Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370721
Report Date: 05/08/2017
Date Signed 05/08/2017 03:13:37 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:ST. NORBERT CATHOLIC SCHOOL CHILDREN'S CENTERFACILITY NUMBER:
304370721
ADMINISTRATOR:APOLLO, KRISTINAFACILITY TYPE:
850
ADDRESS:300 EAST TAFT AVENUETELEPHONE:
(714) 637-6822
CITY:ORANGESTATE: CAZIP CODE:
92865
CAPACITY:36CENSUS: 30DATE:
05/08/2017
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:DirectorTIME COMPLETED:
03:15 PM
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The purpose of this inspection was to conduct a case management Evaluation of the facility for increasing capacity. Licensing Program Analysts (LPAs) Malek and Port toured the facility inside and out. LPAs met with director, Kristina Apollo in the classroom. The children were eating lunch in the classrooms and getting ready for nap. There were a total of 30 preschool children and 4 staff including the director in two different classrooms observed. The facility is currently licensed for 36 children in two rooms. The facility has requested to increase the capacity to 60 children by adding another room. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Ministry classroom was previously measured and it was approximately 1056 square feet.
There are two toilets and two sinks in this classroom.

The monkey room that is close to the playground was also previously measured and it was approximately 385 square feet. There is one toilet and three sinks in the classroom. There is also staff bathroom in the classroom. According to Fire Department approval this rooms cannot exceed eleven children at any time.

The new classroom which is located adjacent to the monkey room is currently in use by the private kindergarten of this elementary school. The classroom will be used by preschool children as of August 21, 2017. This room was measured today. It was approximately 1014 square feet. The total measurement of these three classrooms are approximately 2455 square feet that accommodates 70 children. There are 3 toilets, 2 sinks in the girl's bathroom and one toilet, 2 sinks, and 2 urinals in the Boy's bathroom.
The facility has a waiver on file to share the restroom with kindergarten class from private school with preschool children at a different timing.
There are a total of seven toilets, 8 sinks and two urinals for children's use in this facility.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Mahnaz MalekTELEPHONE: (714) 703-2810
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2017
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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ST. NORBERT CATHOLIC SCHOOL CHILDREN'S CENTER
FACILITY NUMBER: 304370721
VISIT DATE: 05/08/2017
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Pg 2
The outdoor space is large enough to cover the new capacity of 60 preschool children. The facility has a waiver approval to share the playground with kindergarten and 1st grade elementary children at different schedule time. The measurement of this shared playground is 11956 square feet that accommodate 159 children.

The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The licensee was provided a copy of their appeal right (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days. The facility representative was informed that they can refer to our Department website at www.ccld.ca.gov for obtaining the quarterly updates. Exit interview was conducted.

In the areas that were evaluated, the facility was not in compliance of the California Code of Regulations, Title 22, Division 12. Building and ground sections 101238(a) and 101238g)(1) were cited on LIC 809 Annual Inspection dated 5/8/2017.


Prior to licensure the facility needs to send the following to our office:

An update license will be issued for 60 preschool children in 3 classrooms for ages 2 years through 6 years of age Monday through Friday from 7 am to 6 pm. after receiving the following:

A picture taken from the new room after the new classroom is set up for preschool. The classroom is currently in use by the private kindergarten from this elementary school.

This report ends here.






SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Mahnaz MalekTELEPHONE: (714) 703-2810
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2017
LIC809 (FAS) - (06/04)
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