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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371631
Report Date: 02/28/2025
Date Signed: 02/28/2025 02:52:33 PM

Document Has Been Signed on 02/28/2025 02:52 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:PLACENTIA YORBA LINDA USD:BRYANT RANCH ELEMENTARYFACILITY NUMBER:
304371631
ADMINISTRATOR/
DIRECTOR:		MONETTE PEREZFACILITY TYPE:
850
ADDRESS:24695 PASEO DE TORONTOTELEPHONE:
(714) 779-8145
CITY:YORBA LINDASTATE: CAZIP CODE:
92887
CAPACITY: 71TOTAL ENROLLED CHILDREN: 71CENSUS: 44DATE:
02/28/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Director Monette PerezTIME VISIT/
INSPECTION COMPLETED:
02:14 PM
NARRATIVE
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On 02/28/25, at 12:30pm, Licensing Program Analyst (LPA), Anna Chan conducted an onsite inspection for the purpose of an Annual Random Visit. LPA met with Director Monette Perez and informed of the reason of visit. LPA and Director toured the facility inside and outside and the floor and yard plan were verified. Census was taken in individual classrooms. The overall census observed was 44 Preschool children and 8 staff. Children are preparing to nap when LPA arrived at the facility.

The facility is being run by Placentia Yorba Linda School District and the entrance to the facility is located at the parking area of Bryant Ranch Elementary School with a separate entrance from the School.

During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. Facility hours are 7a.m.- 6p.m., Monday through Friday.

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. Age-appropriate materials are provided. The facility provides AM/PM snacks. Menus are posted in the classrooms where it can be seen by parents. Food is prepared on site. Food is properly stored. Food prep areas were clean and sanitary. Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges. Drinking water available to children indoors by water jugs and faucet water, and sports bottle are also brought by children from home with the child’s name on it.
The children's restrooms were clean and sanitary.

Children nap on cots, and bedding is stored individually. Blankets and sheets are brought home for washing weekly.

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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2025
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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Document Has Been Signed on 02/28/2025 02:52 PM - It Cannot Be Edited


Created By: Anna Francesca Chan On 02/28/2025 at 02:08 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: PLACENTIA YORBA LINDA USD:BRYANT RANCH ELEMENTARY
FACILITY NUMBER: 304371631

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/28/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101226(e)(2)
Health-Related Services
(2) All prescription and nonprescription medications shall be maintained with the child's name and shall be dated.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, and record review, the licensee did not comply with the section cited above 1 of 2 epi-pens has expired on 11/24 and without the original box with label which posess a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/28/2025
Plan of Correction
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Director stated they will return the expired medication to child's representative and will request for a dated medication with proper label. Director will send a copy of new medication to LPA by due date of 3/28/25.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Martha Malane
LICENSING EVALUATOR NAME:Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:
DATE: 02/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/28/2025


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: PLACENTIA YORBA LINDA USD:BRYANT RANCH ELEMENTARY
FACILITY NUMBER: 304371631
VISIT DATE: 02/28/2025
NARRATIVE
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The facility has a working carbon monoxide detector and fire extinguisher. The facility has conducted an emergency drill on February 12, 2025. 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 play ground was enclosed by a fence at least four feet in height. The surface of the outdoor activity space was well maintained and free of hazards. The cushioning material is pour in place rubber surface and appeared to be enough to absorbs falls. Drinking water available to children outdoors by water jugs and faucet water, and sports bottle are also brought by children from home with the child’s name on it. The outdoor equipment and toys were in good repair and free of sharp edges. There are no bodies of water present at the facility and none was observed during today’s visit.

5 Staff files were reviewed for staff present during the facility inspection. Health screening and immunization as required were reviewed. Health and Safety Code 1596.7995 (a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete mandated reporter 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.



5 Children's records were reviewed, and there was a separate, complete and current record for each child. Sign in/out through Eleyo app was reviewed for compliance. In the areas reviewed, 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: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2025
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: PLACENTIA YORBA LINDA USD:BRYANT RANCH ELEMENTARY
FACILITY NUMBER: 304371631
VISIT DATE: 02/28/2025
NARRATIVE
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Currently there are medications at the facility. LPA reviewed storage of medication and equipment/supplies. Based on record review, 1 child’s prescription did not have proper label and has expired on 11/2024. Director was provided a copy of the regulation.

For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

In the areas evaluated, the following Type B violation was observed and is being cited in accordance
with California Code of Regulations, Title 22, Division 12, Section 101226 (e)(2) Health-Related Services. See attached LIC809D.

An Inspection and exit interview were completed with Director Monette Perez. The report was reviewed and discussed. Appeal Rights and deficiency were 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 Notice of Site Visit was posted during the visit. The director was informed that the Notice of Site Visit must be posted for 30 consecutive days.

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

DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2025
LIC809 (FAS) - (06/04)
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