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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371636
Report Date: 09/25/2023
Date Signed: 09/25/2023 12:20:27 PM

Document Has Been Signed on 09/25/2023 12:20 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:TEMPLE BETH EL SOUTH ORANGE COUNTY-ECEFACILITY NUMBER:
304371636
ADMINISTRATOR:LOBENTHAL, LISABETHFACILITY TYPE:
830
ADDRESS:2A LIBERTYTELEPHONE:
(949) 362-3999
CITY:ALISO VIEJOSTATE: CAZIP CODE:
92656
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 0DATE:
09/25/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Melissa Nguyen, TIME COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA), Mila Quinto conducted an announced follow up pre-licensing inspection to ensure the corrections needed from the pre-licensing visit dated 8/3/2023 were completed. LPA met with the applicant, Melissa Nguyen who gave a tour of the facility.

The following are the corrections:
1- The crib area in the infant room shall be separated from the activity area by a patrician at least 4 feet high and sound absorbing. The napping area is separated from the activity area by a sound absorbing built in wall made off part wood of at least 4 feet high and half glass window. LPA advised applicant there must be a staff present with visual supervision when an infant is in the napping area.
2- Furniture including diaper changing table, cribs, mattress, sheets, refrigerator, toys, and equipment for infants. LPA observed furniture including diaper changing table, cribs, mattress, sheets, refrigerator, toys, and equipment for infants are in good condition. The diaper changing table has padded surface no less than one inch thick and with disposable cover. It has raised sides at least 3 inches high and has a sink within arm’s reach.
3- Play pen for sick child in the isolation area. There is a playpen in the designated isolated area located in the office. LPA advised applicant that the playpen is not banned from the center, however it may not be used for infant sleeping.
4- Playground renovation and fencing off for infants and toddlers. The playground has artificial grass and enough to absorb falls. There is a fence separating the infant and toddler yard from the preschool yard. LPA observed the fenced is safely secured on the ground.

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SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 09/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2023
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: TEMPLE BETH EL SOUTH ORANGE COUNTY-ECE
FACILITY NUMBER: 304371636
VISIT DATE: 09/25/2023
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5- Waiver request to share playground and restroom, please send the following: waiver request letters, photo of the playground and restroom, daily outdoor schedule for both infants and toddlers, LIC 500, and LIC 999. Applicant submitted 2 waiver request letters to share the infant and toddler option playground and to share the restroom in the infant toddler classroom with the preschool classroom #105..

6- The facility has designated room 106 for toddlers which has been a preschool room. Applicant submitted a check for 25.00 and LIC 200 to decrease the capacity of preschool by taking off room 106 from the program with an updated sketch.

Based on today’s inspection visit to follow up on the corrections needed from the prelicensing visit dated 8/3/23, the request of the facility for 14 infants ages 3 months to 18 months and 17 toddlers options ages 18 months to 26 months will be final reviewed and discussed with management in the Regional Office. The facility will be notified if any additional information is required. Exit interview conducted and report was reviewed with the applicant, Melissa Nguyen.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2023
LIC809 (FAS) - (06/04)
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