pm.

Notice of Site Visit must be posted for 30 days or $100 civil penalties will be assessed.
An exit interview was completed. The report was reviewed and discussed. Appeal Rights were discussed. The applicant was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 12/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2022
LIC809 (FAS) - (06/04)
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