Inspector’s narrative
What the inspector wrote
Page 1 of 4
Licensing Program Analyst (LPA), Mahnaz (Nancy) Malek
conducted an onsite inspection for the purpose of an Annual Inspection. LPA met with site supervisor, Natalie Hayes. LPA toured the facility inside and outside. The floor and outdoor plan (LIC 999) were checked. LPA took census, there were a total of 14 preschool children present with 2 staff including site supervisor in Room # 408.
During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. Facility runs a full day program from 8:00 am to 3:00 pm, 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. The staff are employees of Capistrano Unified School District.
During the inspection of the indoor activity space, items which could pose a danger to children (cleaning compounds, and medications) were observed to be stored out of the reach of children. Poisons/Hazardous Items are not kept on the premises. Parents provides morning snack to children and lunch is optional to be provided by school catering or parents. Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges. Drinking water is available to children indoors by water bottles that children bring from home and the facility fills them up if needed.
Continue to page 2
Page 2 of 4
The facility has conducted an emergency drill within the past six months, last drill was in 11/14/2025.
The facility has a working carbon monoxide detector.
Facility met all posting requirement
.
Playground is completely enclosed. Outdoor activity area is supplied with age and size appropriate equipment with adequate of cushioning materials under the climbing structure, slides, and swings. The outdoor play area is shared with the TK and Kindergarten children of this elementary school. There is an approved waiver to share the playground on file.
Drinking water in the outdoor activity space is provided by water containers children brought from home. There is no body of water present at the facility.
Staff files were reviewed for staff present during the facility inspection on this date, 2 staff files were reviewed. Health screening and immunization 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 childcare center if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis, measles for staff were reviewed and were in 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.(Facility was in compliance).
At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications, which expires 10/4/2027.
The Mandated Reporter Training Certificate is from a vendor through Capistrano Unified School District which facility is in communication with the Department to receive the approved letter. The vendor is ASCIP-Learning System Administrator.
Children's records were reviewed, and there was a separate, complete and current record for each child. A random sample of 5 children's files were reviewed for documentation of the child\342\200\231s name, address, and telephone number of the child\342\200\231s authorized representative and of relatives or others that can assume responsibility for the child if the authorized representative cannot be reached when necessary (LIC 700) and a medical assessment. In the areas reviewed the children\342\200\231s files were found to be in full compliance. Sign
Continued on page 3
Page 3 of 4
in/out procedure was reviewed for compliance. The person who signs the child in and out uses their full legal signature and records the time of the day.
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018,
requires all licensed Child Care
Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. LPA verified that the lead testing was completed in accordance to the Written Directives outlined in
PIN 21-21.1-CCP
. The report dated 9/8/2023 indicates no lead exceedance in their water. It was reminded that the lead testing shall be repeated every 5 years from the last date completed.
For IMS information see
PIN 22-02-CCP
. 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 are available at:
https://www.ada.gov/resources/child-carecenters
Site supervisor, Natalie Hayes 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 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.
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 communications.
Continued on page 4
Page 4 of 4
Site supervisor, Natalie Hayes 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.
To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process
.
A notice of site visit was given to the Site supervisor, Natalie Hayes and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
In the areas that were evaluated, no deficiency was observed of the California Code of Regulations, Title 22, Division 12 on this inspection date.
Exit interview conducted and report was reviewed with the Site supervisor, Natalie Hayes.
End of report.