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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370932
Report Date: 08/15/2022
Date Signed: 08/15/2022 06:42:49 PM

Document Has Been Signed on 08/15/2022 06:42 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:ALEPH PRESCHOOLFACILITY NUMBER:
304370932
ADMINISTRATOR:GOONAWARDANA,ANUSHKAFACILITY TYPE:
850
ADDRESS:19045 YORBA LINDA BLVD.TELEPHONE:
(714) 693-0770
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
08/15/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
05:30 PM
MET WITH:Owner Ms. Eliezrie, Naomi TIME COMPLETED:
06:45 PM
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Licensing Program Analyst (LPA) Desai, Ketki conducted an announced Case Management Licensee initiated inspection at the above facility for the purpose of decreasing the Preschool age capacity by removing one classroom, Room #B
There were no children present at the time of inspection today.

Currently facility is licensed for 30 Pre-school age children, 2 years to 5 years old in two assigned rooms # A&B
Now facility is removing Room # B and adding to the Infant age program, decreasing the total preschool age capacity from 30 to 23 children. Preschool age program has their own yard.

Facility shall now use Room # A, for Preschool age program

Facility Owner Ms. Elezrie, Naomi gave a tour of the classroom

The following was observed in the following in the preschool room
· Age appropriate furniture and equipment’s
· Educational items /Arts and Crafts activities.
· Room is well lighted with ventilation.
· Drinking water is available through filtered water pitchers and personal water bottles
· Facility offers AM/ PM snacks to the preschool age children and lunch is brought from home.

Children nap on cots and linens are provided by the parents and washed weekly. (1)
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2022
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 3
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: ALEPH PRESCHOOL
FACILITY NUMBER: 304370932
VISIT DATE: 08/15/2022
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Preschool age children have individual cubbies for storage
· Manual sign in and out
· CDC Guidelines are being followed.
· Classrooms has specific age appropriate bathrooms designated for Preschool age children in the classroom

On today’s inspection one preschool room was measured.

Indoor activity space: 809'90 divided by 35 = 23'14 (23 children)
( Facility has requested 23 preschool age children)

Total sinks: 2 X 15 = 30 children / Total toilets: 4 X 15= 60 (children)

Facility has sufficient sinks and toilets to support the requested capacity of 23 preschool age children

Outdoor space: Facility has a designated Preschool age yards which is accessed directly from the classroom door.

Total outdoor activity area: 2764 sqft divided by 75 = 36 children ( Measured at the time of Pre-licensing)

Playground is completely enclosed by a fence. Shade is provide by a pop-up, and pitcher and cups provide drinking water. Wooden chips are used as cushion under the climbing structure.
There is a bike trail in the yard. Age appropriate toys and play structures were observed in both the yards

After a tour of the center, no deficiency was observed.

Facility Administrator is current on the required Pediatric CPR/First Training: Valid up to May 1st 2023

LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian Facility has access to the Guardian system.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: ALEPH PRESCHOOL
FACILITY NUMBER: 304370932
VISIT DATE: 08/15/2022
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Fire clearance has been granted by Orange County Fire Authority approving the total capacity of 37 children , 23 Preschool age children and 14 Infants.

Based on today’s room measurements/ Outdoor space with sinks and toilets: Facility has sufficient space to accommodate 23 Preschool age children in one Preschool room A

Operating hours: Monday to Friday 8:30 am to 3:30 PM. Total Capacity : 37 children

A License shall be issued upon management approval.

Exit interview held with the Director.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022
LIC809 (FAS) - (06/04)
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