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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371703
Report Date: 12/04/2024
Date Signed: 12/04/2024 05:08:15 PM

Document Has Been Signed on 12/04/2024 05:08 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:HILLSBOROUGH PRIVATE SCHOOLFACILITY NUMBER:
304371703
ADMINISTRATOR/
DIRECTOR:		CARRIE MERCADOFACILITY TYPE:
860
ADDRESS:191 SOUTH OLD SPRINGS ROADTELEPHONE:
(714) 998-6031
CITY:ANAHEIMSTATE: CAZIP CODE:
92808
CAPACITY: 137TOTAL ENROLLED CHILDREN: 137CENSUS: 73DATE:
12/04/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Carrie Mercado, Director/ApplicantTIME VISIT/
INSPECTION COMPLETED:
05:15 PM
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Licensing Program Analyst, LPA P Rivas conducted an announced pre licensing inspection. This facility is consolidating facility#s 304371121 (preschool) & 304371122(infant ) into a single license; adding school age program & toddler program and reducing the pre school program. The infant program will remain the same at 33 in infant room. The hours of operation are 7:00am to 6:00pm Monday Through Friday.
Applicant is requesting to be licensed for 33 infants ages 6wks to 2 years old in rooms 8, 9, 10(now one big room infant room); 24 toddlers ages 18 months to 36 months in Yellow Room. and 113 preschool children ages 2 to 5 years old in Rooms Red, Green, Blue 1, 2, &3; 42 School Age Children (ages 5 to 12yrs old)in rooms 4, 5 and 7.
All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Ms. Mercado that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, Ms. Mercado stated they will be kept in the office/staff lounge area in locked cabinet or in refrigerator. A fully equipped first aid kit is located in each room. There is an operational carbon monoxide detector on site located in all rooms.. All required licensing documents were posted. Children will be signed in and out at prior to entering the facility.
There is an in ground pool . Pool was inspected by County of Orange Health Care Agency Environmental Health with a passing score. Pool meets current requirements. Fences shall be at least five feet high and shall be constructed so that the fence does not obscure the pool from view, the gate swings away from the pool, self-close and have a self-latching device
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE: DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2024
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: HILLSBOROUGH PRIVATE SCHOOL
FACILITY NUMBER: 304371703
VISIT DATE: 12/04/2024
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located no more than six inches from the top of the gate. LPA discused AB-2866 Pool safety.
LPA continued to tour the facility and measured all indoor and outdoor activity space, Total indoor activity space measured at 7500.22, square feet which is sufficient to accommodate the requested capacity of 212 children (33 infants, 24 toddler option, 113 preschool and 42 school age). LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots/mats, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via britta filters. Feeding chairs have broad-based legs, seats are in good repair and trays lock onto chairs. Changing table has at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink. Diapering sink is not used for meal preparation or dishwashing. Cribs meet regulatory requirements. Crib area is separated from activity space via a plexi glass partitions . This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children. Sleep logs are kept in the infant room . Needs and Services Plans and Sleep Plans are kept in infant room.

LPA observed all hazardous items to be inaccessible to children. There are no weapons on the property. Fire clearance was granted on 10/22/24.

LPA observed a total of 20 sinks and 14 toilets/urinals available for children’s use. Sinks are sufficient to accommodate capacity requested. Toilets are insufficient to accommodate the requested capacity. Waivers for sharing bathrooms between

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
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: HILLSBOROUGH PRIVATE SCHOOL
FACILITY NUMBER: 304371703
VISIT DATE: 12/04/2024
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school age and preschool are submitted . A request has been made to share bathrooms between toddlers and preschool. There are 2 staff restroom equipped with a toilet and a sink each. The isolation area for children who are ill will be the office. One of the staff bathroom will be used.
Facility will provide two snacks . The kitchen area currently includes (stove, refrigerator freezer, microwave and oven & sink and washer and dryer) The kitchen area and food storage areas were observed free of rodents and/or vermin. Food was observed to be properly stored separate from cleaning materials. Hazardous items in kitchen are inaccessible to children via locked door.

The facility currently has a fully fenced playground area. Fencing is chain link and wrought iron and is at least four feet high. The total square footage for all the outdoor activity space is 12734 square feet(infant and preschool) which is insufficient to accommodate the requested capacity. The yard included a separate side yard for the infants and small preschool toddler yard Shade is provided via umbrellas, trees. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a climbing structure on the playground for children ages 2 to 5 years old which is properly anchored. There is adequate cushioning in fall zones of climber provided by wood chips. The fall zones for swings is wood chips. Drinking water is available via water bottles. The infant area has no climbing equipment. LPA observed all hazardous items on the playground to be inaccessible to children. Applicant, Ms. Mercado was reminded that any changes to the facility must be reported to and approved by Community Care Licensing
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
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: HILLSBOROUGH PRIVATE SCHOOL
FACILITY NUMBER: 304371703
VISIT DATE: 12/04/2024
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.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).


LPA discussed the safe sleep regulations with applicant, Ms Mercado 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 applicant, Ms. Mercado of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.”


Licensee was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. “
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.”
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
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: HILLSBOROUGH PRIVATE SCHOOL
FACILITY NUMBER: 304371703
VISIT DATE: 12/04/2024
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The director was informed that Licensing Quarterly Updates are available at www.ccld.ca.gov director may request to 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
LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian

Information on the additional nutrition training, immunization requirements for children, and Health Schools Act (http://www.cdpr.ca.gov/docs/pestmgt/schoolipm.htm) were provided. The director was informed, and website given, about the California Child Care Disaster Planhas been posted to the UCSF California Childcare Health Program website: cchp.ucsf.edu/content/disaster-preparedness Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org

LPA discussed the safe sleep regulations with director 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.
The following is needed prior to licensure
1. approved waivers for sharing yard (toddlers and preschool & school age and pre school)
2. Final Review.

Applicant/Licensee Representative Nancy Hanna understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
LIC809 (FAS) - (06/04)
Page: 4 of 6
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: HILLSBOROUGH PRIVATE SCHOOL
FACILITY NUMBER: 304371703
VISIT DATE: 12/04/2024
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SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
LIC809 (FAS) - (06/04)
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