304371423-9-22-2021-06-CC-MQUO-C74Q85-20210922115611

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371423
Report Date: 09/14/2021
Date Signed: 09/22/2021 11:56:18 AM

Document Has Been Signed on 09/22/2021 11:56 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:	KIDDIE ACADEMY OF YORBA LINDA		FACILITY NUMBER:	304371423
ADMINISTRATOR:	DESAI, VANDNA		FACILITY TYPE:	850
ADDRESS:	18633 YORBA LINDA BLVD.		TELEPHONE:	(714) 660-6111
CITY:	YORBA LINDA	STATE: CA	ZIP CODE:	92886
CAPACITY: 120	TOTAL ENROLLED CHILDREN: 0	CENSUS: 25	DATE:	09/14/2021
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Vandna Desai, Director		TIME COMPLETED:	04:15 PM

NARRATIVE

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Licensing Program Analyst (LPA) Mila Quinto conducted a visit at the facility. The purpose of this visit was to conduct a case management evaluation of the facility. LPA met with director, Vandna Desai and Gloriette Cortez. Census was taken in individual classrooms. The overall census observed were 25 preschool children and 7 staff members including the director. The Covid-19 Emergency Response questionnaires were asked.

A review of facility Personnel Report Summary 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.

LPA interviewed 4 staff members during the visit. LPA also requested for the current children’s roster.

Due to insufficient information available at this time, the above allegation needs further investigation. An exit interview was completed. The report was reviewed and discussed. Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 12/15). All appeals must be in writing and received by the Licensing office within 15 business days.

SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2021

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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