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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370937
Report Date: 09/22/2023
Date Signed: 09/22/2023 10:56:01 AM

Document Has Been Signed on 09/22/2023 10:56 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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:NEWPORT COAST PRESCHOOLFACILITY NUMBER:
304370937
ADMINISTRATOR:CUTLER, KAYLAFACILITY TYPE:
850
ADDRESS:6655 RIDGE PARK ROADTELEPHONE:
(949) 424-8978
CITY:NEWPORT COASTSTATE: CAZIP CODE:
92657
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 20DATE:
09/22/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:CUTLER, KAYLATIME COMPLETED:
11:00 AM
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On 09/22/2023 Licensing Program Analyst (LPA) Bootorabi made an unannounced visit to the facility for a self reported incident that occurred on 09/15/2023 and was reported on 9/19/2023. LPA, Bootorabi was met by the director CUTLER, KAYLA and later ECE Coordinator M. Oneill. The LPA explained the reason for today's visit.
The census on today’s visit was as follows: 20 Students and 3 Teachers (Room 4)

The facility representative was reminded that all adults 18 and over, 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.

On 09/19/2023 the facility reported an injury incident that occurred in the playground on 9/15/2023. The child involved (C1) slipped off the play structure bars and was taken to the nurses office shortly after.
A nurse evaluation was collect, staff files were reviewed, and 4 staff were interviewed.

Further investigation is needed regarding the UIR incident at this time.

An exit interview was conducted, and the report was reviewed with the ECE Coordinator, M. Oneill. Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE: DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/22/2023
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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