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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371099
Report Date: 06/12/2024
Date Signed: 06/12/2024 01:36:51 PM

Document Has Been Signed on 06/12/2024 01:36 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:MILESTONES ACADEMY CHILDCARE CENTER, INC.FACILITY NUMBER:
304371099
ADMINISTRATOR/
DIRECTOR:		GHARAVI, SAEIDEHFACILITY TYPE:
850
ADDRESS:23184 EL TORO FRONTAGE ROADTELEPHONE:
(949) 588-7000
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 26DATE:
06/12/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Saeideh GharaviTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On 6/12/24 at 1:20 p.m., Licensing Program Analyst (LPA), Christine Jung conducted an unannounced case management inspection for the purpose of amending a report dated 6/10/24. Upon arrival, LPA met with Director, Saeideh Gharavi and took a census. There were 19 preschool children, 7 toddlers, and 5 staff members present.

No deficiencies cited.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Saeideh Gharavi.

(End of Report)

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE: DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/12/2024
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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