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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304314114
Report Date: 09/18/2024
Date Signed: 09/18/2024 10:05:53 AM

Document Has Been Signed on 09/18/2024 10:05 AM - 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:AUGUSTINE, ISABELFACILITY NUMBER:
304314114
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
09/18/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Licensee Isabel AugustineTIME VISIT/
INSPECTION COMPLETED:
10:25 AM
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On 09/18/24, Licensing Program Analyst (LPA) Anna Chan conducted a case management inspection for the purpose of increase in capacity from Small Family Childcare Home to Large Family Childcare Home. LPA met with the Licensee, Isabel Augustine and was led on a tour of the home. There were 4 children including 2 infants and assistant, Deborah Barnes and licensee were present during the inspection.

A review of the Facility Personnel Report Summary indicates adult residents, who require caregiver background check clearances, transfers, exemptions have been obtained and they are cleared. Operation hours are 8:30-4:30pm Monday-Friday. Care and supervision shall be provided to children ages infant, preschool. There are 5 adults including the licensee and no minors living in the home.

All areas identified on the facility sketch were inspected, including but not limited to, off limit areas. This is a single-story home with 4 bedrooms, 2 bathrooms, Living room, kitchen and back yard. Licensee has designated the back yard patio area as the main child care area, and the living room, the facility uses a bedroom in the living room as nap area. Areas that are used by children were inspected for safety, comfort and cleanliness. Detergents, cleaning compounds, medicines, sharp objects, and hazardous items that can pose a danger to children are inaccessible in areas designated for children.

During this inspection, LPA observed the designated off-limits areas were made inaccessible by child safety latch, and safety door covers. Licensee stated there are no bodies of water on the premises. The facility has an inactive fireplace inside the living room and is barricaded by a mesh screen and locked by a safety latch and is inaccessible to children.

There is a working carbon monoxide, smoke detector, and a fire extinguisher (2:A-10B:C) in the home that meet statutory and State Fire Marshal standards

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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/18/2024
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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: AUGUSTINE, ISABEL
FACILITY NUMBER: 304314114
VISIT DATE: 09/18/2024
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Licensee’s Mandated Reporter Training certificate expires 3/4/25 and CPR and 1st aid for licensee and assistant expires 7/9/26.

A Fire clearance was approved on 8/28/24. A license with the change in capacity for 14 children (Large Family Childcare home) may be issued after a final file review. As per fire marshal inspection, garage may not be used for daycare.

A Capacity Handout for a Large Family Child Care Home.

A notice of site visit was given and must remain posted for 30 days.

A copy of this report and Appeal rights were presented to the Licensee Isabel Augustine.

End of Report.

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024
LIC809 (FAS) - (06/04)
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