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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371512
Report Date: 11/02/2023
Date Signed: 11/02/2023 02:39:25 PM

Document Has Been Signed on 11/02/2023 02:39 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CHILDREN'S COURTYARD, THEFACILITY NUMBER:
304371512
ADMINISTRATOR:JOHNSON, LAURA G.FACILITY TYPE:
850
ADDRESS:21772 LAKE FOREST DRIVETELEPHONE:
(949) 859-0805
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY: 141TOTAL ENROLLED CHILDREN: 141CENSUS: 80DATE:
11/02/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:DirectorTIME COMPLETED:
03:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted a case management inspection of the facility for the purpose of the facility to add its toddler option from 6 toddlers to 18 toddlers in the Toddler Option Program. The facility has been licensed for 135 preschool children in rooms 1, 2, 3, 4, 5, 8, and 6 toddlers in Room # 7. LPA met with director, Laura (Gabby) Johnson who gave LPA a tour of the facility. Room 7, and 8 are located on the upper level of one part of the building and rooms 1, 2, 3, 4, 5 are located on the lower level on the other side of the building. All areas identified on the Facility Sketch were inspected. During touring the facility LPA observed 9 toddlers in room # 7 with 2 teachers, and total of 71 preschool children in rooms 2, 3, 4, and 8. Rooms # 1 and 5 were vacant. Room # 8 with 18 napping children and 3 staff, room 2 with 18 napping children with 3 staff, room # 3 with 20 napping children and one staff, and room # 4 with 15 napping children with one staff observed.
The facility has requested to provide care and supervision to 135 preschool children ages 2 to 6 years old in rooms 1, 2, 3, 4, and 5 and 18 toddlers ages 18 months to 36 months old in rooms 7 and 8, Monday to Friday from 7:00 am to 6:00
A review of the Facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA reminded the director, Laura Johnson the infant sleep log for every 15 minutes check on children 24 months old since this program has toddler option component and children under 24 months old shall be checked every 15 minuets during nap time. The director, Laura Johnson 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
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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CHILDREN'S COURTYARD, THE
FACILITY NUMBER: 304371512
VISIT DATE: 11/02/2023
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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.

The measurements are as below:
Room # 7: Toddler room 217.46 square feet divided by 35= 6.21 (6 Toddlers)
Room # 8 Toddler room 570.22 square feet divided by 35 = 16.29 (16 toddlers)
Total outdoor space: 519.23 square feet divided by 75= 9.92 (7 toddlers)

Facility is planning to add infant outdoor space to the outdoor toddler option yard and request a waiver to share the outdoor space once the increasing toddler capacity is approved.
There is one sink in the classroom with a changing table within arm's reach.
Room 8 has one sink in the room and 4 toilets and sinks. There is diaper changing table in rooms 7 and 8.
Room # 1 is 1058 square feet
Room # 2 is 369.92 square feet
Room # 3 is 889.07 square feet
Room # 4 is 534.69 + 235.64 square feet
Room # 5 is 1077.47 square feet

The total outdoor preschool rooms after changes is 4165.42 square feet divided by 35 = 119 children.
Outdoor space for playground is 4735.62 square feet divided by 75 = 135 children.
There are 10 toilets and 10 sinks in the lower level of the building.

The director submitted a withdrawal letter to withdraw her application. The facility will go back to the original number on the license for 135 preschool children in rooms 1, 2, 3, 4, 5, and 8 and 6 toddlers in room # 7
The director, Laura Johnson was informed of the MyChildCarePlan.org site, a consumer education website

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2023
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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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CHILDREN'S COURTYARD, THE
FACILITY NUMBER: 304371512
VISIT DATE: 11/02/2023
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that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

This facility provides 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.


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. Exit interview conducted and report was reviewed with the director, Laura Johnson.

The following deficiency was cited during this inspection. Section 101161(a) for Limitation on capacity.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

A withdrawal letter and updated LIC 200A was provided to LPA during this inspection.


The director submitted a withdrawal letter to withdraw her application for increasing toddler option. The facility will go back to the original number on the license for 135 preschool children in rooms 1, 2, 3, 4, 5, and 8 and 6 toddlers in room # 7

End of report.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/02/2023 02:39 PM - It Cannot Be Edited


Created By: Mahnaz Malek On 11/02/2023 at 02:10 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CHILDREN'S COURTYARD, THE

FACILITY NUMBER: 304371512

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/06/2023
Section Cited
CCR
101161(a)

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Limitation on capacity- A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met as evidenced by: During taking census at 12:05pm LPA observed 9 toddlers from Toddler Option
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The director, Laura Johnson agreed to rearrange the children's scheduling for toddlers in Toddler Option Room # 7 so there will not be more than 6 toddlers in room # 7 at any time according to the license.
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Component with 2 staff in Room # 7. The license states 6 toddlers in room # 7 based on the measurement taken on 7/1/2021. The facility failed to comply with the section above. This is potential risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Thuy Ho
LICENSING EVALUATOR NAME:Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:
DATE: 11/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/02/2023


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