304370964-9-26-2022-06-CC-KDEI-CJMVHD-20220926162658

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370964
Report Date: 09/26/2022
Date Signed: 09/26/2022 04:27:04 PM

Document Has Been Signed on 09/26/2022 04:27 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	AMERIMONT ACADEMY		FACILITY NUMBER:	304370964
ADMINISTRATOR:	BERNHARDT, KRISTI		FACILITY TYPE:	850
ADDRESS:	5360 STONEHAVEN DRIVE		TELEPHONE:	(714) 693-7700
CITY:	YORBA LINDA	STATE: CA	ZIP CODE:	92887
CAPACITY: 80	TOTAL ENROLLED CHILDREN: 80	CENSUS:	DATE:	09/26/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Head of School Ms. Madrigal, Samantha & Facility DIrector Ms. Bernhardt,Kristi		TIME COMPLETED:	04:45 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 Analyst (LPA) Desai, Ketki conducted an unannounced Case Management Licensee initiated inspection at the above facility for the purpose of increasing the Preschool capacity from 80 to 91 preschool age children in the assigned four preschool rooms. Facility Head of school Ms. Madrigal, Samantha gave a tour of the facility. LPA observed 37 preschool age children with eight staff members in the four assigned classrooms and Administrator Ms. Bernhardt, Kristi was also present on site, providing care and supervision to the children. Census: Eagles: 15 children with 2 teachers/ Pioneers: 12 children with 2 teachers/ Rockets 4 children with one teacher and Explorers 5 chidlren with 3 teachers. Currently facility is licensed for 80 Pre-school age children, 2-7 years old in one assigned Four Preschool rooms on the premises along with Infant License (32) on the same premises. Now facility is requesting to increase with Preschool age capacity from 80 to 91 children to the preschool program. All staff have obtained the required clearances. The following was observed in the following in the preschool rooms ( Eagles/ Pioneers/ Rockets and Explorers) · Age appropriate furniture and equipment’s · Educational items /Arts and Crafts activities. Room is well lighted with ventilation. · Drinking water is available through filtered water pitchers and personal water bottles · Facility offers snacks but all food items are brought from home Children use blue cots for napping. linens and blankets are brought from home. Linens are washed on premises and blankets are taken home on a weekly basis for wash. Isolation area is the Director's office, additional linens and blankets with cot is available in the Director's office. Adult restroom is used by the children during this time only. . (1)

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2022

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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: AMERIMONT ACADEMY	FACILITY NUMBER: 304370964
	VISIT DATE: 09/26/2022

NARRATIVE

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Preschool age children have individual cubbies for storage
· Electronic and Manual sign in / out Facility uses Sandbox application
· CDC Guidelines are being followed.
· Classrooms has specific age appropriate bathrooms designated for Preschool age children in the assigned classrooms.
Changing stations with sink within arm's length is available in younger 2 preschool rooms (Rockets and Explorers)

Facility was measured last in 2021 and same measurements were used today for the increase in capacity.

Indoor activity space: 3,173'5 divided by 35 = 91 children

Total children toilets and sinks:
Toilets 14 x 5 = 210 children / Sinks 20 x 5= 100 children

Facility has sufficient indoor activity space with Toilets and Sinks to accommodate the requested increase in capacity to 91 Preschool age children (2-7 years old i four assigned rooms .

Outdoor space: Facility has a designated Preschool age yards, which is accessed directly from the classroom doors.
Playground is completely enclosed by a fence. Outdoor activity area is supplied with age and size appropriate equipment including a climbing apparatus, a slide, and basketball area. An adequate amount of cushioning material (rubber foam) is in place under the equipment. Shade is provided by mature trees, canopies, and large umbrellas.

Outdoor activity space: 12,951 sqft. divided by 75 = 173 children. Facility has sufficient outdoor space.

After a tour of the center, no deficiency was observed.

Facility has conducted the Fire / Earthquake drills in the month of September 2022 and log is maintained. (2)

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2022

LIC809 (FAS) - (06/04)

Page: 2 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: AMERIMONT ACADEMY	FACILITY NUMBER: 304370964
	VISIT DATE: 09/26/2022

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Director Kristi Bernhardt required CPR/First Aid training is valid up to 2/27/2024

Facility provides Incidental Medical services. Stored in the Medication cabinet in the lobby mounted on the wall and Medication logs are maintained.

In the areas evaluated, no deficiency was observed and cited today per CA Code of Regulations, Title 22, and Division 12.

Facility meets all licensing requirements and file will be submitted for approval.

A new License for 91 Preschool age children (2-7 years) in Room : Eagles/ Pioneers/ Rockets and Explorers shall be issued upon Management approval.
Total capacity : 123 children (91 preschool age and 32 Infants) Monday to Friday 6:30 am to 6:00 pm.

Exit interview was conducted. A copy of this report and appeal rights were discussed and provided to the director.
The Notice of Site Visit was posted. The director 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.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2022

LIC809 (FAS) - (06/04)

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