<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370788
Report Date: 04/09/2024
Date Signed: 04/09/2024 03:29:20 PM

Document Has Been Signed on 04/09/2024 03:29 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:HANDS TOGETHERFACILITY NUMBER:
304370788
ADMINISTRATOR/
DIRECTOR:
KARINA CHAVEZFACILITY TYPE:
850
ADDRESS:201 E CIVIC CENTER DRIVETELEPHONE:
(714) 479-0294
CITY:SANTA ANASTATE: CAZIP CODE:
92701
CAPACITY: 84TOTAL ENROLLED CHILDREN: 84CENSUS: 43DATE:
04/09/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:50 PM
MET WITH:Karina Chavez, Director TIME VISIT/
INSPECTION COMPLETED:
03:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Patricia Duron conducted an unannounced case management inspection on this date. LPA Duron was greeted by director, Karina Chavez. Upon arrival LPA Duron observed 43 preschool children with 6 preschool staff. A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The department received a self-reported unusual incident that is being investigated at this time. The Department has initiated an investigation in relation to the allegation stated on the unusual incident report involving a personal rights violation. On this day records were reviewed and an updated children's roster was obtained.

Due to insufficient information available at this time, the above allegation needs further investigation.

Exit interview was conducted. Notice of Site Visit was posted during the visit. 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.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE: DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/09/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1