Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270547
Report Date: 12/07/2015
Date Signed 12/07/2015 04:27:21 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:COLOR OUR WORLD DAY CARE EDUCATIONAL CENTERFACILITY NUMBER:
304270547
ADMINISTRATOR:TAPIA GRISELDA VERONICAFACILITY TYPE:
830
ADDRESS:1613 W. VALENCIA DR.TELEPHONE:
7145264800
CITY:FULLERTONSTATE: CAZIP CODE:
92833
CAPACITY:21CENSUS: 5DATE:
12/07/2015
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Jennifer G De LeonTIME COMPLETED:
04:45 PM
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(2) An Annual/Random visit was conducted on this date by LPA Nevarez-Martinez. Upon arrival LPA met with owner, Jennifer. LPA observed 5 napping babies with 2 staff members in the class room. LPA inspected the following areas: availability of drinking water, age appropriate equipment and refrigerator, water temperature, medication policy, storage areas for poisons and furniture & equipment, food preparation areas, cleaning and food supply storage areas, outdoor equipment (safety, cushioning material, good repair, and age appropriateness, required shade, drinking water and fencing), play area (hazards and inaccessibility to bodies of water), teacher child ratios (staff names recorded), care and supervision, sign in and out sheets. A review of children’s & Staff records were reviewed to identify that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA also observed Health Screenings and verification of CPR/First Aid and Preventative Health Practices. LPA was informed by the facility representative that this facility provides Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. LPA Nevarez-Martinez discussed with the director the requirements for updating the facility Plan of Operation to include the type of IMS they offer. The facility representative was informed that the facility needs to update and amend the facility Plan of Operation to include the Incidental Medical Services (IMS). The Plan of Operations must be submitted to the Licensing office within 30 days of today's date. The plan should describe the facility’s policies and procedures that ensure the proper safeguards are in place. Topics to be covered include but not limited to:
SUPERVISOR'S NAME: Dana WilliamsonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Maria NevarezTELEPHONE: (714) 703-2825
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2015
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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