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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371179
Report Date: 02/20/2025
Date Signed: 02/20/2025 11:09:35 AM

Document Has Been Signed on 02/20/2025 11:09 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:CALVARY CHAPEL OF YORBA LINDAFACILITY NUMBER:
304371179
ADMINISTRATOR/
DIRECTOR:		MYERS, BRENDAFACILITY TYPE:
850
ADDRESS:18821 YORBA LINDA BLVD.TELEPHONE:
(714) 777-7131
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY: 115TOTAL ENROLLED CHILDREN: 115CENSUS: 74DATE:
02/20/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Director Brenda MyersTIME VISIT/
INSPECTION COMPLETED:
11:25 AM
NARRATIVE
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On 2/20/25, at 8:45am, Licensing Program Analyst (LPA) Anna Chan conducted an unannounced onsite inspection for the purpose of an Annual Visit. LPA met with Director Brenda Myers and Assistant Director Shawna Sanchez. Assistant Director and LPA toured the facility inside and outside and the floor and yard plan were verified. Census was taken in individual classrooms. There were 74 preschool children including 4 toddlers and 12 staff present. Children were having indoor activities when LPA arrived at the facility.

During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. Facility hours are 6:30am – 6:00pm, Monday through Friday. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the inspection of the indoor activity space, items which could pose a danger to children (detergents, cleaning compounds, and medications) were observed to be stored out of the reach of children. Poisons/Hazardous Items are not kept on the premises. Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges. Age-appropriate materials are provided for children in care. The facility provides snacks to children. Children bring lunches from home. Food prep areas were clean and sanitary. Food is properly stored. Menus were posted where they could be reviewed by parents. There is drinking water available to children indoors by sippy cups and sports bottles with the child’s name on it. Water pitcher is also available for drinking. The children's bathrooms are clean and sanitary.


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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
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: CALVARY CHAPEL OF YORBA LINDA
FACILITY NUMBER: 304371179
VISIT DATE: 02/20/2025
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Children nap on cots and bedding is stored individually and children take it home for washing every Friday.

The facility has a working carbon monoxide detector and fire extinguisher. The facility conducted an emergency drill on October 17, 2024. Facility met all posting requirement. The California Child Passenger Safety Law was posted by the entrance of the facility.

The outdoor activity space was inspected for compliance. The playground was enclosed by a fence at least four feet in height. There is a grassy area and wood chips material at the climbing structure which appeared to be enough to absorbs falls. There is a separate playground for Toddler Option. The outdoor equipment and toys were in good repair and free of sharp edges. Drinking water in the outdoor activity space is provided by water filling station and sports bottles were available with the child’s name on it. The facility grounds were safe, sanitary and in good repair. There are no bodies of water present at the facility, and none was observed during today’s inspection.

6 Staff files were reviewed for staff present during the facility inspection on this date. Health screening and immunizations as required were reviewed. Beginning September 1, 2016, Health and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis, measles for staff were reviewed and within compliance.

Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete mandated reporting training, and to renew the training every two years. At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications, which expires 08/2025.

6 Children's records were reviewed, and there was a separate, complete and current record for each child. Sign in/out procedure was reviewed through Brightwheel. 15-minute sleep log for toddlers 24months and under was reviewed. In the areas reviewed and evaluated, the children’s files were found to be in compliance.

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

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
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: CALVARY CHAPEL OF YORBA LINDA
FACILITY NUMBER: 304371179
VISIT DATE: 02/20/2025
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Currently, there are medications in the facility. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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

Transfer Request (LIC9182). The Director was informed that Licensing Quarterly Updates are available at www.ccld.ca.gov director be added to an email list to receive a Quarterly Update by contacting the Child Care Advocate at childcareadvocatesprogram@dss.ca.gov or at www.ccld.ca.gov


In the areas evaluated, there are no deficiencies observed in the California Code of Regulations, Title 22, Division 12 at the time of visit.

Exit interview was completed with Director Breda Myers. The report was reviewed and discussed. Appeal Rights was discussed. The director 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.



The director was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.

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

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
LIC809 (FAS) - (06/04)
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