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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270714
Report Date: 10/10/2024
Date Signed: 10/10/2024 12:38:07 PM

Document Has Been Signed on 10/10/2024 12:38 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:TEMPLE BETH EL OF SOUTH ORANGE COUNTYFACILITY NUMBER:
304270714
ADMINISTRATOR/
DIRECTOR:		NGUYEN, MELISSAFACILITY TYPE:
850
ADDRESS:2A LIBERTYTELEPHONE:
(949) 362-3999
CITY:ALISO VIEJOSTATE: CAZIP CODE:
92656
CAPACITY: 62TOTAL ENROLLED CHILDREN: 62CENSUS: 21DATE:
10/10/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Melissa Nguyen, DirectorTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
NARRATIVE
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This is a follow-up proof of correction inspection conducted by Licensing Program Analyst (LPA) Tran. LPA met with Director Melissa Nguyen. Director of the purpose of today's visit. A tour of the facility was conducted. Census was observed as follows: 10 preschool children with 1 staff in classroom 102, 9 preschool children with 2 staff in classroom 103, and 2 preschool children and 1 staff in classroom 104.

A review of the Facility Personnel Report Summary on 10/10/2024 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

No deficiency observed during today's visit.

Appeal Rights were explained. The Director was provided a copy of 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. First level appeals should be sent to the regional manager to the address listed above. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Melissa Nguyen.

(End of Report)
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024
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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