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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371024
Report Date: 06/07/2022
Date Signed: 06/07/2022 03:37:14 PM

Document Has Been Signed on 06/07/2022 03:37 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:OC KIDS INFANT & PRESCHOOLFACILITY NUMBER:
304371024
ADMINISTRATOR:DUNG (MEGAN) PHANFACILITY TYPE:
850
ADDRESS:11362 BROOKHURST STREETTELEPHONE:
(714) 530-7263
CITY:GARDEN GROVESTATE: CAZIP CODE:
92840
CAPACITY: 82TOTAL ENROLLED CHILDREN: 82CENSUS: 71DATE:
06/07/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Acting director Yareli JuarezTIME COMPLETED:
03:30 PM
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On 06/07/2022, Licensing program analyst (LPA) Tina Nguyen conducted a follow-up proof of correction inspection, met with Acting director Yareli Juarez who guided the analyst on a tour of the facility. LPA observed 71 naping children with 6 staff members. A review of staff 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 facility is operating within its licensed capacity and within compliance of staffing ratios.

The following deficiency that was previously cited on a LIC 809 dated 05/31/2022 regarding Limitations on Capacity and Ambulatory Status has been cleared

1. LPA observed 71 naping children with 6 staff members at the facility on today inspection 06/07/2022.
2. Acting director emailed the Plan of Correction letter to LPA Nguyen on 06/02/2022

LPAs observed the Notice of Site Visit from the previous visit dated 05/31/2022 posted at the entrance door. Acknowledgement of Receipt of Licensing Reports LIC 9224 was also observed.

No deficiency observed during today's inspection.

An exit interview was conducted, and a copy of this report was provided to licensee.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Tina Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2022
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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