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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371540
Report Date: 02/03/2025
Date Signed: 02/03/2025 10:42:11 AM

Document Has Been Signed on 02/03/2025 10:42 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:SEASIDE COSTA MESA PRESCHOOLFACILITY NUMBER:
304371540
ADMINISTRATOR/
DIRECTOR:		LIN, WEILIFACILITY TYPE:
850
ADDRESS:1701 BAKER STREETTELEPHONE:
(909) 616-1101
CITY:COSTA MESASTATE: CAZIP CODE:
92626
CAPACITY: 70TOTAL ENROLLED CHILDREN: 70CENSUS: 38DATE:
02/03/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Director, Weili LinTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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Licensing Program Analyst (LPA), Cynthia Sun conducted a visit for the purpose of a Plan of Correction (POC). LPA was given a tour of the preschool classrooms inside and outside by Director Weili Lin. There was a total of 5 staff and 38 children present today; Purple Room: 1 staff and 8 preschool children. Blue Room:1 staff and 12 preschool children. Green Room: 2 staff and 11 toddlers. Pink Room 1 staff and 7 children. Currently, Turquoise Room is being used for Staff Lounge, facility staff take breaks and do children food preparation. Orange Room is being used for storage of facility materials/furniture. LPA asked Director if they want to change capacity due to Turquoise and Orange rooms not being used for children. Director stated for now they do not want to change capacity and want to stay with the two rooms available in case they get more children enrolled into facility.

A review of the Facility Personnel Report Summary on this date indicates all facility residents, staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 01/23/2025 LPA conducted an Annual Random inspection. LPA observed a body of water present at the facility. LPA observed a fishpond in the nature yard which is accessible to children and not properly fenced. The children access to fishpond poses an immediate health, safety, or personal rights risk to persons in care. A Type A citation was given according to Title 22 101238(e) Buildings and Grounds All licensees shall ensure the inaccessibility of pools, including swimming pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fishponds or similar bodies of water, through a pool cover or by surrounding the pool with a fence.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Cynthia Sun
LICENSING EVALUATOR SIGNATURE: DATE: 02/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/03/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SEASIDE COSTA MESA PRESCHOOL
FACILITY NUMBER: 304371540
VISIT DATE: 02/03/2025
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On 02/03/2025 In the areas that were evaluated, the plan of correction was in compliance. LPA observed that the nature yard fishpond was filled with dirt and small pebbles. Now there is no body of water in nature yard. LPA took photos of dirt and pebbles area.

In the areas that were evaluated, NO deficiencies were observed in the California Code of Regulations, Title 22, Division 12 at the time of the visit.

Exit interview conducted and report was reviewed with the Director Weili Lin. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

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.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Cynthia Sun
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025
LIC809 (FAS) - (06/04)
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