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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371231
Report Date: 06/23/2021
Date Signed: 06/23/2021 09:49:33 AM

Document Has Been Signed on 06/23/2021 09:49 AM - 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:HAPPY FACE CHILDCARE AND PRESCHOOL INC.FACILITY NUMBER:
304371231
ADMINISTRATOR:AGREDA, FLOR ADRIANAFACILITY TYPE:
850
ADDRESS:1110 N. TUSTIN ST.TELEPHONE:
(714) 366-4956
CITY:ORANGESTATE: CAZIP CODE:
92867
CAPACITY: 57TOTAL ENROLLED CHILDREN: 0CENSUS: 26DATE:
06/23/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Flor AgredaTIME COMPLETED:
10:15 AM
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Licensing Program Analyst (LPA), Mila Quinto conducted a case management inspection to deliver and acquire signature to the amendment of annual required visit dated 6/21/21. The LPA met with director, Flor Agreda. During the inspection, a census of children was taken, and signatures were obtained on the amended report.
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 06/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/23/2021
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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