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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371613
Report Date: 02/10/2023
Date Signed: 02/10/2023 01:27:56 PM

Document Has Been Signed on 02/10/2023 01:27 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MONTESSORI ACADEMY ON THE RANCHFACILITY NUMBER:
304371613
ADMINISTRATOR:KIM, TAMARAFACILITY TYPE:
850
ADDRESS:74 ESENCIA DRIVETELEPHONE:
(959) 234-6136
CITY:RANCHO MISSION VIEJOSTATE: CAZIP CODE:
92694
CAPACITY: 180TOTAL ENROLLED CHILDREN: 180CENSUS: 133DATE:
02/10/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:DirectorTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted an announced on site pre-licensing inspection at this childcare center for the purpose of change of ownership from license # 304371208 to operate Preschool Program with Toddler Option Component. LPA met with the director, Tamara Kim. LPA was given a tour by the director of the preschool of classrooms. (Total of 10 classrooms including 4 Toddler Option classrooms. (Toddler Option # 1, 2, 3, and 4. Primary # 1, 2, 3, 4, 5, and 6 for preschool rooms).
At the time of the inspection, there were a total of 91 preschool children with 9 staff and 42 toddlers from Toddler Option Component with 8 staff. The toddler group in each classroom did not exceed 12 children.

The applicant has requested to provide care and supervision for 130 preschool children ages 2 to 6 years old including 50 toddlers ages 18 month to 36 months old, Monday through Friday 7:00 AM. to 6.00 PM.

LPA observed staff following CDC and Dept of Public Health Guidelines. Due to COVID Pandemic parents shall be encouraged to follow the CDC and COVID requirements.

Parents sign in and out electronically at the entrance of the building. The entrance is from the front side of the building entering the lobby, office, and classrooms. Upon arrival each child has an health evaluation along with hand washing before they participate in the activities.

Isolation area is the office area, located at the entrance of the facility and there is an additional cot with bedding for the sick child until the child is picked up. The bathroom for sick children is the staff bathroom.

Continued on page 2
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE: DATE: 02/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/10/2023
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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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: MONTESSORI ACADEMY ON THE RANCH
FACILITY NUMBER: 304371613
VISIT DATE: 02/10/2023
NARRATIVE
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LPA discussed the posting requirements including, but limited to, the following:
· Facility License in public area (101160)
· Emergency Disaster Plan (LIC 610)
· Earthquake Preparedness Check List (LIC 9148)
· Parents’ Rights Poster (PUB 393)
· Personal Rights (LIC 613A)
· Menus / Activity Schedule
· Notice of Site Visit (LIC 9213) and Type A deficiencies / Plan of Corrections of Type A deficiencies
· Granted Waivers (available for review)
· Child Car Seat Law (PUB 269) & · COVID Posters.
Safe sleep posters / SIDS

The following was observed in the classrooms:

· Classrooms are adequately equipped with age and size appropriate furniture and equipment
· Drinking water is available inside through personalized water bottles and drinking fountain.
· Sign in/Sign out procedure was reviewed.
· Facility has in-built smoke detectors & carbon monoxide detectors. There is fire extinguisher mounted that meets statutory requirements.
· Cubbies available for storage of individual child’s personal belongings
· Napping equipment: Children in this program will nap on cots, beddings and blankets will be provided by the parents and washed weekly. Additional sheets are available if needed.
· Facility has a full day and part day program and will provide AM/PM snacks and parents provide lunch to their children.
Rooms are well lighted with proper ventilation.
Medications are stored in the locked box if any.
First Aid kit and Emergency kit is present.

Continued on page 3
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023
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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MONTESSORI ACADEMY ON THE RANCH
FACILITY NUMBER: 304371613
VISIT DATE: 02/10/2023
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LPA measured the classrooms for toddlers of Toddler Option Component:
Measurements for Toddler Option Component:
Toddler Room # 1 is: 496 square feet
Toddler Room # 2 is: 496 square feet
Toddler Room # 3 is: 496 square feet
Toddler Room # 4 is: 513 square feet
Total indoor capacity for the 4 classrooms are: 2001 square feet divided by 35= 57.15 ( 57 children)
Total sinks: 11 X 15= 165 children
Total toilets: 6 X 15=90 children
Playground measurement: Outdoor activity space is 3830 square feet divided by 75 = 51.7
(51 children).
The toddler option component has its own restrooms and playground. Based on the measurement of the toddler classrooms, outdoor space, and number of toilets and sink, the facility meets the requirements for the requested capacity of 50 toddlers. The director was informed that the maximum group of toddler from Toddler Option Component is 12 children with 2 staff. If this number exceeds, a new group shall be separated from the other group.
Measurements for preschool classrooms:
Primary Classroom # 1 is: 999 square feet
Primary Classroom # 2 is: 432 square feet
Primary Classroom # 3 is: 875 square feet
Primary Classroom # 4 is: 936 square feet
Primary Classroom # 5 is: 936 square feet
Primary Classroom # 6 is: 936 square feet
Total indoor capacity of the 6 preschool classrooms are: 5114 square feet divided by 35= 146.11
( 146 children)
Total sinks: 18 X 15= 270 children
Total toilets: 12 X 15=180 children
Playground measurement: Outdoor activity space is 11407 square feet divided by 75 = 152.09
(152 children).
Continued on page 4
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023
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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MONTESSORI ACADEMY ON THE RANCH
FACILITY NUMBER: 304371613
VISIT DATE: 02/10/2023
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The following was observed for outdoor space:
· Toddler Playground and preschool playground are fully enclosed by an appropriate fencing
· Outdoor activity space is supplied with age and size appropriate equipment, outdoor activity toys,
· There are climbing structure on both playground which are equipped with adequate cushioning materials. Shade is provided by trees and, and awnings.
Drinking water is provided by children's own water bottles, filter water, and thermos container.

Fire clearance received from Orange County Fire Authority approving the requested capacity of 130 preschool children and 50 toddlers. The total measurements of the 4 toddler classrooms and 6 preschool classrooms accommodate 130 preschool children and 50 toddlers.

The director, Tamara Kim is current on the required Immunization/ Pediatric CPR/ First training and has provided the completion certificate for the Preventive Health training (Nutrition and Lead component) and Mandated Child abuse reporting training.

Following items were discussed at the time of exit interview.
Criminal Record Statement : The Director, Tamara Kim 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, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Safe Sleep LPA discussed the safe sleep regulations with director, Tamara Kim and discussed the Child Care Licensing Safe Sleep webpage at
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the director, Tamara Kim of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at
Continued on page 5
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023
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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MONTESSORI ACADEMY ON THE RANCH
FACILITY NUMBER: 304371613
VISIT DATE: 02/10/2023
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https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.


Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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

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

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 platform.

To receive important license 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

A license for a 130 preschool children age 2 to 6 years old in primary # 1, 2, 3, 4, 5, and 6 and 50 toddlers form Toddler Option ages 18 to 36 months old in rooms Toddler # 1, 2, 3, and 4, Monday to Friday 7:00 am to 6:00 PM will be issued after final review, and management approval. The applicant will be notified if any additional documents are needed before issuing a license. On today's inspection, the director submitted/corrected additional documents to LPA which was requested.


Exit interview conducted and report was reviewed with the director, Tamara Kim.
End of reports
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023
LIC809 (FAS) - (06/04)
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