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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371267
Report Date: 04/22/2021
Date Signed: 04/22/2021 10:56:59 AM

Document Has Been Signed on 04/22/2021 10:56 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:WILSHIRE AVENUE PRESCHOOLFACILITY NUMBER:
304371267
ADMINISTRATOR:LUCERO, KELLIEFACILITY TYPE:
850
ADDRESS:212 EAST WILSHIRE AVENUETELEPHONE:
(714) 451-0050
CITY:FULLERTONSTATE: CAZIP CODE:
92832
CAPACITY: 93TOTAL ENROLLED CHILDREN: 0CENSUS: 36DATE:
04/22/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jenny Marvel, Director TIME COMPLETED:
10:42 AM
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State of Emergency COVID-19 tele-visit was conducted through Facetime.

Licensing Program Analyst (LPA) Yesenia Villa conducted an unannounced case management inspection to provide new findings related to a complaint finding on 11/19/2020. LPA Villa met with director, Jenny Marvel who guided LPA Villa on a tour of the facility.

LPA Villa and Director Jenny Marvel conducted a virtual walkthrough of the facility in all five classrooms. Classroom 101 had 10 preschool children present with one staff, classroom 102 had 7 children present with one staff, classroom 103 had 7 children present with one staff, classroom 104 had 5 children present with one staff and classroom 105 had 7 children present with one staff. A review of staff criminal clearance 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 was observed to be in compliance of staff and children ratios.

LPA Villa provided a copy of the amended report to Director Jenny Marvel via email. The report was amended after an appeal overruled the finding of the SUBSTANTIATED complaint to UNSUBSTANTIATED. There were no citations issued for the complaint received on 02/26/2020 regarding allegation of staff not supervising children while in the bathroom.

An exit interview was conducted with Director Jenny Marvel Exit interview was conducted with Director Jenny Marvel via Tele-Inspection. A copy of the report along with Appeal Rights will be emailed to Licensee with a Read Receipt to acknowledge report was received. Licensee was asked to respond to email by copying the following, “I have read and received the Investigation Report and Appeal Rights, I acknowledge receipt.”



End of report.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Yesenia Villa
LICENSING EVALUATOR SIGNATURE: DATE: 04/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/22/2021
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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