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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371066
Report Date: 08/17/2022
Date Signed: 08/17/2022 03:07:03 PM

Document Has Been Signed on 08/17/2022 03:07 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:HERITAGE OAK PRIVATE EDUCATIONFACILITY NUMBER:
304371066
ADMINISTRATOR:TWOMEY, CINDYFACILITY TYPE:
850
ADDRESS:16971 IMPERIAL HIGHWAYTELEPHONE:
(714) 524-1350
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY: 120TOTAL ENROLLED CHILDREN: 66CENSUS: 43DATE:
08/17/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:36 PM
MET WITH:Cindy Towmey, Director TIME COMPLETED:
03:30 PM
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Licensing Program Analysts (LPAs) Stacy Torrence and Dianna Valdez Santana conducted an unannounced Case Management visit. LPAs met with Cynthia Twomey, Director, to discuss the Lead Sampling Testing conducted on 07/22/2022. Director was advised on 08/15/2022 that the Lead Sample Report was to be posted. LPA confirmed that Director had posted the Lead Sample Report.

Director stated the drinking fountain with the high level of Lead is located in the playground and has been closed and taped off. Director stated it has not been used as a drinking source. Per Director, children bring their own water bottles from home and facility provides refills through “Sparkletts” water dispenser.

During today’s inspection, there were no deficiencies cited or observed in accordance with California Code of Regulations Title 22, Division 12, Chapter 3.

Exit interview conducted and report was reviewed with the facility representative Cynthia Twomey. A notice of site visit was given and must remain posted for 30 days.



Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) 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.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE: DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2022
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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