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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371653
Report Date: 12/10/2024
Date Signed: 12/10/2024 02:05:05 PM

Document Has Been Signed on 12/10/2024 02:05 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:UNIQUE 2THE PEAK CHILDRENS ACADEMYFACILITY NUMBER:
304371653
ADMINISTRATOR/
DIRECTOR:		MEZA, VIVIANAFACILITY TYPE:
850
ADDRESS:1309 SOUTH BROOKHURST STREETTELEPHONE:
(657) 220-4206
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: 7DATE:
12/10/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Vivana Meza, Applicant/DirectorTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) P Rivas conducted an announced case management visit for the purpose of correcting the identification of the room numbers as per fire clearance. All items documented on pre licensing visit are the same.
Ms. Meza indicates there has been no changes to physical plant since pre licensing inspection.
The pre school area is divided into three sections, Room #1 and Room #2 and play area. Infant Room is designated as Infant room 3 and School age rooms are designated as School Age Room1 and Room 2 (it is a separate building in the back.) LPA Rivas noted rooms are the same no addition of storage space, no physical plant changes.
LPA P Rivas and Ms. Meza toured facility inside and out.
Corrections requested at pre licensing visit have been provided. The physical plant,including square footage (inside and out) toilets and sinks, equipment and supplies meet requirements for the capacity requested.
A license will be issued as soon as administratively possible.

An exit interview was conducted, appeal rights reviewed.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE: DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/10/2024
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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