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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370289
Report Date: 08/23/2024
Date Signed: 08/23/2024 11:20:55 AM

Document Has Been Signed on 08/23/2024 11:20 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:WESTMINSTER SCHOOL DISTRICT-SEQUOIA PRESCHOOLFACILITY NUMBER:
304370289
ADMINISTRATOR/
DIRECTOR:		BECERRA KARINAFACILITY TYPE:
850
ADDRESS:5900 IROQUOIS ROADTELEPHONE:
(714) 894-7271
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
08/23/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Darcy Spicer, Coordinator of Early Education, Michelle Miller, Program Supervisor Early EducationTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On 08/23/2024 at 9:30am, Licensing Program Analyst P. Rivas conducted an announced Case Management inspection for an increase in capacity. Upon arrival, LPA met with Applicant, Darcy Spiker and Michelle Miller. Licensee is requesting to be licensed for 48 children ages 2.5-5 years old in Bldg H classrooms C3 and C4. There were no children present during today’s inspection. All indoor and outdoor activity space utilized for the children was inspected today. C3 will have two session (AM and PM) RM C4 will be a full day.Hours of Operation are M-F 7:00am to 5:00pm . LPA informed Ms. Spicer that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities.

LPA continued to tour the facility and measured new additional indoor and outdoor activity space. Per Ms. Spicer there have been no changes to room C3 and square footage for C3 will be based on report of 08/29/06. LPA measured room C4 . Total indoor (c3&c4)activity space measured 1762 square feet, which is sufficient to accommodate the requested capacity of 48 children. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via filtered water pitchers. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 08/22/2024.

LPA observed a total of 8 sinks and 4 toilets and 3 urinals available for children’s use. These are sufficient to accommodate the requested capacity of 48 children. There is a bathroom located within the fenced preschool area that has 3 toilets and 3 sinks. The other bathroom that is accessible to school age children has 1 toilet 3 urinals and 3 sinks, these are shared with school age children. A waiver has to be corrected.


The facility currently has a fully fenced playground area. Chain link fencing is at least four feet high. The total square footage for all the outdoor activity space is 13259.55 square feet, which is sufficient to accommodate the requested capacity. Shade is provided via umbrellas. There is a shared playground waiver (Continue to page 2)
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2024
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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: WESTMINSTER SCHOOL DISTRICT-SEQUOIA PRESCHOOL
FACILITY NUMBER: 304370289
VISIT DATE: 08/23/2024
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in place. Ms. Spicer indicated that the hours are still the same. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a climbing structure with manufacturer sticker which has age range of 2-12 year olds, Fall zones are made of wood chips. Drinking water is available via filtered water pitchers and children's own water bottles. LPA observed all hazardous items on the playground to be inaccessible to children. Applicant Ms. Spicer was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

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Sign in and out will be conducted in classroom or outside. LPA viewed required postings.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). Ms. Spicer indicated water has been tested and currently no exceedences.



Applicant Ms.Spicer was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated. This is a Title 5 school and will also be operating under those regulations.

Life saving medications will be kept in the classrooms, in locked container on high shelf.


This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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) or (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.

LPA reviewed with Applicant Ms. Spicer the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Applicant Ms. Spicer was informed of the MyChildCarePlan.org site, a consumer education website that


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SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
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: WESTMINSTER SCHOOL DISTRICT-SEQUOIA PRESCHOOL
FACILITY NUMBER: 304370289
VISIT DATE: 08/23/2024
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helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout Califohrnia.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. (


The following corrections are needed;
1.More shade, picture can be provided.(only viewed 4 small umbrellas)
2. Approved bathroom waiver. LPA Rivas advised Ms. Spicer that the request needs to be reworded.
Corrections due by 08/30/24

Exit interview conducted and report was reviewed with the Applicant Darcy Spicer. A notice of site visit was given to Ms. Spicer and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

End of Report

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
LIC809 (FAS) - (06/04)
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